Abstract
BackgroundWorksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Pathways for Translational Research,' to define and prioritize determinants that enable and hinder translation of evidenced-based health interventions in well-defined settings.MethodsThe IGNITE (investigation to guide new insights for translational effectiveness) trial is a prospective cohort study of a worksite wellness and injury reduction program from adoption to final outcomes among 12 fire departments. It will employ a mixed methods strategy to define a translational model. We will assess decision to adopt, installation, use, and outcomes (reach, individual outcomes, and economic effects) using onsite measurements, surveys, focus groups, and key informant interviews. Quantitative data will be used to define the model and conduct mediation analysis of each translational phase. Qualitative data will expand on, challenge, and confirm survey findings and allow a more thorough understanding and convergent validity by overcoming biases in qualitative and quantitative methods used alone.DiscussionFindings will inform worksite wellness in fire departments. The resultant prioritized influences and model of effective translation can be validated and manipulated in these and other settings to more efficiently move science to service.
Highlights
Worksites are important locations for interventions to promote health
Phase One: Dissemination for awareness Information about the PHLAME team program and IGNITE study will be sent to all 70 moderately-sized fire departments (40 to 140 career firefighters) in Oregon and Washington
We will select departments for PHLAME installation based on their commitment and projected ability to involve more than two-thirds of their career firefighters
Summary
Study design and phases This protocol is a prospective cohort observational study [26,27]. We will have random visits (approximately two per site) to observe sessions and conduct focus group data collection of firefighters and department administrators during the latter weeks of program use. The focus group and key informant semi-structured interviews will include items that provide additional understanding of model constructs [37]. For the initial decision to adopt, the individual survey items will inform the mediation analysis, and additional decisional aspects explored in the qualitative data. The latter translational sequences will use the combined survey data, with qualitative findings used to expand on, challenge, and confirm survey findings. We will try to minimize that effect and monitor for it as we assess outcomes, e.g., obtaining permission for random visits and asking sites whether they would have completed all the sessions if we were not coming to monitor their progress
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