Table 2.

Participatory Health Program Process Evaluation.

Process Measures & Indicators	Results
Inputs
Fidelity to HWPP materials
Used IDEAS Tool materials/worksheets as planned	Yes—minor language modifications
Design team members understood the materials/program process	Yes—design team members reported that materials were easy to understand, but didn’t always know the best way to move forward through program materials
Facilitator
Knowledgeable about the HWPP & IDEAS Tool	Yes—thorough review of facilitator guide prior to program initiation
Knowledgeable about the workplace	Partial—external researcher with previous experience in this store
Time expenditure met expectations (~20 h)	No—greater than anticipated (57 h over 10 weeks)
Design Team
Recruited 6–8 design team members	Yes—6 design team members
Met recruitment criteria	Yes—met all criteria
Design team members scheduled to work on meeting days	No—all design team members scheduled to work on only 2 of 9 meeting days
Steering Committee
Steering committee represented various levels of authority	Partial—corporate, store supervisor, unions; store manager not involved
Activities
Fidelity to the IDEAS Tool
Design team completed IDEAS Steps 1–5A	Yes—completed Steps 1–5A; also partially completed Step 6
Steering committee completed IDEAS Steps 5B–6	Partiall—completed Step 5B; partially completed Step 6
Dose
Number/duration/frequency of design team meetings	16 meetings; 50–60 min each; met weekly for 10 weeks, then as needed
Number/duration/frequency of steering committee meetings	2 meetings; 60–90 min each; 7 months between meetings
Engagement
Design team meeting attendance	All present at six of 16 scheduled meetings; one member absent at seven meetings; two or more members absent at three meetings
Steering committee meeting attendance	All present at 1 of 2 scheduled meetings; 2 members present at second meeting
Design team engagement (Facilitator mean rating for each design team members across all meetings; Scale: 0 = No, 0.5 = some/somewhat, 1 = Yes)	Offered new ideas during meetings = 0.86
	Actively participated in meeting = 0.88
	Completed homework = 0.50
	Discussed projects with co-workers = 0.81
	Design team required significant facilitation to further develop and implement activities; facilitator took on a lot of activity development responsibility; team members reported they were not motivated to take initiative, however they often made a point to attend team meetings even when not scheduled to work (15 out of 20 instances)
Design team perception of the process	Team members reported feeling positively impacted by the program and thought the program was innovative and important, but they did not know how to implement activities without help.
Design team perception of support	The team did not feel they received logistical support from store management to implement solutions and response time was slow. They also felt that the steering committee did not follow through on promises and took too long to respond to the team.
Steering committee perception of program	1 of 6 steering committee members continued with the program until completion; one member was vocal about not believing in the program/process.
Activities generated	The design team generated 3 objectives with 15 distinct activities; the steering committee approved 7 activities
Outputs
Store Worker Reach
Activities implemented	5 activities were implemented
Awareness of implemented solutions	Surveys: 99 of 105 workers noticed at least one activity implemented by the design team. Awareness varied by activities; Results shown in Table 3.
Utilization of implemented activities	Surveys: Participation in the activities was higher among workers who used the break room, where most of the activities were implemented and communicated to the workforce. Results shown in Table 3.
Store Workers’ Perception of Program	Surveys: 39 of 105 workers reported the activities helped them improve their eating and/or exercise habits
	Worker interviews (n = 5): 4/5 thought the activities were good for store workers in general, but changes in their own health behaviors were made for other reasons, not due to program

Note: HWPP: Healthy Workplace Participatory Program, IDEAS: Intervention Design and Analysis Scorecard.