Healthcare Workers, Lifestyle Risk Reduction, Long Term Care Facility, Occupational Burnout, Older Adults Institutionalized in Residential Homes, Physical Activity, Worksite Health Promotion
Conditions
Brief summary
The purpose of the study is to test a program that aims to help staff increase wellness behaviors and test the impact of this program on staff and work outcomes. We will also assess the impact of the program on residents' physical activity and function.
Detailed description
The Worksite Heart Health Improvement Project + Function Focused Care (WHIPP+FFC) is an innovative worksite wellness program to reduce sedentary behavior for staff and residents in assisted living. The WHHIP + FFC uses the social ecological model and theory of self-efficacy to provide interventions across multiple levels (interpersonal, intrapersonal, organizational and policy) that reduce barriers for physical activity engagement in assisted living communities. Our goal in this study is to improve: workers and residents' physical activity engagement; residents' function; workers' blood pressure; workers' sleep quality and hours; workers' body composition, workers' waist circumference, workers' performance of function focused care activities; workers' intention to leave; workers' psychological symptoms; workers' burnout levels; and facility level staff turnover.
Interventions
BEHAVIORALWHHIP
Worksite wellness interventions designed to increase physical activity for staff and reduce barriers to physical activity (such as job stress).
BEHAVIORALFFC
Interventions designed to increase workers' engagement and encouragement of function focused care with residents
Sponsors
University of Maryland, Baltimore
National Institute of Nursing Research (NINR)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Incomplete stepped wedge cluster randomized trial design with two pre implementation timepoints (study months -3 and 0) and four timepoints during the intervention (study months 3, 6, 9, and 12).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Staff Inclusion Criteria: * 18 years of age or older * employed by the assisted living community in a direct care role for at least 9 months * not pregnant * speak and understand English Staff
Exclusion criteria
* do not pass the Evaluation to Sign Consent test * do not pass the EASY exercise safety screener Resident Inclusion Criteria: * 55 years of age or older * speak and understand English * live in the participating assisting living community at the time of recruitment Resident
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sedentary, light, moderate and vigorous physical activity | -3 months, 0, 3 months, 6 months, 9 months, and 12 months | via an Accelerometer for staff and residents |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep duration and quality | -3 months, 0, 3 months, 6, months, 9 months and 12 months | via an Accelerometer for staff |
| Blood pressure | -3 months, 0, 3 months, 6 months, 9 months, 12 months | For staff |
| Body mass index (BMI) | -3 months, 0, 3 months, 6 months, 9 months, 12 months | For staff weight and height will be used to report BMI in kg/m2 |
| Waist circumference | -3 months, 0, 3 months, 6 months, 9 months, 12 months | For staff |
| Visceral fat | -3 months, 0, 3 months, 6 months, 9 months, 12 months | For staff will be calculated via a Bioelectrical Impedance Analysis (BIA) |
| Body fat | -3 months, 0, 3 months, 6 months, 9 months, 12 months | For staff will be calculated via a Bioelectrical Impedance Analysis (BIA) |
| Muscle mass | -3 months, 0, 3 months, 6 months, 9 months, 12 months | For staff will be calculated via a Bioelectrical Impedance Analysis (BIA) |
| Global Physical Activity questionnaire (GPQA) | -3 months, 0, 3 months, 6, months, 9 months and 12 months | For staff to assess sedentary time as well as physical activity data during work, transit, and leisure time |
| Oldenburn Burnout Inventory (OBI) | -3 months, 0, 3 months, 6, months, 9 months, and 12 months | For staff to assess overall burnout severity as well as exhaustion and disengagement severity. |
| Short form of the Depression, Anxiety, And Stress Scale (DASS) | -3 months, 0, 3 months, 6 months, 9 months and 12 months | For staff to assess overall physiological symptoms as well as depression, anxiety and stress symptoms |
| Turnover Intention Scale (TIS) | -3 months, 0, 3 months, 6, months, 9 months, and 12 months | For staff to assess likelihood of leaving their worksite and positive or protective factors against job turnover. |
| Function focused care (FFC) check list | -3 months, 0, 3 months, 6, months, 9 months, and 12 months | Staff will be observed to assess FFC behavior utilization |
| Percent of facility-level direct care worker staff turnover | -3 months, 0, 3 months, 6, months, 9 months, and 12 months | Reported by the facility |
| Number of physical activity sessions residents attended | -3 months, 0, 3 months, 6, months, 9 months, and 12 months | The facility will be asked to report the number of physical activity sessions residents attend |
| Barthel Index | -3 months, 0, 3 months, 6, months, 9 months, and 12 months | For residents to assess resident function |
Countries
United States
Contacts
CONTACTKelly Doran
Outcome results
None listed