This article describes a health authority's approach to setting up and evaluating a coronary heart disease prevention programme through the workplace. The Bedfordshire Healthy Workplace Project was set up in 1992 'to stimulate interest and activity in workplace health promotion' and has developed an action research model to evaluate the impact of working with local employers on coronary heart disease risk behaviour. Action research as a methodology for health promotion research, and some of the main benefits and barriers are discussed.
Nutbeam D., Smith C., Catford J.Evaluation in health education. A review of progress, possibilities, and problems . Journal of Epidemiology and Community Health1990: 44: 83-9.
2.
Dugdill L., Springett J.Evaluation of workplace health promotion: a review. Health Education Journal1994: 53: 337-47.
3.
Sanders D.Workplace Health Promotion: a Review of the Literature. Oxford Regional Health Authority Directorate of Health Policy andPublic Health, 1993.
4.
Springett J. , Dugdill L.Workplace health promotion programmes: towards a framework for evaluation. Health Education Journal1995: 54: 88-98.
5.
Warner KE, et al. Economic implications of workplace health promotion programs: review of the literature. Journal of Occupational Medicine1987: 30(2): 106-112.
6.
Pope C., Mays N.Reaching the parts other methods cannot reach; an introduction to qualitative methods in health and health services research. British Medical Journal1995: 311: 42-5.
7.
Lewin K.Action research and minority issues. Journal of Social Issues1946: 2: 34-46.
8.
Emery F., Thorsrud E.Democracy at Work. Leiden, The Netherlands: Nijhoff, 1976.
9.
Holter I., Schwartz-Barcott D.Action research: what is it? How has it been used and how can it be used in nursing?Journal of Advanced Nursing1993: 18: 298-304.
10.
Hugentobler M. , Israel B., Schurman S.An action research approach to workplace health: integrating methods. Health Education Quarterly1992: 19(1): 55-76.
11.
Tichen A., Binnie A.Action research; a strategy for theory generation and testing. International Journal of Nursing studies1993: 31(1): 1-12.
12.
MRFIT (Multiple Risk Factor Intervention Trial) Research Group.Mortality rates after 10.5 years for participants in the multiple risk factor intervention trial. Findings related to a priori hypothesis of the trial. Journal of the American Medical Association1990: 263: 1795-1801.
13.
Rose G.The Strategy of Preventive Medicine. Oxford Medical Publications , 1992.
14.
Marmot M., Davey-Smith G., Stansfield S., et al. Health inequalities among British Civil Servants: The Whitehall II Study. Lancet1991: 337: 1387-93.
15.
HMSO/OPCS Series MB5 No. 3. Morbidity Statistics from General Practice Fourth National Survey 1991-1992. A Study Carried out by the RCGP, OPCS and DoH.
16.
Wilkinson E., Elander E., Woolaway MCThe Bedfordshire Workplace Survey: Working Towards Health of the Nation. Bedfordshire Health Authority, 1997.
17.
Department of Health.On the State of the Public Health. The Annual Report of the Chief Medical Officer of the Department of Health for the year 1994. London: HMSO, 1995.
18.
Department of Health.Workplace Task Force Report. London: DoH, 1993.
19.
Ashton D.The Corporate Health Care Revolution. London: IPM/Kogan Page, 1989.
20.
Breslow L., et al. Worksite health promotion: its evolution and the Johnson and Johnson experience. Preventive Medicine1990 : 13-21.
21.
Elander E., Wilkinson E.Is workplace health promotion a good buy?BedfordshireHealth Authority, 1997.
22.
Bertera R.Planning and implementing health promotion in the workplace: a case study of the DuPont company experience. Health Education Quarterly1990: 17(3): 307-27.
23.
Health Education Authority.Action on Health at Work. Report of a seminar (18/2/92). London: Health Education Authority, 1992.
24.
Allied Dunbar National Fitness Survey.Main Findings. London: Sports Council and Health Education Authority, 1992 (p 46).
25.
Roe L., et al. Dietary intervention in primary care: validity of the DINE method of diet assessment. Family Practice1994: 11(4): 375-81.
26.
Office of Population Censuses.General Household Survey (Series GHS no. 23). London: HMSO, 1992.
27.
Tichen A., Binnie A.Research partnerships: collaborative action research in nursing. Journal of Advanced Nursing1993: 18: 858-65.