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Evaluating the Implementation of a Workplace Weight Loss Program Using a Modified Process Evaluation Rating Sheet.

Ryan J Walsh1, Jaime R Strickland, Anna M Kinghorn

  • 1From the Program in Occupational Therapy, Washington University School of Medicine, St Louis, Missouri (R.J.W.); Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California (R.J.W.); Division of General Medicine & Geriatrics, Washington University School of Medicine, St Louis, Missouri (J.R.S.); Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, Missouri (J.R.S.); Division of General Medicine & Geriatrics, Washington University School of Medicine, St Louis, Missouri (A.M.K.); Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri (A.M.K.); Division of General Medicine & Geriatrics, Washington University School of Medicine, St Louis, Missouri (S.F.B.); College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri (S.F.B.); Division of General Medicine & Geriatrics, Washington University School of Medicine, St Louis, Missouri (R.C.); Division of Infectious Diseases, Washington University School of Medicine, St Louis, Missouri (R.C.); George Warren Brown School of Social Work, Washington University in St. Louis, St Louis, Missouri (R.G.T.); School of Public Health, Washington University in St. Louis, St Louis, Missouri (R.G.T.); and Division of General Medicine & Geriatrics, Washington University School of Medicine, St Louis, Missouri (A.M.D., B.A.E.).

Journal of Occupational and Environmental Medicine
|November 24, 2025
PubMed
Summary
This summary is machine-generated.

A modified Process Evaluation Rating Sheet (PERS) showed implementation quality linked to workplace weight loss program success. However, these benefits diminished over time, highlighting the need for ongoing evaluation.

Keywords:
community-based participatory researchhealth promotionobesity managementprogram evaluation

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Area of Science:

  • Occupational Health
  • Behavioral Science
  • Program Evaluation

Background:

  • Workplace wellness programs are crucial for employee health.
  • Evaluating the quality of program implementation is essential for understanding efficacy.
  • The Process Evaluation Rating Sheet (PERS) is a tool for assessing implementation.

Purpose of the Study:

  • To assess the effectiveness of a modified PERS in evaluating workplace weight loss programs.
  • To determine the relationship between implementation quality and program efficacy.
  • To analyze program outcomes including organizational health and supervisor support.

Main Methods:

  • Utilized Spearman correlations and hierarchical regressions.
  • Assessed implementation quality using a modified PERS.
  • Measured program efficacy with the Multifaceted Organizational Health Climate Assessment (MOHCA) and Job Content Questionnaire (JCQ).

Main Results:

  • 407 workers across 11 workgroups participated.
  • Higher PERS scores correlated with sustained improvements in organizational health and supervisor support.
  • Improvements were not sustained at the 24-month mark.

Conclusions:

  • Implementation quality is associated with workplace health program efficacy.
  • The association between implementation quality and efficacy fades over time.
  • The modified PERS can improve the evaluation of workplace health behavior change initiatives.