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![Page 1: DOW Chemical](https://reader030.fdocuments.net/reader030/viewer/2022020106/568bdf791a28ab2034bd31de/html5/thumbnails/1.jpg)
Environmental Approaches for Environmental Approaches for Obesity ManagementObesity Management
at Dow Chemical Company: at Dow Chemical Company: Year 1 Results and Lessons Year 1 Results and Lessons
LearnedLearnedRZ Goetzel, DM DeJoy. MG Wilson, RZ Goetzel, DM DeJoy. MG Wilson,
RJ Ozminkowski, TL McPherson, RJ Ozminkowski, TL McPherson, DC Stapleton, KJ Tully, JM White DC Stapleton, KJ Tully, JM White
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ObjectiveObjective
Assess the feasibility and effectiveness Assess the feasibility and effectiveness of complementing individual risk of complementing individual risk reduction programs with moderate and reduction programs with moderate and intensive environmental interventions intensive environmental interventions directed at overweight and obesity directed at overweight and obesity prevention at Dow worksites.prevention at Dow worksites.
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Overall HypothesisOverall Hypothesis
Relative to the individual intervention, Relative to the individual intervention, environmental interventions a) reduce environmental interventions a) reduce the prevalence of obesity, overweight, the prevalence of obesity, overweight, and other weight-related risk factors, b) and other weight-related risk factors, b) improve overall health and well-being, c) improve overall health and well-being, c) reduce healthcare utilization and reduce healthcare utilization and expenditures, d) improve indices of expenditures, d) improve indices of employee productivity, and e) achieve a employee productivity, and e) achieve a positive return on investment.positive return on investment.
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Project TeamProject Team
Cornell University Institute for Health and Cornell University Institute for Health and Productivity Studies – Washington, DCProductivity Studies – Washington, DCThe Medstat Group – Ann Arbor, MIThe Medstat Group – Ann Arbor, MIUniversity of Georgia – Athens, GAUniversity of Georgia – Athens, GANational Business Group on Health – National Business Group on Health – Washington, DCWashington, DCThe Dow Chemical Company – Midland, The Dow Chemical Company – Midland, MIMI
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Study DesignStudy DesignQuasi-experimental – treatment vs. control/pre Quasi-experimental – treatment vs. control/pre vs. post (3 data points – baseline, year 1, year 2)vs. post (3 data points – baseline, year 1, year 2)12 participating sites 12 participating sites Intervention sites – matched/randomly assigned Intervention sites – matched/randomly assigned to moderate and intensiveto moderate and intensive#employees; HP participation; leadership support; #employees; HP participation; leadership support;
effectiveness C-D team, etc.effectiveness C-D team, etc.
Other Dow sites in US providing Other Dow sites in US providing benchmark/comparison databenchmark/comparison data
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Treatment Group Assignments: Treatment Group Assignments: Moderate & IntenseModerate & Intense
SiteSite # Employees# Employees ConditionConditionHalterman, TXHalterman, TX 146146 IIClear Lake, TXClear Lake, TX 9898 MMHouston Dow Center, TXHouston Dow Center, TX 566566 IIFreeport, TXFreeport, TX 4,2024,202 IILaporte, TXLaporte, TX 216216 MMOyster Creek, TXOyster Creek, TX 323323 IISeadrift, TXSeadrift, TX 659659 MMTexas City, TXTexas City, TX 467467 MMPlaquemine, LAPlaquemine, LA 1,5211,521 II
TotalsTotals 8,1988,198 I = 5/M = 4I = 5/M = 4
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Control SitesControl Sites
SiteSite # Employees# Employees
St. Charles, LASt. Charles, LA 1,1121,112
Bound Brook – Weston Bound Brook – Weston Canal, NJCanal, NJ
252252
South Charleston, WVSouth Charleston, WV 1,0561,056
TotalTotal 2,4202,420
GRAND TOTAL = 10,618
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Formative Research ActivitiesFormative Research ActivitiesMeetings with Corporate ManagementMeetings with Corporate ManagementSurveys of key informants (at each site)Surveys of key informants (at each site)– Leading by Example Questionnaire (LBE)Leading by Example Questionnaire (LBE)– Open-ended surveyOpen-ended surveyFocus Groups (at each site)Focus Groups (at each site)Interviews with Site-level Leadership (Management)Interviews with Site-level Leadership (Management)Environmental Assessments (EAT) Environmental Assessments (EAT) (at each site)(at each site)Analysis of Dow Archival DataAnalysis of Dow Archival Data
