ClinicalTrials.gg
CompletedNCT04166643Updated Dec 16, 2025

Worksite Wellness Within Long-term Care Facilities

An interventional study of WHHIP PLUS and Education only control in Worksite Health Promotion, Lifestyle Risk Reduction and Cardiovascular Diseases, sponsored by University of Maryland, Baltimore. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by University of Maryland, Baltimore · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
159
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this proposed study is to test the feasibility and preliminary efficacy of worksite wellness program designed to reduce worker stress (job and personal) and improve cardiovascular disease among long-term care workers. We also aim to test if increasing wellness behaviors in staff will translate to increased wellness behaviors in residents due to positive role modeling.

Read the detailed description

This is a cluster randomized control trial (initially intended to recruit 246 staff and 180 residents) implemented in six long-term care worksites. Three sites will be randomized to the WHHIP-PLUS \& FFC and three sites will be randomized to the education-only.

The intervention occurs over 12 months and measures will be collected at three timepoints. We will test treatment fidelity as well as if our intervention improves Life's Simple 7 scores and reduces stress levels among long-term care workers and increases physical activity among residents.

02

Conditions studied

  • Worksite Health Promotion
  • Lifestyle Risk Reduction
  • Cardiovascular Diseases
  • Occupational Stress
  • Healthcare Workers
03

In context

Risk Reduction Behavior

291 studies on the registry are indexed under Risk Reduction Behavior; 39 are open to participants now.

This study's enrollment of 159 is below the median of 201 across 250 interventional studies indexed under Risk Reduction Behavior.

Browse Risk Reduction Behavior studies →

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 700 studies on the registry; 132 are open to participants now.

Of its 92 completed or terminated interventional studies of FDA-regulated products, 66 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Staff inclusion criteria:

18 years or older; Able to understand and speak English; Employed by the facility; Passed the evaluation to sign consent

Resident inclusion criteria:

55 years or older; Able to understand and speak English; Resident of the facility; Passed the evaluation to sign consent

No exclusion criteria for staff or residents

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
159 participants (actual)

Study arms

  • Active comparator
    Education only

    Education

    Behavioral: Education only control

  • Experimental
    WHHIP-PLUS and Function Focused Care

    Component I: Stakeholder Group Involvement: Component II: Environment Assessment: Component III: Organizational Changes To Reduce Job Stress: Component IV- Worker Health Behavior Change including function focused care interventions

    Behavioral: WHHIP PLUS

Interventions

  • BehavioralWHHIP PLUS

    Worksite health promotion and occupational health and safety (total worker health)

  • BehavioralEducation only control

    Education at the start of the project

06

What researchers measure

Primary outcomes

  1. Cardiovascular disease risk

    Composite life simple 7 scores and individual scores from life simple 7 components (blood pressure, weight, cholesterol, blood sugar, tobacco exposure, diet, physical activity) for staff

    Time frame: baseline, 6-months, 12-months

Secondary outcomes

  1. Short version of the Depression Anxiety Stress Scale-Stress- (DASS-S)

    Personal mood assessment tool, it can be scored as a composite mood score or three individual subscales, higher indicates more stress, 0-21 for each subscale or 0-63 for the composite for staff

    Time frame: baseline, 6-months, 12-months

  2. Job strain model tool

    Tool to measure work environment for staff including job control (including decision authority \[9 items, range 9-36\] and skill discretion \[6 items, range 6-24\]), job demands (4 items, range 4-16), social support (6 items, range 6-24 ), and organizational justice (5 items, range 5-20). Lower scores are desired.

    Time frame: baseline, 6-months, 12-months

Other outcomes

  1. Modified Nursing Assistant Self-efficacy for Restorative Care (NASERC)

    Tool to assess staff encouraging their patients to engage in heart healthy behaviors, range 0-36, higher means more self-efficacy for staff

    Time frame: baseline, 6-months, 12-months

  2. Modified Nursing Assistant Outcome Expectations for Restorative Care (NAOERC)

    Tool to assess staff encouraging their patients to engage in heart healthy behaviors, range 0-44, higher means more outcome expectations for staff

    Time frame: baseline, 6-months, 12-months

  3. Sleep

    Accelerometer for staff

    Time frame: baseline, 6-months, 12-months

  4. Bioelectrical Impedance Analysis (BIA)

    Percent of body fat and muscle mass for staff

    Time frame: baseline, 6-months, 12-months

  5. Modified Pittsburgh Sleep Quality Index

    Individual items on sleep hours and quality for staff

    Time frame: baseline, 6-months, 12-months

  6. Barthel index

    Assesses functional independence for residents

    Time frame: baseline, 6-months, 12-months

  7. Function focused care

    This tool is on observational check list that assesses long-term care staff and resident interactions for encouragement in function focused care (i.e., how staff engage or encourage residents to engage in physical activity). Staff are observed for about 30 minutes and scored (performed, not performed, not observed) on encouragement of function focused care for 19 typical care items such as bed mobility, ambulation in hallway.

    Time frame: baseline, 6-months, 12-months

  8. 3 word recall from mini-cog

    Stating 3 words to residents and asking them to recall them words.

    Time frame: baseline, 6-months, 12-months

07

Study locations

1 site
  • University of Maryland School of Nursing
    Baltimore, Maryland 21201, United States
08

References and documents

Individual participant data

Plan to share: Yes — De-identified raw data

Time frame: Once the study and preliminary analysis is complete (anticipated date 2025). Once published it will remain available

Access criteria: open

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2022 to primary completion in Oct 2024, 28 months.

Of 167 non-industry interventional studies with no phase under Risk Reduction Behavior, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 42. This study's 28 months is above that.

Counting every sponsor, half of 169 studies reached it within 25 months; a quarter within 13 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 5, 2019
First posted
Nov 18, 2019
StartActual
Jun 28, 2022
Primary completionActual
Oct 31, 2024
CompletionActual
Nov 8, 2024
Last update
Dec 16, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04166643
Collaborators
American Heart Association, Building Healthy Behaviors Across the Life Span Research Center
Responsible party
Kelly Doran (associate professor, University of Maryland, Baltimore) — Principal investigator
First posted
Nov 18, 2019
Start date
Jun 28, 2022
Primary completion
Oct 31, 2024
Completion
Nov 8, 2024
Last update
Dec 16, 2025

Study contacts

Kelly Doran, PhD, RN
principal investigator · UMB

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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