Box 1.

Health Promotion Research Center Dissemination Case Study Examples

Framework Construct	EnhanceFitness (EF)	American Cancer Society (ACS) Workplace Solutions (WPS)
Evidence-based practice	Older adult exercise program, involving aerobic activity and training to increase balance, flexibility, and strength, 3 times/wk.	Package of 15 evidence-based workplace health promotion practices to improve workers' cancer screening, nutrition, physical activity, tobacco cessation, and weight management.
Disseminating organization	Senior Services: partner on original EF efficacy research.	American Cancer Society (ACS) Great West Division: partner on original development and research; ACS National Home Office: disseminator.
User organizations	Senior centers, community centers, and nonprofit and for-profit fitness organizations (eg, the YMCA).	Employers
Linkages and learnings: working with user organizations to refine practice, dissemination approach	Developed and tested chair-based version of EF for frail older adults. Developed an online version of EF instructor training to reduce costs associated with training and to reach a wide instructor pool. Tested EnhanceMobility; an adaptation of EF for people with dementia.	Surveyed employers in target community of mid-sized employers in low-wage industries to assess their needs and resources. Interviewed ACS staff members to assess their readiness and training needs to support employers using ACS WPS.
Dissemination approach	Senior Services licenses program and provides training, materials, and data management and analysis.	ACS staff act as change agents to disseminate to employers across the United States.
Modifiable context: Policy supports	Acquired CDC Arthritis Program approval of EF. Acquired approval for EF to be 1 of 5 evidence-based disease prevention programs included in the Administration on Aging (AoA) Choices for Independence grants, 2009.	Worked to pass state laws that mandate workplace no-smoking policies as recommended by ACS WPS. Worked to pass state-level legislative mandates for insurance for colorectal cancer screening as recommended by ACS WPS.
Modifiable context: funding supports	Selected as a Choices program for AoA funding (26 states). Part of a $7.5 million initiative in South Florida.	Worked to increase state-level funding for tobacco-cessation quitlines for low-income, uninsured workers. Combined ACS WPS with another ACS workplace practice supported by state governments in Colorado, New Mexico, and Washington.
Dissemination results to date	As of 2010, offered at 523 community locations in 32 states, and has served 23,241 participants; 10,282 in 2010.	As of 2010, 1,385 employers had participated in ACS WPS, reaching more than 2.5 million workers.