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The IGNITE (investigation to guide new insight into translational effectiveness) trial: Protocol for a translational study of an evidenced-based wellness program in fire departments.

Elliot DL, Kerry KS, Moe EL, Defrancesco CA, Goldberg L, Mackinnon DP, Enders J, Favorite KC - Implement Sci (2010)

Bottom Line: Qualitative data will expand on, challenge, and confirm survey findings and allow a more thorough understanding and convergent validity by overcoming biases in qualitative and quantitative methods used alone.Findings will inform worksite wellness in fire departments.The resultant prioritized influences and model of effective translation can be validated and manipulated in these and other settings to more efficiently move science to service.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Health Promotion and Sports Medicine; Department of Medicine; 3181 SW Sam Jackson Park Road CR110; Oregon Health & Science University; Portland, Oregon 97239-3098, USA. elliotd@ohsu.edu.

ABSTRACT

Background: Worksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Pathways for Translational Research,' to define and prioritize determinants that enable and hinder translation of evidenced-based health interventions in well-defined settings.

Methods: The IGNITE (investigation to guide new insights for translational effectiveness) trial is a prospective cohort study of a worksite wellness and injury reduction program from adoption to final outcomes among 12 fire departments. It will employ a mixed methods strategy to define a translational model. We will assess decision to adopt, installation, use, and outcomes (reach, individual outcomes, and economic effects) using onsite measurements, surveys, focus groups, and key informant interviews. Quantitative data will be used to define the model and conduct mediation analysis of each translational phase. Qualitative data will expand on, challenge, and confirm survey findings and allow a more thorough understanding and convergent validity by overcoming biases in qualitative and quantitative methods used alone.

Discussion: Findings will inform worksite wellness in fire departments. The resultant prioritized influences and model of effective translation can be validated and manipulated in these and other settings to more efficiently move science to service.

No MeSH data available.


Related in: MedlinePlus

Decisional Balance Mediation Model.
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Figure 3: Decisional Balance Mediation Model.

Mentions: Once interested departments are identified, investigators will select 12 sites, after reviewing demographics and contact notes to identify a spectrum of contextual variables with oversampling of sites in minority and lower socioeconomic status (SES) communities. Information about the decision to adopt will be collected during those sites' initial data gathering visits. To better understand the adoption process, we also will collect data from 24 matched non-adopting departments, using phone interviews of those sent the informational packet. For analysis, we will index the adoption decision as both binary yes/no and as a continuous variable combining confidence and self-efficacy, comparable to self-determination theory decision metrics [29]. These data will be used in our mediation analysis of factors contributing to the decision to adopt a worksite wellness program (Figure 3).


The IGNITE (investigation to guide new insight into translational effectiveness) trial: Protocol for a translational study of an evidenced-based wellness program in fire departments.

Elliot DL, Kerry KS, Moe EL, Defrancesco CA, Goldberg L, Mackinnon DP, Enders J, Favorite KC - Implement Sci (2010)

Decisional Balance Mediation Model.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2959080&req=5

Figure 3: Decisional Balance Mediation Model.
Mentions: Once interested departments are identified, investigators will select 12 sites, after reviewing demographics and contact notes to identify a spectrum of contextual variables with oversampling of sites in minority and lower socioeconomic status (SES) communities. Information about the decision to adopt will be collected during those sites' initial data gathering visits. To better understand the adoption process, we also will collect data from 24 matched non-adopting departments, using phone interviews of those sent the informational packet. For analysis, we will index the adoption decision as both binary yes/no and as a continuous variable combining confidence and self-efficacy, comparable to self-determination theory decision metrics [29]. These data will be used in our mediation analysis of factors contributing to the decision to adopt a worksite wellness program (Figure 3).

Bottom Line: Qualitative data will expand on, challenge, and confirm survey findings and allow a more thorough understanding and convergent validity by overcoming biases in qualitative and quantitative methods used alone.Findings will inform worksite wellness in fire departments.The resultant prioritized influences and model of effective translation can be validated and manipulated in these and other settings to more efficiently move science to service.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Health Promotion and Sports Medicine; Department of Medicine; 3181 SW Sam Jackson Park Road CR110; Oregon Health & Science University; Portland, Oregon 97239-3098, USA. elliotd@ohsu.edu.

ABSTRACT

Background: Worksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Pathways for Translational Research,' to define and prioritize determinants that enable and hinder translation of evidenced-based health interventions in well-defined settings.

Methods: The IGNITE (investigation to guide new insights for translational effectiveness) trial is a prospective cohort study of a worksite wellness and injury reduction program from adoption to final outcomes among 12 fire departments. It will employ a mixed methods strategy to define a translational model. We will assess decision to adopt, installation, use, and outcomes (reach, individual outcomes, and economic effects) using onsite measurements, surveys, focus groups, and key informant interviews. Quantitative data will be used to define the model and conduct mediation analysis of each translational phase. Qualitative data will expand on, challenge, and confirm survey findings and allow a more thorough understanding and convergent validity by overcoming biases in qualitative and quantitative methods used alone.

Discussion: Findings will inform worksite wellness in fire departments. The resultant prioritized influences and model of effective translation can be validated and manipulated in these and other settings to more efficiently move science to service.

No MeSH data available.


Related in: MedlinePlus