Training LHDs to Disseminate Evidence-Based Interventions to Small Worksites

NCT03930420 | Completed Results

• 4 other identifiers: STUDY000046272R01CA160217NCI-2021-02876RG1121453
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed project will advance implementation science by comparing the effectiveness of different levels of technical support in an important but understudied community-based setting: local health departments. The proposed project will also bring Connect to Wellness, an evidence-based approach to disseminating evidence-based interventions and providing implementation support to small worksites, to 40 local health departments and worksites in their communities across the United States. Findings will identify the best approach for national scale-up of Connect to Wellness.

Conditions

Health Behavior

Keywords

evidence-based practice; implementation science; public health practice

Outcome Measures

Primary Outcomes (2)

• Number of Worksites

  The outcome measure is the average number of worksites recruited by the health departments

  24 months

• Worksite EBI Implementation

  The evidence-based intervention implementation score for each worksite that participates in the Connect to Wellness intervention; possible score range is 0-100, with higher numbers reflecting higher EBI implementation.

  Baseline

Study Arms (2)

Standard

ACTIVE COMPARATOR

Local health department staff in the standard arm will receive Connect to Wellness intervention materials, multiple real-time training sessions delivered via webinar, access to a web-based platform that includes all intervention and training materials and has features allowing them to communicate with each other and with research staff, and a monthly group technical assistance call.

Behavioral: Connect to Wellness

Enhanced

EXPERIMENTAL

Local health department staff in the enhanced arm will receive all the Connect to Wellness intervention materials, training, and support as described for the standard arm. In addition, the participants in the enhanced arm can telephone research staff at will to receive additional technical assistance. Research staff will also contact participants monthly, if they do not request assistance proactively.

Behavioral: Connect to Wellness

Interventions

Connect to Wellness BEHAVIORAL

The research team will train LHD staff and offer them technical assistance to work with small worksites. LHD staff will be trained to deliver the Connect to Wellness program to worksites. Connect to Wellness is a program to disseminate EBIs to small worksites. Worksites receive guidance about EBIs and ongoing implementation assistance from a trained interventionist. In this study, LHD staff will be the interventionists. Worksites participating in Connect to Wellness complete three phases of activities, Assessment, Recommendations, and Implementation. LHD staff will receive Connect to Wellness intervention materials, multiple webinars delivered in real-time, access to a comprehensive intervention and training platform with features that allow them to connect with each other and with research staff, and group technical assistance calls to support their ability to recruit worksites in their communities and deliver Connect to Wellness to these worksites.

Enhanced; Standard

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Staff in local health departments in United States (50 states and District of Columbia)
• Local health department willing to support one or more staff to participate for 24 months
• Local health department willing to attempt to recruit 15 or more worksites to participate in Connect to Wellness over 24 months
• Able to speak and read English

Sponsors & Collaborators

• University of Washington: lead
• National Association of Chronic Disease Directors: collaborator
• National Cancer Institute (NCI): collaborator

Study Sites (1)

University of Washington

Seattle, Washington, 98105, United States

Location

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Limitations and Caveats

This study started at the onset of the COVID-19 pandemic; this was an overwhelming barrier to completing study activities for our health department partners. Those that participated were committed to the research goals, but most were unable to meet recruitment or data collection needs. We did additional research with health departments to better understand these barriers, and with employers/employees to identify post-pandemic workplace health needs of small, low-wage businesses and employees.

Results Point of Contact

• Title: Margaret Hannon, PhD
• Organization: University of Washington

peggyh@uw.edu

206-616-7859

Study Officials

• Margaret A Hannon, PhD, MPH

  University of Washington

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor: School of Public Health

Model Details: The research team will use a hybrid type III study design to conduct a randomized controlled trial (RCT) comparing the effect of standard Connect to Wellness training and TA to the effect of training plus enhanced TA on primary outcomes.

Study Record Dates

• First Submitted: April 24, 2019
• First Posted: April 29, 2019
• Study Start: October 1, 2020
• Primary Completion: March 31, 2024
• Study Completion: March 31, 2024
• Last Updated: July 17, 2025
• Results First Posted: July 17, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Data will be available starting in May 2024.

Locations

US (1)