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Published on: August 24, 2019
Comprehensive Assessment of Implementation Factors Related to Worksite Exercise in Firefighters
Charity L Lane1, O'Dane Brady, John M Mayer
1US Spine and Sport Foundation, San Diego, California (Ms Lane and Dr Mayer); Tampa, FL (Mr Brady).
Objective:
This study sought to identify key implementation factors to a 12-month worksite exercise intervention in career firefighters.
Methods:
Implementation factors related to the hybrid type 1 effectiveness-implementation trial were assessed by exercise adherence, implementation questionnaires, focus groups, and observations from stakeholders.
Results:
The primary identified implementation themes spanned intrapersonal, interpersonal, and institutional factors including: 1. Time and desire to exercise on shift; 2. Financial incentives to exercise; 3. Structured fitness programs; 4. Group competition, cohesion, and camaraderie; 5. Leadership engagement and support; and 6. Health, fitness, and occupational preparedness benefits.
Conclusions:
Future worksite exercise programs should address the barriers and facilitators identified herein and consider utilizing a hybrid delivery approach combining supervised and telehealth exercise interventions to optimize enthusiasm, adherence and improve safety and health.
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