Test@Work Study: Evaluation of Attitudes and Uptake Within Employee Health Checks in the Construction Industry

Study Overview
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Brief Summary
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This project is called Test@Work. In this project the investigators will offer general health checks and tailored health advice to up to 650 employees in the construction industry at sites across the East Midlands. The investigators will assess reach and uptake, and evaluate the views and perceptions of employees, managers and the delivery team. Health checks will include Body Mass Index (BMI; weight/height), waist-to-hip ratio, blood pressure, mental health screen, sexual health consultation and an opt-in rapid screening test for human immunodeficiency virus (HIV). Employees will be provided with a resource pack with information and signposting around physical activity, diabetes risk, diet, and musculoskeletal health. A digital resource providing information and signposting about workplace health screening and HIV testing will be developed and provided to managers at the participating worksites 2 weeks before their health check event. Employees will be offered an additional text messaging service involving receipt of a series of messages with advice around HIV and testing alongside general health information. Employees will complete post-health check exit questionnaires and an exit interview. Managers will complete a post-event evaluation questionnaire and post-event interview. Mixed-methods evaluation will include assessment of reach, uptake, and intervention implementation processes.

Detailed Description
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The investigators will collect evaluation data with employees and company representatives. Employees: will complete exit-questionnaires and be invited to a brief exit interview. The investigators will collect by anonymous questionnaire: age, gender, country of birth, ethnicity, postcode, sexual orientation, employment status (FT/PT, permanent, agency, contract worker), reasons for attending, health perceptions, prior HIV testing history, influence of work on health, perceptions of employers provision for health and wellbeing, perceptions towards HIV testing in the workplace, range of tests undertaken, views about the workplace health check and future health intentions. Personal identifiers will not be collected and questionnaire data will not be provided to employers. Those employees who agree to be interviewed after the health check will be invited to a brief independent confidential interview with the project researcher. Company representatives: will complete brief post-event questionnaire and be invited to post-event interview The investigators will ask about the organisational/employee profile, their perceptions of company provision for health and wellbeing, perceptions towards the usefulness of the implementation toolkit and towards HIV testing in the workplace, method of delivery and their confidence to support employees who disclose a positive test outcome, views about the workplace health check and future implementation intentions.

Official Title
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Test@Work: Evaluation of Attitudes and Uptake Within Employee Health Checks in the Construction Industry

Conditions
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HIV

Intervention / Treatment
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* Behavioral: Test@Work


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: employee of a company in construction or related industries provides informed consent Exclusion Criteria: does not speak English

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: The investigators are looking at uptake and reach of general health checks offered to up to 650 employees in the construction industry.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Health Checks<br>Workplace health checks - in this intervention employees can select from a range of optional health checks/tests and receive tailored health advice and a health resource pack. | Behavioral: Test@Work<br>* Offer of a general health check including opt-in sexual health consultation and HIV testing, weight/height, Body Mass Index (BMI), blood pressure, mental health screen. Provision of tailored health advice and a resource pack with information and signposting.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health check uptake | Percentage of employees choosing to take a workplace health check from total employee population across all sites | Rolling intervention delivery and data collection over 15 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| reasons for attending | Qualitative data collected on reasons for opting in to health check | immediately post-event | 
| perceptions of employer's provision for health and wellbeing | Qualitative data collected on perceptions towards employer | immediately post-event | 
| perceptions towards HIV testing in the workplace | Qualitative data collected on employee views towards HIV testing at work | immediately post-event | 
| range of tests undertaken | which of the optional checks/tests were taken by the employee | during the health check, and qualitative data immediately post-event | 
| Employee demographic profile | Age, Gender, country of birth, ethnicity, postcode, sexual orientation, employment status (full-time or part-time, permanent, agency, contract worker) | At recruitment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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workplace, health promotion, health screening, employees, health behaviour