Does Implementation Follow Design? A Case Study of a Workplace Health Promotion Program Using the 4-S Program Design and the PIPE Impact Metric Evaluation Models

J Occup Environ Med. 2017 Aug;59(8):752-760. doi: 10.1097/JOM.0000000000001067.

Abstract

Objective: The aim of this study was to describe the content of a multiyear market-based workplace health promotion (WHP) program and to evaluate design and implementation processes in a real-world setting.

Methods: Data was collected from the databases of the employer and the service provider. It was classified using the 4-S (Size, Scope, Scalability, and Sustainability) and PIPE Impact Metric (Penetration, Implementation) models. Data analysis utilized both qualitative and quantitative methods.

Results: Program design covered well the evidence-informed best practices except for clear path toward sustainability, cooperation with occupational health care, and support from middle-management supervisors. The penetration rate among participants was high (99%) and majority (81%) of services were implemented as designed.

Conclusion: Study findings indicate that WHP market would benefit the use of evidence-based design principles and tendentious decisions to anticipate a long-term implementation process already during the planning phase.

MeSH terms

  • Adult
  • Diet, Healthy
  • Evidence-Based Practice
  • Exercise
  • Female
  • Forestry*
  • Health Promotion / organization & administration*
  • Humans
  • Male
  • Middle Aged
  • Physical Fitness
  • Program Development*
  • Program Evaluation / methods*
  • Retrospective Studies
  • Risk Assessment
  • Workplace*