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Using organization theory to understand the determinants of effective implementation of worksite health promotion programs

Weiner, B. J., Lewis, M. A., Linnan, L. A.·2008·Health Education Research

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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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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.
ORCID: Weiner, B. J.
Lewis, M. A.
Linnan, L. A.
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
DOI: 10.1093/her/cyn019
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 › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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Using organization theory to understand the determinants of effective implementation of worksite health promotion programs

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