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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

A qualitative study of facilitators and barriers to implementing worksite policies that support physical activity

Authors: Maryanne M Bailey, Rachel K Coller, Keshia M Pollack Porter

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Physical inactivity is associated with several chronic diseases that are costly to society, employers, and individuals. Workplaces are a common location for physical activity (PA) initiatives because of the amount of time individuals who are employed full time spend at work. This research examined a statewide worksite wellness program, the Healthiest Maryland Businesses (HMB) program, to fill an important gap regarding the facilitators for and barriers to implementing workplace policies that support PA.

Methods

Individual telephone interviews were conducted in December 2015 with six HMB Coordinators and their supervisor, and from August through October 2016 with a purposeful sample of 15 businesses of various sizes from across Maryland, to learn about the role of leadership, and successes and challenges of implementing PA programs and policies. The sample of businesses was intentionally selected to capture perspectives from a range of businesses. Interviews were recorded and professionally transcribed. Descriptive coding was used to identify dominant themes that addressed the study aims and research questions.

Results

PA was not described as a priority for several large and small businesses. To garner more support for PA, interviewees emphasized associating PA initiatives with measures the businesses care about, such as health care costs from claims data. Small businesses also described having a need for PA programming yet reported having significant resource constraints. There was a strong interest in developing guidance for implementing PA break policies, which was mentioned as a critical support for workplace PA promotion. More commitment and investment of resources from leadership, and an engaged wellness committee with company representation at all levels and roles, were identified as vital for impactful programs.

Conclusions

Most businesses are implementing PA programs with limited policy supports, which was mentioned as a barrier. Successful implementation of workplace wellness programs broadly, and PA initiatives specifically, are achievable through leadership buy-in, employee input, and policy supports, along with highlighting the economic benefits for businesses.
Literature
1.
go back to reference Kyu HH, Bachman VF, Alexander LT, Mumford JE, Ashfin A, Estep K, Veerman JL, Delwiche K, Iannarone ML, Moyer ML, Cercy K, Vos T, Murray CJ, Forouzanfar MH. Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013. BMJ. 2016;354:i3857. https://doi.org/10.1136/bmj.i3857.CrossRefPubMedPubMedCentral Kyu HH, Bachman VF, Alexander LT, Mumford JE, Ashfin A, Estep K, Veerman JL, Delwiche K, Iannarone ML, Moyer ML, Cercy K, Vos T, Murray CJ, Forouzanfar MH. Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013. BMJ. 2016;354:i3857. https://​doi.​org/​10.​1136/​bmj.​i3857.CrossRefPubMedPubMedCentral
8.
go back to reference Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, Buchanan LR, Archer WR, Chattopadhyay S, Larka GP, Katz DL. Task Force on Community Preventive Services. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009;37(4):340–57. https://doi.org/10.1016/j.amepre.2009.07.CrossRefPubMed Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, Buchanan LR, Archer WR, Chattopadhyay S, Larka GP, Katz DL. Task Force on Community Preventive Services. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009;37(4):340–57. https://​doi.​org/​10.​1016/​j.​amepre.​2009.​07.CrossRefPubMed
11.
go back to reference Person AL, Colby SE, Bulova JA, Eubanks JW. Barriers to participation in a worksite wellness program. Nutr Res Pract. 2010;4(2):149–54.CrossRef Person AL, Colby SE, Bulova JA, Eubanks JW. Barriers to participation in a worksite wellness program. Nutr Res Pract. 2010;4(2):149–54.CrossRef
13.
19.
go back to reference Miles MB, Huberman AM. Qualitative Data Analysis: An expanded sourcebook (2nd ed.). Thousand Oak, CA: Sage; 1994. Miles MB, Huberman AM. Qualitative Data Analysis: An expanded sourcebook (2nd ed.). Thousand Oak, CA: Sage; 1994.
20.
go back to reference Task Force on Community Preventive Services. Recommendation for use of point-of-decision prompts to increase stair use in communities. Am J Prev Med. 2010;38(2S):290–1. Task Force on Community Preventive Services. Recommendation for use of point-of-decision prompts to increase stair use in communities. Am J Prev Med. 2010;38(2S):290–1.
Metadata
Title
A qualitative study of facilitators and barriers to implementing worksite policies that support physical activity
Authors
Maryanne M Bailey
Rachel K Coller
Keshia M Pollack Porter
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-6045-x

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