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Cancer control at the workplace: the Working Well Trial

D B Abrams1, W B Boutwell, J Grizzle

  • 1Brown University, Miriam Hospital, Providence, RI.

Preventive Medicine
|January 1, 1994
PubMed
Summary

The Working Well Trial is the largest US worksite cancer control study. It uses a theory-driven approach to implement and evaluate interventions targeting individual and organizational changes for cancer prevention.

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Area of Science:

  • Public Health
  • Cancer Prevention and Control
  • Occupational Health

Background:

  • Limited research exists on workplace cancer prevention and control strategies.
  • The Working Well Trial addresses this gap as the largest US worksite cancer control initiative.
  • This trial involves 114 worksites, four study centers, a coordinating center, and the National Cancer Institute.

Purpose of the Study:

  • To describe the organizational structure, research design, and evaluation measures of The Working Well Trial.
  • To outline the theoretical model guiding the intervention strategies.
  • To highlight innovative aspects of the trial, including worksite-level randomization and volunteer resource utilization.

Main Methods:

  • Utilized worksites as the unit for randomization, intervention, and evaluation.

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  • Employed a theory-driven conceptual model focusing on individual and organizational change targets.
  • Implemented a 2-year, multiple risk factor intervention guided by the transtheoretical stage of change model, leveraging internal worksite volunteers.

    • Main Results:

    • The trial involves 114 worksites across the United States.
    • Aims to impact over 25,000 workers through comprehensive cancer control interventions.
    • Special features include cost reduction, increased participation, and tailored interventions via volunteer resources.

    Conclusions:

    • The Working Well Trial provides a model for large-scale worksite cancer control.
    • Findings have implications for evaluating and disseminating cancer prevention programs to specific populations.
    • Emphasizes the importance of theory-driven, multi-level interventions in occupational settings.