Move & Improve: A Worksite Wellness Program in Maine

BACKGROUND: We describe the evaluation process and outcomes of Move & Improve, a worksite wellness program in Maine. The evaluation process was based on the Centers for Disease Control and Prevention's Framework for Program Evaluation in Public Health and community-based participatory research principles. Innovative approaches are required to address burgeoning chronic disease trends and risk factors. Worksites are an ideal setting in which to affect working adults and high-risk individuals. Using community-based participatory research methodology increases community capacity for evaluation, dissemination, and use of evaluation results. CONTEXT: Move & Improve is an ongoing program that was implemented in 1996. Although evaluation data have been collected since the program's inception, a more systematic evaluation based on community-based participatory research principles was undertaken in 2003 and 2004 with the technical assistance of the Maine–Harvard Prevention Research Center and Colby College. METHODS: The Maine–Harvard Prevention Research Center facilitated the development of a program logic model, evaluation questions, data collection instruments, an analysis plan, presentations, and reports. We used a cross-sectional study design with nonparticipant comparison groups. CONSEQUENCES: Data indicate possible program improvement strategies and substantial improvements in lifestyle factors among participants. INTERPRETATION: Limitations of the evaluation include participant self-selection, cross-sectional study design, a lack of adequate resources for evaluation, and the challenges of using community-based participatory research methods. Despite these limitations, Move & Improve program staff consider the evaluation of the program a success and have learned ways to improve the program and future evaluation efforts. Overall satisfaction with the process has been nurtured through community-based participatory research methods. This approach also enabled us to meet key evaluation standards.