Creation of University Wellness Program Healthy Eating and Active Lifestyle Supports: A Knowledge-to-Action Process

Publication: Canadian Journal of Dietetic Practice and Research
11 August 2017

Abstract

With the burdens that preventable health conditions place on individuals, workplaces, and society, workplace wellness programs (WWP) are critical to ensuring employees have access to health promotion supports tailored to their work environments. Such programs are best guided by a knowledge-to-action (KTA) framework; a theoretically grounded, systematic process that considers the ongoing exchange of knowledge with employees to engage them in health behaviour change and to garner employers’ support for the interventions. Therefore the purpose of this project was to develop, implement, and evaluate WWP healthy eating and active lifestyle supports at a university. A KTA process guided the consultations with employees and stakeholders that led to the development and implementation of a range of resource effective supports and the incorporation of wellness in the organization culture. A key support was the Wellness Passport that encouraged participation in scheduled WWP activities, as well as allowing for self-identified ones. Quality assurance assessments demonstrated a desire for a continuation of these WWP supports and activities. Dietitians, as health promotion leaders, can play key roles in the emerging field of WWPs. University dietetic and internship programs should consider adding WWP and KTA training components.

Résumé

Avec le fardeau que représentent les maladies évitables pour les individus, les milieux de travail et la société dans son ensemble, les programmes de mieux-être au travail (PMET) sont essentiels pour permettre aux employés d’avoir accès à des programmes de promotion de la santé adaptés à leur environnement de travail. Pour développer de tels programmes, il est recommandé d’utiliser un cadre « de la connaissance à la pratique » (CAP). Ce processus systématique, aux fondements théoriques, tient compte des constants échanges de connaissances avec les employées pour les faire changer de comportement relativement à leur santé et pour obtenir le soutien des employeurs face à ces interventions. Ainsi, l’objectif de ce projet était de développer, d’implanter et d’évaluer des PMET encourageant une saine alimentation et un style de vie actif dans une université. Un processus CAP a orienté les consultations avec les employés et les autres intervenants qui ont entraîné la mise au point et l’implantation de divers programmes misant sur une gestion efficace des ressources, ainsi que l’incorporation de la notion de mieux-être à la culture de l’organisation. Le passeport mieux-être, qui encourageait la participation à des activités du PMET, planifiées ou non, a constitué l’un des éléments de soutien clés du projet. Des évaluations d’assurance de la qualité ont mis en évidence le désir de prolonger les programmes de soutien et les activités du PMET. En tant que leaders de la promotion de la santé, les diététistes peuvent jouer un rôle clé dans le domaine en émergence des PMET. La possibilité d’intégrer aux programmes universitaires et aux programmes d’internat en diététique des formations sur les PMET et sur l’approche CAP devrait être envisagée.

Get full access to this article

View all available purchase options and get full access to this article.

Financial support: Nova Scotia Department of Health and Wellness Thrive Grant, Mount Saint Vincent University Internal Research Grant.
Conflicts of Interests: The authors declare that they have no competing interests.