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Meetings with Corporate ManagementMeetings with Corporate Management
Summary Observations:Summary Observations:Senior management support evidentSenior management support evidentProject aligned with new corporate health Project aligned with new corporate health strategystrategyStrong emphasis on goals and metricsStrong emphasis on goals and metricsLimited tolerance for deviation from business Limited tolerance for deviation from business prioritiesprioritiesCompetitive Culture; Global Market Competitive Culture; Global Market Continual emphasis on improving efficienciesContinual emphasis on improving efficiencies
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Surveys with key informantsSurveys with key informants
Questionnaires were administered to health Questionnaires were administered to health services staff, cross-disciplinary teams services staff, cross-disciplinary teams and site leadership and site leadership Leading by Example QuestionnaireLeading by Example QuestionnaireOpen-ended questionsOpen-ended questions
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Leading By Example Leading By Example (Adapted from Partnership for Prevention, 2005)(Adapted from Partnership for Prevention, 2005)
15 Item Questionnaire; 5-point rating scales SA-SD 15 Item Questionnaire; 5-point rating scales SA-SD
Sample Items: Sample Items:
Q1. Site leadership is committed to health promotion as Q1. Site leadership is committed to health promotion as an important investment in human capital an important investment in human capital
Q3. Site health promotion programs are aligned with our Q3. Site health promotion programs are aligned with our business goalsbusiness goals
Q9. Site provides support for participation in health Q9. Site provides support for participation in health programs programs
Q12. Health benefits and insurance programs support Q12. Health benefits and insurance programs support prevention/health promotion prevention/health promotion
Q15. Overall, site promotes a culture of health and well Q15. Overall, site promotes a culture of health and well beingbeing
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LBE: Exploratory Factor AnalysisLBE: Exploratory Factor Analysis
PCA with varimax rotation (n = 135) - Three PCA with varimax rotation (n = 135) - Three main factors extractedmain factors extracted
The 3 factors explained 62% of variation in the The 3 factors explained 62% of variation in the datadata
internal consistency coefficientsinternal consistency coefficientsFactor 1: Factor 1: αα = .739 = .739Factor 2: Factor 2: αα = .811 = .811Factor 3: Factor 3: αα = .783 = .783
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Exploratory Factor Analysis: Exploratory Factor Analysis: Factor LoadingsFactor Loadings
Factor 1: Perceived Worksite Support for Factor 1: Perceived Worksite Support for Health Promotion Health Promotion ((αα = .739) = .739)
Q10. Our work teams provide support for Q10. Our work teams provide support for participation in health promotion programs participation in health promotion programs .738.738
Q13. This site offers incentives for employees to stay Q13. This site offers incentives for employees to stay healthy, reduce their high risk behaviors, and/or healthy, reduce their high risk behaviors, and/or practice healthy lifestyles practice healthy lifestyles
.718.718
Q9. Our site provides support for participation in Q9. Our site provides support for participation in health promotion programs health promotion programs .658.658
Q12. Our health benefits and insurance programs Q12. Our health benefits and insurance programs support prevention and health promotion support prevention and health promotion .627.627
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Exploratory Factor Analysis: Exploratory Factor Analysis: Factor LoadingsFactor Loadings
Factor 2: Perceived Business Alignment Factor 2: Perceived Business Alignment with Health Objectives with Health Objectives ((αα = .811) = .811)
Q6. Our site goals and plans advocate for the Q6. Our site goals and plans advocate for the improvement of employee health improvement of employee health .863.863
Q7. Site objectives for health improvement are Q7. Site objectives for health improvement are set annually set annually .832.832
Q3. Our site health promotion programs are Q3. Our site health promotion programs are aligned with our business goalsaligned with our business goals .645.645
