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Participatory action research in corrections: The HITEC 2 program.

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Participatory action research (PAR) in correctional settings improved intervention design and workforce engagement. While long-term health impacts require further study, initial results show sustained PAR approaches.

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Area of Science:

  • Occupational Health
  • Public Health Interventions
  • Workplace Health Promotion

Background:

  • HITEC 2 (Health Improvement through Employee Control 2) is a follow-up participatory action research (PAR) program.
  • It integrates health and work condition interventions designed by the workforce.
  • Compares intervention programs between two correctional sites with different team structures (workforce design vs. labor-management kaizen effectiveness teams).

Purpose of the Study:

  • To evaluate the effectiveness of different participatory action research (PAR) models in correctional settings.
  • To assess changes in participation, intervention sophistication, and health outcomes over time.
  • To compare two distinct workforce engagement strategies within a PAR framework.

Main Methods:

  • Utilized a seven-step participatory Intervention Design and Analysis Scorecard (IDEAS) for intervention planning.
  • Employed workforce representation for developing and administering process and intervention efficacy measures.
  • Collected health data for comparisons between 2008 and 2013.

Main Results:

  • Observed increased participation levels, robustness of participatory structures, and intervention sophistication over measured intervals.
  • Health comparisons indicated increased hypertension rates.
  • Weight maintenance remained static, and 'readiness to change' increased.

Conclusions:

  • The participatory action research (PAR) approaches implemented are robust and have been sustained.
  • The long-term health effectiveness of these PAR approaches in the correctional population remains to be determined.
  • Further research is needed to clarify the sustained impact on health outcomes.