Rabia Erkan, Funda Özdemir
Assessment of health literacy and quality of life in women with urinary incontinence
International urology and nephrology
teachers high rates daily stress majority available interventions focused teacherlevel yet best practices total worker health approaches indicate organizationlevel interventions identified using participatory approach effective conducted exploratory scaleout pilot study examine adoption healthy workplace participatory program hwpp evidencebased total worker health approach engage employees eg teachers supervisory personnel eg administrators design implementation workplace wellbeing interventions within two elementary schools evaluated program quantitatively qualitatively collecting implementation outcome data ie fidelity acceptability understanding feasibility system alignment well datadriven adaptations using framework reporting adaptations modificationsexpanded data first school informed scaleout adaptation hwpp intervention hwppeducation within second school compared implementation outcomes pilot schools 1 2 evaluate improvements adapted hwpp adaptations hwpp program content process suggested increase feasibility contextual fit acceptability understanding feasibility ratings showed statistically significant improvements comparing school 1 school 2 implemented improved hwppeducation furthermore users reported adaptations including shorter meeting design faster process feasible within work context pilot study first attempt scale hwpp educators intended confirm efficacy showed promising results scaleout results pilot schools 1 2 suggest systematic use quantitative qualitative implementation data effectively inform scaleout efforts increase critical outcomes fidelity acceptability understanding feasibility system alignment leader engagement well decrease extent system resources needed scaleout process may feasible approach base largescale implementation efforts hwpp among educators