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Exploratory Factor Analysis: Exploratory Factor Analysis: Factor LoadingsFactor Loadings
Factor 3: Perceived Leadership Support for Factor 3: Perceived Leadership Support for Health Promotion Health Promotion ((αα = .783) = .783)
Q11. Dow provides our site leadership training Q11. Dow provides our site leadership training on the importance of employee health on the importance of employee health .863.863
Q14. Our leaders view the level of employee Q14. Our leaders view the level of employee health and well-being as one important health and well-being as one important indicator of the site’s business success indicator of the site’s business success
.832.832
Q1. Our site leadership is committed to health Q1. Our site leadership is committed to health promotion as an important investment in promotion as an important investment in human capitalhuman capital
.645.645
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Exploratory Factor Analysis: Exploratory Factor Analysis: Descriptive StatisticsDescriptive Statistics
TeamTeamFactor/Total ResponsesFactor/Total Responses
Site Site LeadersLeaders
(70)(70)
Cross Cross Disc.Disc.(32)(32)
Health Health ServicesServices
(33)(33)
Perceived Worksite Support Perceived Worksite Support for Health Promotionfor Health Promotion 3.013.01AA 3.073.07 3.363.36AA
Perceived Business Alignment Perceived Business Alignment with Health Objectiveswith Health Objectives 2.962.96AA 2.962.96BB 3.493.49ABAB
Perceived Leadership Support Perceived Leadership Support for Health Promotionfor Health Promotion 3.253.25 3.093.09 3.233.23
* Ratings based on a scale of 1 – 5, where 1 = “strongly disagree” and 5 = “strongly agree”
* Shaded rows indicate that overall F in ANOVA is significant at .05 level
* Superscript letters indicate significant group differences at the =.05 level using LSD post-hoc contrasts in a one-way ANOVA assessed for each factor.
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Surveys with key informants (cont.)Surveys with key informants (cont.)
Open-ended questions asking about Open-ended questions asking about previous and proposed health promotion-previous and proposed health promotion-related programs and activitiesrelated programs and activities
1.1. Factors influencing successFactors influencing success2.2. Challenges/barriersChallenges/barriers3.3. Participation Participation 4.4. Communication Communication
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Surveys of Key Informants – Surveys of Key Informants – Responses toResponses to open-ended questionsopen-ended questions
SuccessSuccessLeadership supportLeadership supportIncentives Incentives Access Access PromotionPromotionIntegrate with existing Integrate with existing processes / networksprocesses / networks
ChallengesChallengesTime constraintsTime constraintsWorkloadWorkloadPerception of benefitsPerception of benefitsAccess Access
ParticipationParticipationIncentivesIncentivesLeadership supportLeadership supportEasy participation/accessEasy participation/accessPromotion Promotion
CommunicationCommunicationMultiple sources and Multiple sources and coordinatedcoordinatedPresentations Presentations EmailEmailwebsitewebsite
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Focus GroupsFocus Groups
PurposePurpose: : refine the interventions and the refine the interventions and the implementation strategies for this projectimplementation strategies for this project
Groups conducted with: Groups conducted with: health services staffhealth services staffcross-disciplinary teamscross-disciplinary teams
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Focus Group Findings - Physical Activity Focus Group Findings - Physical Activity
OptionsOptions Competitions (e.g., pedometers)Competitions (e.g., pedometers)General physical activity education General physical activity education Create a safe walking area on-siteCreate a safe walking area on-siteDesignate company time to exercise (e.g., flex-time)Designate company time to exercise (e.g., flex-time)Start or increase off-site fitness center reimbursement Start or increase off-site fitness center reimbursement Have health promotion personnel conduct stretching Have health promotion personnel conduct stretching sessions in control roomssessions in control roomsInstall cardio equipment in control rooms (e.g., Install cardio equipment in control rooms (e.g., treadmills, stationary bikes, stair climbers)treadmills, stationary bikes, stair climbers)Encourage more bike usage on-siteEncourage more bike usage on-site
