Background Teachers have high rates of daily stress and the majority of available interventions are focused at the teacher-level. Yet, best practices in Total Worker Health® approaches indicate organization-level interventions identified using a participatory approach are most effective. We conducted an exploratory scale-out pilot study to examine the adoption of the Healthy Workplace Participatory Program (HWPP), an evidence-based, Total Worker Health approach to engage employees (e.g., teachers) and supervisory personnel (e.g., administrators) in the design and implementation of workplace well-being interventions within two elementary schools. Methods We evaluated the program both quantitatively and qualitatively collecting implementation outcome data (i.e., fidelity, acceptability, understanding, feasibility, system alignment) as well as data-driven adaptations using the Framework for Reporting Adaptations and Modifications-Expanded. Data from the first school informed scale-out adaptation of the HWPP intervention, HWPP-Education, within the second school. We compared implementation outcomes between Pilot Schools 1 and 2 to evaluate improvements in the adapted HWPP. Results Adaptations to HWPP program content and process were suggested to increase feasibility and contextual fit. Acceptability, understanding, and feasibility ratings showed statistically significant improvements comparing School 1 to School 2 which implemented the improved HWPP-Education. Furthermore, users reported adaptations including shorter meeting design and faster process were feasible within their work context. Conclusion This pilot study is the first attempt to scale out the HWPP to educators, and while not intended to confirm efficacy, it showed promising results for scale-out. Results from Pilot Schools 1 and 2 suggest systematic use of quantitative and qualitative implementation data can effectively inform scale-out efforts that increase critical outcomes such as fidelity, acceptability, understanding, feasibility, system alignment, and leader engagement as well as decrease the extent of system resources needed. As such, this scale-out process may be a feasible approach on which to base large-scale implementation efforts of the HWPP among educators.
T he digestive system breaks down food and drinks that are ingested in order to absorb nutrients that power the body. Disorders associated with the digestive system often have a genetic cause and can be aggravated by specific foods. Digestive disorders vary in intensity, they can be acute or chronic, and whereas some can be treated at home, others require long-term medication or surgery to correct or manage symptoms. BODY SYSTEM INVOLVEMENT AND FUNCTIONINGThe human digestive system is complex and involves multiple organs with specific functions. It includes the gastrointestinal (GI) tract, which consists of the mouth, esophagus, stomach, small intestine, large intestine, and anus, as well as the liver, pancreas, and gallbladder. Various hormones, enzymes, and nerves also play a role in digestion (National Institute of Diabetes and Digestive and Kidney Diseases, 2017). COMMON COMPLAINTS AND INDICATORS OF DYSFUNCTIONSeveral common childhood conditions list disrupted GI functioning as a symptom, including the stomach flu, constipation, and food allergies. In addition to the physical causes for stomach/GI upset, there are social and behavioral
Asthma is a condition that affects people of all ages and often progresses with age. It impairs breathing to varying degrees, ranging from a minor inconvenience to life-threatening attacks that require hospitalization. Careful management of this disorder is likely to lead to reduced impairment in functioning, increased quality of life, and an overall improved prognosis for the individual.
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