Using organization theory to understand the determinants of effective implementation of worksite health promotion programs
Abstract
The field of worksite health promotion has moved toward the development and testing of comprehensive programs that target health behaviors with interventions operating at multiple levels of influence. Yet, observational and process evaluation studies indicate that such programs are challenging for worksites to implement effectively. Research has identified several organizational factors that promote or inhibit effective implementation of comprehensive worksite health promotion programs. However, no integrated theory of implementation has emerged from this research. This article describes a theory of the organizational determinants of effective implementation of comprehensive worksite health promotion programs. The model is adapted from theory and research on the implementation of complex innovations in manufacturing, education and health care settings. The article uses the Working Well Trial to illustrate the model's theoretical constructs. Although the article focuses on comprehensive worksite health promotion programs, the conceptual model may also apply to other types of complex health promotion programs. An organization-level theory of the determinants of effective implementation of worksite health promotion programs.
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All community or organisational characteristics jointly influence implementation climate, system readiness for change and capacity for change and thus the chances of an intervention being implemented successfully.
“All of these community or organisational characteristics jointly influence implementation climate [14, 15], system readiness for change [14, 17, 67] and capacity for change [15, 62, 68, 69] and thus the chances of an intervention being implemented successfully.”
From Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework (2017) · cites this paper as [67]
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- Authors
- Weiner, B. J., Lewis, M. A., & Linnan, L. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- RTI International (US)
- Corresponding author
- Weiner, B. J.
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-03-21
- Volume
- 24
- Issue
- 2
- Pages
- 292-305
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- OpenAlex
- W2105489923
- Cited by
- 404
- References
- 69
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 26 · 2023: 19 · 2022: 37 · 2021: 42 · 2020: 24 · 2019: 28 · 2018: 27 · 2017: 26 · 2016: 25 · 2015: 34 · 2014: 26 · 2013: 26 · 2012: 17
- FWCI
- 12.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- workplace health promotion, program implementation, organizational factors, implementation theory, complex innovation, organizational theory, health behavior interventions
- MeSH terms
- Health Promotion, Humans, Program Development, Workplace, Models, Organizational
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