Evaluation of Emory Healthy Kitchen Collaborative (EHKC) as a Worksite Wellness Program Pubblico

Rastorguieva, Krystyna (Summer 2020)

Permanent URL: https://etd.library.emory.edu/concern/etds/9s1617348?locale=it
Published

Abstract

Objective: The purpose of this thesis was early evaluation of Emory Healthy Kitchen Collaborative (EHKC) – a multidisciplinary experiential learning behavior change pilot that took place at Emory in Atlanta, GA - as a worksite wellness program.

Design: EHKC was a year-long program registered as a clinical trial that included a 10-week intervention course with 20 hours of self-care curriculum that combined didactic information and experiential learning in 6 domains of health (nutrition, exercise, yoga, mindfulness, stress resilience and ethnobotany), followed by 9 months of resources and group support for participants. Four study visits (baseline, 3, 6 and 12 months) took place to collect self-reported and biometric data.

Methods: Guided by findings from the literature review four outcome measures were identified as appropriate criteria to evaluate the Emory Healthy Kitchen Collaborative (EHKC), including (1) feasibility based on ease of recruitment and attendance; (2) acceptability based program evaluation feedback; (3) effectiveness based on (a) change in knowledge, behaviors/skill and attitudes/self-efficacy as a primary measure, and (b) changes in biometrics as a secondary measure; (4) program comprehensiveness based on evaluation of the larger context of workplace environment in which the program took place. Data analyzed included selected data points for up to 3 months into the program and constituted early evaluation.

Results: The program achieved satisfactory results based on four key evaluation measures: (1) feasibility - through surpassing recruitment goal at 205% within the first month and achieving high attendance rates (91%); (2) acceptability through achieving very positive participant feedback; (3) effectiveness – through showing statistically significant increase in most categories of health knowledge, skill and self-efficacy (17 out 21); and (4) comprehensiveness – through incorporating all 10 principles of comprehensive work-site wellness programs based on literature review.

Conclusion: EHKC early evaluation results suggest that the program was a feasible, acceptable, and comprehensive program, that showed to be effective in improving knowledge, skills and behaviors, and attitudes and self-efficacy for participants. No statistically significant change was observed in biometric measures at this time. Further research and complete evaluation is recommended once data from all study visits is available.

Table of Contents

Table of Contents

Chapter I: Introduction

Rationale

Approach

Problem

Problem Statement

Purpose Statement

Research Question

Significance Statement

Definition of Terms

Ethics in Research

Chapter II: Review of the Literature

Introduction

Worksite Wellness Programs: History, Definition and Trends

Combating Presenteeism

Comprehensiveness

Nutrition-Related WWPs

Evaluation Criteria: Defining Success

Summary of Current Problem and Study Relevance

Chapter III: Methodology

Introduction

Population

Sample

Research Design

Procedures

Feasibility

Acceptability

Effectiveness

Comprehensiveness

Instruments

Data Analysis

Chapter IV: Results

Introduction

Key Findings

Population

Feasibility

Acceptability

Effectiveness

Comprehensiveness

Summary

Chapter V: Conclusions, Implications, and Recommendations

Summary of Study

Discussion of Key Results

Strengths and Limitations

Strengths

Limitations

Implications

Recommendations

Implementation

Curriculum

Incentive structure

Evaluation

The Role of Culture

Conclusion

References

Appendix A: EHKC Curriculum Overview.

Appendix B - Emory Employee Population Metrics

Appendix C – Curriculum Evaluation Survey Results

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