Worksite Wellness Within Long-term Care Facilities

Study Overview
=================
Brief Summary
-----------------
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.

Detailed Description
-----------------
This is a cluster randomized control trial (staff n=246 and resident n=180) 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.

Official Title
-----------------
The Worksite Heart Health Improvement Project (WHHIP) + Function Focused Care (FFC)

Conditions
-----------------
Worksite Health Promotion, Lifestyle Risk Reduction, Cardiovascular Diseases, Occupational Stress, Healthcare Workers

Intervention / Treatment
-----------------
* Behavioral: WHHIP PLUS
* Behavioral: Education only control


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Education only<br>Education | Behavioral: Education only control<br>* Education at the start of the project<br>|
| Experimental: WHHIP-PLUS and Function Focused Care<br>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 | Behavioral: WHHIP PLUS<br>* Worksite health promotion and occupational health and safety (total worker health)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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 | 
| Modified Whitehall Job Characteristics Questionnaire | Tool, measures, control (range 0-45 or can be split into 2 further subscales), demands (range 0-12), and support (range 0-27) for staff | baseline, 6-months, 12-months |