References

1
World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks; 2009 [cited 2016 Oct 25]. Available from: http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf.
2
World Health Organization. Obesity and overweight. Media Centre Fact Sheet No311; 2015 [cited 2016 Oct 25]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.
3
Curwin S, Allt J, Szpilfogel C, and Makrides L. The Healthy LifeWorks Project: the effect of a comprehensive workplace wellness program on the prevalence and severity of musculoskeletal disorders in a Canadian government department. J Occup Environ Med. 2013;55(6):628–33.
4
Statistics Canada. Body composition of adults, 2012 to 2013; 2014 [cited 2016 Oct 25]. Available from: http://www.statcan.gc.ca/pub/82-625-x/2014001/article/14104-eng.htm.
5
World Cancer Research Fund. Cancer prevention recommendations; 2017 [cited 2017 May 18]. Available from: http://wcrf.org/int/research-we-fund/our-cancer-prevention-recommendations.
6
Morrison E and MacKinnon NJ. Workplace wellness programs in Canada: an exploration of key issues. Healthc Manage Forum. 2008;21(1):26–32.
7
Public Health Agency of Canada. Obesity in Canada; 2011 [cited 2017 May 23]. Available from: http://www.phac-aspc.gc.ca/hp-ps/hl-mvs/oic-oac/econo-eng.php.
8
Chung M, Melnyk P, Blue D, Renaud D, and Breton M-C. Worksite health promotion: the value of the Tune Up Your Heart program. Popul Health Manag. 2009;12(6):297–304.
9
Després J-P, Alméras N, and Gauvin L. Worksite health and wellness programs: Canadian achievements & prospects. Prog Cardiovasc Dis. 2014;56(5):484–92.
10
Baicker K, Cutler D, and Song Z. Workplace wellness programs can generate savings. Health Aff. 2010;29(2):304–11.
11
Lerner D, Rodday AM, Cohen JT, and Rogers WH. A systematic review of the evidence concerning the economic impact of employee-focused health promotion and wellness programs. J Occup Environ Med. 2013;55(2):209–22.
12
World Health Organization. Healthy workplaces: a model for action-for employers, workers, policy-makers and practitioners. 2010 [cited 2017 Apr 19]; Available from: https://www.cabdirect.org/cabdirect/abstract/20103169103.
13
Graham ID and Tetroe J, KT Theories Research Group. Some theoretical underpinnings of knowledge translation. Acad Emerg Med. 2007;14(11):936–41.
14
Rogers E. Diffusion of innovations. 3rd ed. New York, NY, US: Free Press; 1983.
15
Campbell B. Applying knowledge to generate action: a community-based knowledge translation framework. J Contin Educ Health Prof. 2010;30(1):65–71.
16
Abood DA, Black DR, and Feral D. Nutrition education worksite intervention for university staff: application of the health belief model. J Nutr Educ Behav. 2003;35(5):260–67.
17
Butler CE, Clark BR, Burlis TL, Castillo JC, and Racette SB. Physical activity for campus employees: a university worksite wellness program. J Phys Act Health. 2015;12(4):470–76.
18
Byrne DW, Goetzel RZ, McGown PW, Holmes MC, Beckowski MS, Tabrizi MJ, et al. Seven-year trends in employee health habits from a comprehensive workplace health promotion program at Vanderbilt University. J Occup Environ Med. 2011;53(12):1372–81.
19
Gubler C and Irion JM. Determining the effect of a health and wellness program on employees of the University of South Alabama. Cardiopulm Phys Ther. 2012;23(4):33.
20
Beck AJ, Hirth RA, Jenkins KR, Sleeman KK, and Zhang W. Factors associated with participation in a university worksite wellness program. Am J Prev Med. 2016;51(1):e1–e11.
21
Cahalin LP, Kaminsky L, Lavie CJ, Briggs P, Cahalin BL, Myers J, et al. Development and implementation of worksite health and wellness programs: a focus on non-communicable disease. Prog Cardiovasc Dis. 2015;58(1):94–101.
22
Rapoport L and Perry KN. Do dietitians feel that they have had adequate training in behaviour change methods? J Hum Nutr Diet. 2000;13(4):287–98.
23
Joy P, Mann L, and Blotnicky K. Identification of healthy eating and active lifestyle issues through photo elicitation. Can J Diet Pract Res. 2014;75(3):152–56.
24
Mount Saint Vincent University. Proposal for development of an employee wellness program; 2012.
25
Managed Health Care Services, Inc. MSVU executive summary of the health risk assessment; 2013.
26
Freedman MR and Rubinstein RJ. Obesity and food choices among faculty and staff at a large urban university. J Am Coll Health. 2010;59(3):205–10.
27
Michaels CN and Greene AM. Worksite wellness: increasing adoption of workplace health promotion programs. Health Promot Pract. 2013;14(4):473–79.
28
Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, et al. Results of the 2004 national worksite health promotion survey. Am J Public Health. 2008;98(8):1503–09.
29
Lowe G. Ingredients of successful workplace wellness programs. Ont Occup Health Nurses Assoc J. 2014;33:3–7.
30
Pronk N. Best practice design principles of worksite health and wellness programs. ACSMs Health & Fitness J. 2014;18(1):42–6.
31
Cawley J and Price JA. A case study of a workplace wellness program that offers financial incentives for weight loss. J Health Econ. 2013;32(5):794–803.
32
McCoy MK, Stinson MK, Scott MK, Tenney ML, and Newman LS. Health promotion in small business: a systematic review of factors influencing adoption and effectiveness of worksite wellness programs. J Occup Environ Med. 2014;56(6):579–87.
33
Anis AH, Zhang W, Bansback N, Guh DP, Amarsi Z, and Birmingham CL. Obesity and overweight in Canada: an updated cost-of-illness study. Obes Rev. 2010;11(1):31–40.
34
Mount Saint Vincent University. Mount 2017: Making a Difference (Strategic Plan); 2013 [cited 2016 Oct 25]. Available from: http://www.msvu.ca/en/home/aboutus/default.aspx.
35
Varman BG and Justice AV. The unfunded worksite wellness program. J Hosp Librariansh. 2015;15(3):284–95.

Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 79Number 1March 2018
Pages: 7 - 12

History

Version of record online: 11 August 2017

Authors

Affiliations

Phillip Joy PDt, MSc, PhD(c)
Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, NS
Linda Mann PDt, MBA
Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, NS
Karen Blotnicky MBA, PhD
Department of Business and Tourism, Mount Saint Vincent University, Halifax, NS

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

Get Access

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Dietetic Practice and Research

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF

View PDF

Full Text

View Full Text

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media