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Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial.

Publication ,  Journal Article
Ward, DS; Vaughn, AE; Hales, D; Viera, AJ; Gizlice, Z; Bateman, LA; Grummon, AH; Arandia, G; Linnan, LA
Published in: Contemp Clin Trials
May 2018

BACKGROUND: Low-wage workers suffer disproportionately high rates of chronic disease and are important targets for workplace health and safety interventions. Child care centers offer an ideal opportunity to reach some of the lowest paid workers, but these settings have been ignored in workplace intervention studies. METHODS: Caring and Reaching for Health (CARE) is a cluster-randomized controlled trial evaluating efficacy of a multi-level, workplace-based intervention set in child care centers that promotes physical activity and other health behaviors among staff. Centers are randomized (1:1) into the Healthy Lifestyles (intervention) or the Healthy Finances (attention control) program. Healthy Lifestyles is delivered over six months including a kick-off event and three 8-week health campaigns (magazines, goal setting, behavior monitoring, tailored feedback, prompts, center displays, director coaching). The primary outcome is minutes of moderate and vigorous physical activity (MVPA); secondary outcomes are health behaviors (diet, smoking, sleep, stress), physical assessments (body mass index (BMI), waist circumference, blood pressure, fitness), and workplace supports for health and safety. RESULTS: In total, 56 centers and 553 participants have been recruited and randomized. Participants are predominately female (96.7%) and either Non-Hispanic African American (51.6%) or Non-Hispanic White (36.7%). Most participants (63.4%) are obese. They accumulate 17.4 (±14.2) minutes/day of MVPA and consume 1.3 (±1.4) and 1.3 (±0.8) servings/day of fruits and vegetables, respectively. Also, 14.2% are smokers; they report 6.4 (±1.4) hours/night of sleep; and 34.9% are high risk for depression. CONCLUSIONS: Baseline data demonstrate several serious health risks, confirming the importance of workplace interventions in child care.

Duke Scholars

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

May 2018

Volume

68

Start / End Page

116 / 126

Location

United States

Related Subject Headings

  • Workplace
  • Risk Factors
  • Public Health
  • Personnel Management
  • Occupational Stress
  • Needs Assessment
  • Middle Aged
  • Male
  • Humans
  • Healthy Lifestyle
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ward, D. S., Vaughn, A. E., Hales, D., Viera, A. J., Gizlice, Z., Bateman, L. A., … Linnan, L. A. (2018). Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial. Contemp Clin Trials, 68, 116–126. https://doi.org/10.1016/j.cct.2018.02.018
Ward, Dianne S., Amber E. Vaughn, Derek Hales, Anthony J. Viera, Ziya Gizlice, Lori A. Bateman, Anna H. Grummon, Gabriela Arandia, and Laura A. Linnan. “Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial.Contemp Clin Trials 68 (May 2018): 116–26. https://doi.org/10.1016/j.cct.2018.02.018.
Ward DS, Vaughn AE, Hales D, Viera AJ, Gizlice Z, Bateman LA, et al. Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial. Contemp Clin Trials. 2018 May;68:116–26.
Ward, Dianne S., et al. “Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial.Contemp Clin Trials, vol. 68, May 2018, pp. 116–26. Pubmed, doi:10.1016/j.cct.2018.02.018.
Ward DS, Vaughn AE, Hales D, Viera AJ, Gizlice Z, Bateman LA, Grummon AH, Arandia G, Linnan LA. Workplace health and safety intervention for child care staff: Rationale, design, and baseline results from the CARE cluster randomized control trial. Contemp Clin Trials. 2018 May;68:116–126.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

May 2018

Volume

68

Start / End Page

116 / 126

Location

United States

Related Subject Headings

  • Workplace
  • Risk Factors
  • Public Health
  • Personnel Management
  • Occupational Stress
  • Needs Assessment
  • Middle Aged
  • Male
  • Humans
  • Healthy Lifestyle