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Focus Group Findings - Nutrition and Weight Focus Group Findings - Nutrition and Weight ManagementManagement Options Options
Education about how to cook healthy meals Education about how to cook healthy meals (demonstrations in control rooms – tasting!)(demonstrations in control rooms – tasting!)Label vending, cafeteria, and/or control room take-out Label vending, cafeteria, and/or control room take-out menus with nutrition informationmenus with nutrition informationChange vending and/or cafeteria to healthier optionsChange vending and/or cafeteria to healthier optionsPolicy change – require Dow sponsored events to serve Policy change – require Dow sponsored events to serve healthy foodhealthy foodHave a healthy mobile food cart (on-site or at gate)Have a healthy mobile food cart (on-site or at gate)Prepared healthy meals to take home at night after shiftPrepared healthy meals to take home at night after shiftDifferential pricing for vending/café Differential pricing for vending/café
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Environmental AssessmentEnvironmental AssessmentPurposePurpose: Assess site’s organizational and : Assess site’s organizational and physical environments, and resources available physical environments, and resources available in the surrounding community. in the surrounding community. Reviewed existing assessment instrumentsReviewed existing assessment instruments– Heart Check Heart Check (Golaszewski & Fisher, AJHP, 2002)(Golaszewski & Fisher, AJHP, 2002)– Checklist of Health Promotion Environments at Checklist of Health Promotion Environments at
Worksites (CHEW) Worksites (CHEW) (Oldenberg, etal., AJHP, 2002)(Oldenberg, etal., AJHP, 2002)– CDC Walkability Tool CDC Walkability Tool (CDC, 2002)(CDC, 2002)– CA Dept. of Health Services CA Dept. of Health Services (2004)(2004)Created the EAT – Environmental Created the EAT – Environmental Assessment ToolAssessment ToolCreated database for the 12 sitesCreated database for the 12 sites
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Environmental Assessment Tool Environmental Assessment Tool (EAT): Categories(EAT): Categories
Size of WorkforceSize of WorkforceEmployee CharacteristicsEmployee CharacteristicsSite CharacteristicsSite CharacteristicsWork RulesWork RulesCurrent Health Promotion Current Health Promotion ProgramsProgramsCurrent Health Promotion Current Health Promotion PoliciesPoliciesPhysical Activity FacilitiesPhysical Activity Facilities
Signs & Bulletin BoardsSigns & Bulletin BoardsParking/Bike AssessmentParking/Bike AssessmentPhysical Activity/Fitness Physical Activity/Fitness FacilitiesFacilitiesStair/Elevator Stair/Elevator assessmentassessmentVending Machine Vending Machine AssessmentAssessmentChanging FacilitiesChanging FacilitiesCafeteria/Food Service Cafeteria/Food Service AssessmentAssessment
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EAT ResultsEAT ResultsWorkforceWorkforce – Range 98 to >4,000 employees; 85% – Range 98 to >4,000 employees; 85% male/40’s/low turnover; 12-hr rotating shifts male/40’s/low turnover; 12-hr rotating shifts (production workers); other mostly standard 8-hr(production workers); other mostly standard 8-hrSite CharacteristicsSite Characteristics – Size range 57 to >5,000 – Size range 57 to >5,000 acres; multiple buildings; often rural settings; orderly acres; multiple buildings; often rural settings; orderly layouts; high safety consciousness; access controlled layouts; high safety consciousness; access controlled Current HP ProgsCurrent HP Progs – standard options; Access varies – standard options; Access varies across sites and employment classifications; overall across sites and employment classifications; overall participation limitedparticipation limitedCurrent HP PoliciesCurrent HP Policies – few official policies; – few official policies; participation often not permitted or possible on participation often not permitted or possible on company time; site leadership support variescompany time; site leadership support varies
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EAT ResultsEAT ResultsParking/BikesParking/Bikes – parking very close to work – parking very close to work units; auto predominant mode; some bike use at units; auto predominant mode; some bike use at some sitessome sitesStairs/ElevatorsStairs/Elevators – majority of buildings are 1-2 – majority of buildings are 1-2 storiesstoriesChanging FacilitiesChanging Facilities – access varies but usually – access varies but usually available to production workersavailable to production workersPhysical Activity/Fitness FacilitiesPhysical Activity/Fitness Facilities – quite – quite variable; some sites have well-equipped variable; some sites have well-equipped facilities; access also varies across sites; facilities; access also varies across sites; general site characteristics frequently not general site characteristics frequently not conducive to outside activityconducive to outside activity
