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Key elements of a worksite environmental intervention: participants' experiences and intervention outcomes

An environmental intervention was conducted in small rural worksites in Upstate New York in collaboration with Extension educators. Worksite leaders teamed with employees to select and implement environmental changes to increase walking (by 2000 steps daily over baseline) and healthy eating (choose healthy options on 3 or more days per week) over ten weeks. 226 employees in 5 sites who were primarily white, non Hispanic women participated in the intervention. A process evaluation was conducted to explain differences in intervention outcomes across sites. Research staff assessed dose delivered. Qualitative interviews and focus groups were conducted with 34 worksite leaders, intervention participants and non‐participants to assess participants' experiences of dose received. Dose received scores were significantly associated with intervention goal attainment compared to dose delivered scores for walking, but not for healthy eating. The findings have implications for environmental interventions and for use of qualitative methods for assessing dose received. This research was supported by a grant from the United States Department of Agriculture, National Institute for Food and Agriculture.