Skip to main content
OpenTrials
Completed

NCT Number: NCT04166643

Worksite Wellness Within Long-term Care Facilities

The goal of this proposed study is to test the feasibility and preliminary efficacy of worksite wellness program designed to reduce worker stress (job and personal) and improve cardiovascular disease among long-term care workers. We also aim to test if increasing wellness behaviors in staff will translate to increased wellness behaviors in residents due to positive role modeling.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Maryland School of Nursing

Baltimore, Maryland, 21201, United States

About this study

This is a cluster randomized control trial (initially intended to recruit 246 staff and 180 residents) implemented in six long-term care worksites. Three sites will be randomized to the WHHIP-PLUS & FFC and three sites will be randomized to the education-only.

The intervention occurs over 12 months and measures will be collected at three timepoints. We will test treatment fidelity as well as if our intervention improves Life's Simple 7 scores and reduces stress levels among long-term care workers and increases physical activity among residents.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Staff inclusion criteria:

18 years or older; Able to understand and speak English; Employed by the facility; Passed the evaluation to sign consent

Resident inclusion criteria:

55 years or older; Able to understand and speak English; Resident of the facility; Passed the evaluation to sign consent

No exclusion criteria for staff or residents

Treatment and study plan

WHHIP PLUS

Behavioral

Worksite health promotion and occupational health and safety (total worker health)

Education only control

Behavioral

Education at the start of the project

Primary outcomes

  1. Cardiovascular disease risk

    Time frame: baseline, 6-months, 12-months

    Composite life simple 7 scores and individual scores from life simple 7 components (blood pressure, weight, cholesterol, blood sugar, tobacco exposure, diet, physical activity) for staff

Secondary outcomes

  1. Short version of the Depression Anxiety Stress Scale-Stress- (DASS-S)

    Time frame: baseline, 6-months, 12-months

    Personal mood assessment tool, it can be scored as a composite mood score or three individual subscales, higher indicates more stress, 0-21 for each subscale or 0-63 for the composite for staff

  2. Job strain model tool

    Time frame: baseline, 6-months, 12-months

    Tool to measure work environment for staff including job control (including decision authority [9 items, range 9-36] and skill discretion [6 items, range 6-24]), job demands (4 items, range 4-16), social support (6 items, range 6-24 ), and organizational justice (5 items, range 5-20). Lower scores are desired.

Other outcomes

  1. Modified Nursing Assistant Self-efficacy for Restorative Care (NASERC)

    Time frame: baseline, 6-months, 12-months

    Tool to assess staff encouraging their patients to engage in heart healthy behaviors, range 0-36, higher means more self-efficacy for staff

  2. Modified Nursing Assistant Outcome Expectations for Restorative Care (NAOERC)

    Time frame: baseline, 6-months, 12-months

    Tool to assess staff encouraging their patients to engage in heart healthy behaviors, range 0-44, higher means more outcome expectations for staff

  3. Sleep

    Time frame: baseline, 6-months, 12-months

    Accelerometer for staff

  4. Bioelectrical Impedance Analysis (BIA)

    Time frame: baseline, 6-months, 12-months

    Percent of body fat and muscle mass for staff

  5. Modified Pittsburgh Sleep Quality Index

    Time frame: baseline, 6-months, 12-months

    Individual items on sleep hours and quality for staff

  6. Barthel index

    Time frame: baseline, 6-months, 12-months

    Assesses functional independence for residents

  7. Function focused care

    Time frame: baseline, 6-months, 12-months

    This tool is on observational check list that assesses long-term care staff and resident interactions for encouragement in function focused care (i.e., how staff engage or encourage residents to engage in physical activity). Staff are observed for about 30 minutes and scored (performed, not performed, not observed) on encouragement of function focused care for 19 typical care items such as bed mobility, ambulation in hallway.

  8. 3 word recall from mini-cog

    Time frame: baseline, 6-months, 12-months

    Stating 3 words to residents and asking them to recall them words.

Sponsors and collaborators

Lead sponsor

University of Maryland, Baltimore

Other

Collaborators

  • American Heart Association
  • Building Healthy Behaviors Across the Life Span Research Center

Registry information

Official study title

The Worksite Heart Health Improvement Project (WHHIP) + Function Focused Care (FFC)

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Nov 18, 2019
Registry last updated
Dec 16, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.