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EAT ResultsEAT ResultsSigns & Bulletin BoardsSigns & Bulletin Boards – few if any – few if any
environmental prompts; HP messages quite environmental prompts; HP messages quite limited overalllimited overall
VendingVending – most employees have access; choices – most employees have access; choices typical and not healthy; no incentives to buy typical and not healthy; no incentives to buy healthyhealthy
Cafeterias/Food ServicesCafeterias/Food Services – some sites have – some sites have cafeterias – available choices “fast, familiar, and cafeterias – available choices “fast, familiar, and filling” (fried/high fat); most production units have filling” (fried/high fat); most production units have full kitchens; Outside food sources (“beyond the full kitchens; Outside food sources (“beyond the fence”) vary across sites with some innovative fence”) vary across sites with some innovative arrangementsarrangements
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Production Unit Control RoomProduction Unit Control Room
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Production Unit KitchenProduction Unit Kitchen
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EAT DatabaseEAT Database
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Vending AreaVending Area
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Location Building ItemsHealthy Foods
Unhealthy Foods
% Healthy
Healthy Slots
Unhealthy Slots
% Healthy
Clear LakeControl Room Chips/Snacks 3 16 16 3 17 15
Candy 0 8 0 0 11 0Beverages 1 5 17 2 5 29
Maintenance Chips/Snacks 2 22 8 2 23 8
Candy 1 11 8 1 13 7Beverages 1 4 20 1 6 14
Vending Machine Data
Compilation of Vending DataCompilation of Vending Data
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Analysis Archival DataAnalysis Archival Data
Health care expenditure and HRA for 2003 Health care expenditure and HRA for 2003 and 2004and 2004These data comprise a baseline for future These data comprise a baseline for future comparisonscomparisonsExpenditure data from PPO plansExpenditure data from PPO plans
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VariableVariable Treatment Treatment SitesSites
Control SitesControl Sites
Ave. # employees in PPOs Ave. # employees in PPOs (2004)(2004)
6,3826,382 1,6111,611
Ave. # employees in PPOs Ave. # employees in PPOs (2003)(2003)
6,6366,636 1,9061,906
PER EMPLOYEE COSTS:PER EMPLOYEE COSTS:Total Medical + Absenteeism Total Medical + Absenteeism 20042004
$3,474.63$3,474.63 $3,655.12$3,655.12
Total Medical + Absenteeism Total Medical + Absenteeism 20032003
$3,460.42$3,460.42 $3,729.04$3,729.04
DifferenceDifference $14.21$14.21 ($73.92)($73.92)
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Percent of Dow employees who completed a Percent of Dow employees who completed a Health Risk Appraisal who were at high risk at Health Risk Appraisal who were at high risk at
(2004)(2004)
Risk Factors All Treatment Sites
All Control Sites
All Other Dow Sites Not Involved in the
Study
Overweight or Obese* 85% 81% 75% High LDL 36% 31% 27% Low HDL (<46) 46% 43% 42% High Total Cholesterol (>199) 48% 49% 44% High Blood Glucose (>99) 27% 23% 16% High Blood Pressure 24% 25% 14% Current Smoker 21% 18% 12% Poor Exercise Habits** 63% 59% 59%
*Overweight or Obese = BMI > 24**Poor Exercise Habits = Less than 3 times a week
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Percent of Dow employees who completed Percent of Dow employees who completed Health Risk Appraisals by BMI category at Health Risk Appraisals by BMI category at
(2003 and 2004)(2003 and 2004) All Other Dow Sites
BMI Category All Treatment Sites All Control Sites Not Involved in the Study ___________________________________________________________________________________ Normal weight 15.1% 19.5% 25.0% Overweight 40.0% 40.4% 41.6% Obese 44.9% 40.1% 33.4% ___________________________________________________________________________________
