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| ID | Type | Description | Link |
|---|---|---|---|
| 19TPA34830011 | Other Grant/Funding Number | American Heart Association |
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| Name | Class |
|---|---|
| American Heart Association | OTHER |
| Building Healthy Behaviors Across the Life Span Research Center | UNKNOWN |
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The goal of this proposed study is to test the feasibility and preliminary efficacy of worksite wellness program designed to reduce worker stress (job and personal) and improve cardiovascular disease among long-term care workers. We also aim to test if increasing wellness behaviors in staff will translate to increased wellness behaviors in residents due to positive role modeling.
This is a cluster randomized control trial (initially intended to recruit 246 staff and 180 residents) implemented in six long-term care worksites. Three sites will be randomized to the WHHIP-PLUS & FFC and three sites will be randomized to the education-only.
The intervention occurs over 12 months and measures will be collected at three timepoints. We will test treatment fidelity as well as if our intervention improves Life's Simple 7 scores and reduces stress levels among long-term care workers and increases physical activity among residents.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education only | Active Comparator | Education |
|
| WHHIP-PLUS and Function Focused Care | Experimental | Component I: Stakeholder Group Involvement: Component II: Environment Assessment: Component III: Organizational Changes To Reduce Job Stress: Component IV- Worker Health Behavior Change including function focused care interventions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WHHIP PLUS | Behavioral | Worksite health promotion and occupational health and safety (total worker health) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiovascular disease risk | Composite life simple 7 scores and individual scores from life simple 7 components (blood pressure, weight, cholesterol, blood sugar, tobacco exposure, diet, physical activity) for staff | baseline, 6-months, 12-months |
| Measure | Description | Time Frame |
|---|---|---|
| Short version of the Depression Anxiety Stress Scale-Stress- (DASS-S) | Personal mood assessment tool, it can be scored as a composite mood score or three individual subscales, higher indicates more stress, 0-21 for each subscale or 0-63 for the composite for staff | baseline, 6-months, 12-months |
| Job strain model tool |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Nursing Assistant Self-efficacy for Restorative Care (NASERC) | Tool to assess staff encouraging their patients to engage in heart healthy behaviors, range 0-36, higher means more self-efficacy for staff | baseline, 6-months, 12-months |
| Modified Nursing Assistant Outcome Expectations for Restorative Care (NAOERC) |
Staff inclusion criteria:
18 years or older; Able to understand and speak English; Employed by the facility; Passed the evaluation to sign consent
Resident inclusion criteria:
55 years or older; Able to understand and speak English; Resident of the facility; Passed the evaluation to sign consent
No exclusion criteria for staff or residents
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| Name | Affiliation | Role |
|---|---|---|
| Kelly Doran, PhD, RN | UMB | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Maryland School of Nursing | Baltimore | Maryland | 21201 | United States |
De-identified raw data
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Once the study and preliminary analysis is complete (anticipated date 2025). Once published it will remain available
open
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| ID | Term |
|---|---|
| D040242 | Risk Reduction Behavior |
| D002318 | Cardiovascular Diseases |
| D000073397 | Occupational Stress |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D009784 | Occupational Diseases |
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
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| Education only control | Behavioral | Education at the start of the project |
|
Tool to measure work environment for staff including job control (including decision authority [9 items, range 9-36] and skill discretion [6 items, range 6-24]), job demands (4 items, range 4-16), social support (6 items, range 6-24 ), and organizational justice (5 items, range 5-20). Lower scores are desired. |
| baseline, 6-months, 12-months |
Tool to assess staff encouraging their patients to engage in heart healthy behaviors, range 0-44, higher means more outcome expectations for staff |
| baseline, 6-months, 12-months |
| Sleep | Accelerometer for staff | baseline, 6-months, 12-months |
| Bioelectrical Impedance Analysis (BIA) | Percent of body fat and muscle mass for staff | baseline, 6-months, 12-months |
| Modified Pittsburgh Sleep Quality Index | Individual items on sleep hours and quality for staff | baseline, 6-months, 12-months |
| Barthel index | Assesses functional independence for residents | baseline, 6-months, 12-months |
| Function focused care | This tool is on observational check list that assesses long-term care staff and resident interactions for encouragement in function focused care (i.e., how staff engage or encourage residents to engage in physical activity). Staff are observed for about 30 minutes and scored (performed, not performed, not observed) on encouragement of function focused care for 19 typical care items such as bed mobility, ambulation in hallway. | baseline, 6-months, 12-months |
| 3 word recall from mini-cog | Stating 3 words to residents and asking them to recall them words. | baseline, 6-months, 12-months |