1. Lori Iarossi Bonnie Eisenberg, MPH Ian Brissette, PhD Bureau of Chronic Disease Epidemiology & Surveillance Division of Chronic Disease and Injury Prevention New York State Department of Health 1

2. 1980s Cohort 1 1995-1997 Cohort 2 1997-1999 Cohort 3 1999-2003 Cohort 4 2005-2009 Why create a Worksite Assessment Tool? Why create a Statewide Surveillance System? Why create a Program Evaluation System? Need to document pre and post measures for heart healthy worksite supports Developed out of the need for putting into context the work and results of the HHP Contractors interventions in worksites documented through HeartCheck Developed out of the need for validating Healthy Heart Program funded contractor worksite, school and community interventions Statewide Worksite Surveillance Worksite Assessment Tool Program Evaluation System 2

3. Analysis and Reporting: HeartCheck Scores calculated using SPSS from 1999- 2002 and SAS from 2002 to current. Final charts and reports produced in Microsoft Access and distributed to DOH program staff and contractors. Methods: The survey was administered in person with data collection via: 1998-2007- Scannable forms 2007-Current- web-based data collection Design: Healthy Heart Program worksite funded contractors complete Pre and Post HeartCheck Instrument: Developed from the National Worksite Health Promotion Survey, the data source for the Healthy People Objectives 3

4. Healthy Eating Do you provide labels to identify "healthy" foods in the cafeteria? Yes No 1 0 Physical Activity Does the worksite provide a shower and changing facility for employees who want to bike/run/walk to work or exercise during off hours (lunch)? Yes No 1 0 Healthy Eating Physical Activity Preventive Health Screening Administrative Supports Tobacco Use Stress Management Organizational Foundations HeartCheck 4

5. Mean Score 5

6. Analysis and Reporting: Weighted prevalence estimates were calculated using software for complex survey analysis. Multivariate‐models examining worksite and workforce characteristics associated with the availability of policy supports for wellness were published. Methods: The survey was administered by mail using a compressed mailing schedule with three contacts. A postage‐paid envelope was included for returns and phone follow‐up was used to verify worksites were in operation. Design: A Dun and Bradstreet database of worksites with 75+ employees served as the sampling frame from which a stratified random sample of private and public sector worksites was drawn Instrument: Developed in 2002 from HeartCheck and the National Worksite Health Promotion Survey, the data source for the Healthy People Objectives Preventing Chronic Disease Journal http://www.cdc.gov/pcd/issues/2008/apr/07_0196.htmhttp://www.cdc.gov/pcd/issues/2008/apr/07_0196.htm 6

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8. HHP funded activity DID NOT cause this increase 8

9. Analysis and Reporting: Monthly downloads are imported in a Microsoft Access database. Data is cleaned and analyzed in SAS and monthly reports are generated in Access and distributed to DOH program staff and Contractors. Methods: Following training, regional contract managers oversee technical support of data entry Design: Contracted with Binghamton University to develop system based on Reporting needs of NYS Healthy Heart Program Objectives Major ActivitiesEvaluationResources System: Web-based reporting system developed in 2002-2004 9

10. Healthy Eating Physical Activity Preventive Health Screening Administrative Supports PMDES Healthy Eating Do you provide labels to identify "healthy" foods in the cafeteria? Yes No 1 0 Physical Activity Does the worksite provide a shower and changing facility for employees who want to bike/run/walk to work or exercise during off hours (lunch)? Yes No 1 0

11.  Web-based data collection database established in 2005 for contractor reporting  Worksites track intervention and evaluation measures through monthly reporting 11

12. Healthy Eating Physical Activity Preventive Health Screening Administrative Supports Tobacco Use Stress Management Organizational Foundations Healthy Eating Physical Activity Preventive Health Screening Administrative Supports Merge and Validate Data PMDES Heart Check 12

13. Mean Healthy Eating Score t(275)=3.85, p<.0001 13

14. t(275)=4.00, p<.0001 14

15. t(275)=2.45, p=.024 (Satterthwaite) 15

16. PMDES validates that HeartCheck score improvements are a result of Healthy Heart Program (HHP) funded Interventions Data Validation PMDES documents HHP Program results, including environmental supports and impact on target populations Documentation Future Contractor funded work is determined based on “Best Practices” Action 16

17. Relationship between Baseline HeartCheck Scores to: 1) Interventions selected by HHP Contractors 2)Success in achieving Policy and Environmental Changes Data Analysis 17

18. Lori Iarossi New York State Department of Health lsm06@health.state.ny.us 18

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