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Moderate Intervention PackageModerate Intervention PackageMark walking paths inside and outside buildings – offer a pedometer Mark walking paths inside and outside buildings – offer a pedometer program;program;Bring education/programs/cooking classes to employees at their Bring education/programs/cooking classes to employees at their workstations;workstations;Provide fitness equipment at workstations;Provide fitness equipment at workstations;Open up restricted fitness facilities to all employees;Open up restricted fitness facilities to all employees;Provide additional healthy choices in vending machines – provide Provide additional healthy choices in vending machines – provide preferential pricing for healthy food;preferential pricing for healthy food;Work with cafeteria vendors/on-site “meals on wheels” vendors to Work with cafeteria vendors/on-site “meals on wheels” vendors to offer healthy food choices;offer healthy food choices; Invite “farmers’ market” catering trucks to the sites;Invite “farmers’ market” catering trucks to the sites;Provide better labeling of healthy food choices in vending Provide better labeling of healthy food choices in vending machines/cafeterias/food carts;machines/cafeterias/food carts;““Saturate” the workplace with physical activity/healthy eating Saturate” the workplace with physical activity/healthy eating messages, communication, signs/posters;messages, communication, signs/posters;Offer discounts at local gyms/fitness centers;Offer discounts at local gyms/fitness centers;
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Moderate Package (cont.)Moderate Package (cont.)Provide “healthy cupboard” space for healthy eating choices;Provide “healthy cupboard” space for healthy eating choices;Offer “intensive” weight management programs – specifically Offer “intensive” weight management programs – specifically targeting male workers;targeting male workers;Provide scales in control rooms or bathrooms;Provide scales in control rooms or bathrooms;In buildings with staircases, create more inviting stairwells;In buildings with staircases, create more inviting stairwells;Offer healthy snack stations throughout the workplace; Offer healthy snack stations throughout the workplace; Require healthy food choices at company sponsored Require healthy food choices at company sponsored meetings, events and training programs; meetings, events and training programs; Place water coolers and/or filtration systems near vending Place water coolers and/or filtration systems near vending machines; machines; Promote area restaurants that offer health eating choices; Promote area restaurants that offer health eating choices; and and Make it inconvenient to bring cars on grounds.Make it inconvenient to bring cars on grounds.
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Intensive InterventionsIntensive InterventionsSet site/workgroup health goals; Set site/workgroup health goals; Provide rewards/recognition to site leaders who Provide rewards/recognition to site leaders who achieve site goals; achieve site goals; Train site leaders to be health leaders;Train site leaders to be health leaders;Encourage site leaders to provide employees Encourage site leaders to provide employees with time off during the workday to participate in with time off during the workday to participate in physical activity and health promotion programs; physical activity and health promotion programs; and and Provide regular feedback and monitoring reports Provide regular feedback and monitoring reports to site leaders on their site’s performance against to site leaders on their site’s performance against overall company health performance measures. overall company health performance measures.
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Current StatusCurrent Status
Interventions and measures have been Interventions and measures have been finalizedfinalizedCommunication/recruitment plans have Communication/recruitment plans have been developedbeen developedFinalizing logistics of implementationFinalizing logistics of implementationSetting up process evaluationSetting up process evaluationThen, there is KatrinaThen, there is Katrina
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Thank YouThank You
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Project DesignProject Design
Year 1:Year 1: Formative Research, Project Planning Formative Research, Project Planning and Baseline Measuresand Baseline Measures
Year 2 & 3:Year 2 & 3: Intervention Program Intervention Program ImplementationImplementation
Year 4:Year 4: Measurement and EvaluationMeasurement and Evaluation
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Exploratory Factor Analysis: Exploratory Factor Analysis: Descriptive StatisticsDescriptive Statistics
FactorFactor MeanMean (n =135)(n =135)
Std. Dev.Std. Dev.
