Effectiveness of integrated interventions in corrections: Results from longitudinal data

Background and Objective(s) HITEC is an integrative and comprehensive intervention to improve health of Connecticut COs an occupation with recognized physical and emotional health risks1. Organizational and individual health outcomes were compared between two facilities: a professional site (Site A) that was targeted with a series of best practices involving workplace health promotion (WHP) and ergonomics and a participatory site (site B) where all interventions were directed by a CO Design Team (DT). Methods HITEC followed the principles of Participatory Action Research (PAR)2, governed by a study wide steering committee (SWSC) Site A interventions were based on WHP best practices such as newsletters, HRAs and health coaching, and a standardized weight loss program3. DT sponsored interventions included a CO directed weight loss program a ‘civility' program around officer-supervisor conflict, and lower body injury avoidance/footwear program. Intervention effectiveness was assessed three times at 18 month intervals. Assessments included surveys; physiologic tests and short surveys and focus groups. Results Over 80% were overweight, 20% were hypertensive, 31% had significant depression, and >50% had no regular exercise. For weight loss, initial participation was higher at Site B (83 vs. 32) and weight loss (4.1%) was twice as high. Normotensives and prehypertensives were less likely to become hypertensive at Site B (21% vs 37%); but hypertension reduction was lower. Lost work time was lower at both sites than at non-intervention sites. Conclusion(s). Participation levels and CO acceptance was dramatically higher at the participatory site. Whether advantages are sustainable remains to be proven.