Understanding the durability of a fire department wellness program

Abstract

Objectives: To understand the influences associated with durability and diffusion of benefits of a fire service wellness program.

Methods: Qualitative assessment of group interviews.

Results: Five years following a controlled worksite wellness trial, behavioral improvements were durable and had diffused to control participants. These findings were associated with firefighters' team orientation, enacted healthy norms and competitiveness regarding the results of annual health assessments. The original intervention trial appeared to initiate individual change that coalesced into group effects. Secondary influences included increasing public awareness about health, newly hired younger firefighters, and a modicum of administrative support. Culture shift was achieved at the workplace.

Conclusions: Although the fire service is a unique occupation, these findings suggest general strategies to achieve durable positive health change in other occupational settings.

Conflict of interest statement

Conflict of Interest Statement

PHLAME is a program on the Cancer Control P.L.A.N.E.T. site for research-tested programs, and it is distributed through the Center for Health Promotion Research at Oregon Health and Science University (OHSU). OHSU and Drs. Elliot and Kuehl have a financial interest from the commercial sale of technologies described in this manuscript. This potential conflict of interest has been reviewed and managed by the OHSU Conflict of Interest in Research Committee.

Figures

Figure 1

Measured Endurance and Self-reported Exercise and Nutrition Behaviors Note. Mean values for PHLAME I participants from control and intervention conditions longitudinally followed at each annual assessment.