Perceived Worksite Support for Perceived Worksite Support for Health PromotionHealth Promotion 3.123.12 .70.70
Perceived Business Alignment with Perceived Business Alignment with Health ObjectivesHealth Objectives 3.093.09 .82.82
Perceived Leadership Support for Perceived Leadership Support for Health PromotionHealth Promotion 3.213.21 .72.72
* Ratings based on a scale of 1 – 5, where 1 = “strongly disagree” and 5 = “strongly agree”
* No significant differences were found between factor means across the three groups
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Intensive InterventionsIntensive InterventionsSet site/workgroup health goals; Set site/workgroup health goals; Provide rewards/recognition to site leaders who achieve Provide rewards/recognition to site leaders who achieve site goals; site goals; Train site leaders to be health leaders;Train site leaders to be health leaders;Encourage site leaders to provide employees with time Encourage site leaders to provide employees with time off during the workday to participate in physical activity off during the workday to participate in physical activity and health promotion programs; and and health promotion programs; and Provide regular feedback and monitoring reports to site Provide regular feedback and monitoring reports to site leaders on their site’s performance against overall leaders on their site’s performance against overall company health performance measures. company health performance measures.
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Intervention - IntenseIntervention - Intense
Site goals with work group alignmentSite goals with work group alignmentRecognition and rewardsRecognition and rewardsLeadership trainingLeadership trainingReporting goals and progress to top Reporting goals and progress to top managementmanagement
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Dow’s CultureDow’s Culture
DataDataSafetySafetySecurity Security CompetitionCompetitionAccountabilityAccountabilityGoal oriented Goal oriented Permission Permission Empowerment Empowerment
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Section ISection I Work RulesWork Rules
Size of WorkforceSize of Workforce Current Health Promotion Current Health Promotion ProgramsPrograms
EmployeeEmployeeCharacteristicsCharacteristics
Current Health Promotion Current Health Promotion PoliciesPolicies
Site CharacteristicsSite Characteristics Physical Activity FacilitiesPhysical Activity Facilities
Environmental Assessment Tool Environmental Assessment Tool (EAT)(EAT)
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Administrative/Office AreaAdministrative/Office Area
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Implementation/Process EvaluationImplementation/Process Evaluation
InterventionsInterventions MeasuresMeasures CommunicationCommunication
WhatWhat
HowHow
WhenWhen
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Environmental Assessment Tool Environmental Assessment Tool (EAT)(EAT)
Section IISection II Signs & Bulletin BoardsSigns & Bulletin Boards
Parking/Bike Parking/Bike AssessmentAssessment
Physical Physical Activity/Fitness Activity/Fitness FacilitiesFacilities
Stair/Elevator Stair/Elevator AssessmentAssessment
Vending Machine Vending Machine AssessmentAssessment
Changing FacilitiesChanging Facilities Cafeteria/Food Service Cafeteria/Food Service AssessmentAssessment
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Participating Dow Chemical SitesParticipating Dow Chemical Sites
1.1. Clear Lake, TX Clear Lake, TX 2.2. Freeport, TXFreeport, TX3.3. Haltermann, TX Haltermann, TX 4.4. Houston Dow Houston Dow
Center, TX Center, TX 5.5. LaPorte, TX LaPorte, TX 6.6. Oyster Creek, TX Oyster Creek, TX
7.7. Seadrift, TXSeadrift, TX8.8. Texas City, TX Texas City, TX 9.9. Plaquemine, LA Plaquemine, LA 10.10. St. Charles, LASt. Charles, LA11.11. South Charleston, South Charleston,
WVWV12.12. Bound Brook -Bound Brook -
Weston Canal, NJWeston Canal, NJ