The Community of Practice and Safety Support (COMPASS) program is a peer-led group intervention for home care workers. In a randomized controlled trial, COMPASS significantly improved workers' professional support networks and safety and health behaviors. However, quantitative findings failed to capture workers' complex emotional, physical, and social experiences with job demands, resource limitations, and the intervention itself. Therefore, we conducted qualitative follow-up interviews with a sample of participants (n = 28) in the program. Results provided examples of unique physical and psychological demands, revealed stressful resource limitations (e.g., safety equipment access), and elucidated COMPASS's role as a valuable resource.

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Objective This study’s purpose was to identify and evaluate determinants of fire departments’ wellness program adoption. Methods The PHLAME fire service wellness program was offered for free to all medium-sized fire departments in Oregon and Washington. An invitation to participate was mailed to key fire department decision-makers (chief, union president, and wellness officer). These key decision-makers from 12 sites that adopted the program and 24 matched non-adopting sites were interviewed, and results analyzed to define adoption determinants. Results Three adoption requirements were identified:(1) mailer connection, (2) local firefighter wellness champion, and (3) willing fire chief, while a fourth set of organizational factors had little or no impact on adoption including prior and ongoing wellness activities, financial pressures, and resistance to change. Conclusions Findings identified determinants of medium-sized fire service wellness program adoption.

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