Trial reportAmerican journal of public health2005
Promoting behavior change among working-class, multiethnic workers: results of the healthy directions--small business study.
Trial report in American journal of public health, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
69 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Meaningfully reducing consumption of meat and animal products is an unsolved problem: A meta-analysis.Appetite · 2026Pooled it
- Effects of occupational health promotion interventions on health-related outcomes among employees of small businesses and self-employed individuals: A systematic review.Work (Reading, Mass.) · 2024Pooled it
- Are workplace health promotion programmes effective for all socioeconomic groups? A systematic review.Occupational and environmental medicine · 2020Pooled it
- Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity.The Cochrane database of systematic reviews · 2018Pooled it
- Restructuring physical micro-environments to reduce the demand for meat: a systematic review and qualitative comparative analysis.The Lancet. Planetary health · 2018Pooled it
- Community wide interventions for increasing physical activity.The Cochrane database of systematic reviews · 2015Pooled it
- Health promotion in small business: a systematic review of factors influencing adoption and effectiveness of worksite wellness programs.Journal of occupational and environmental medicine · 2014Pooled it
- What is actually measured in process evaluations for worksite health promotion programs: a systematic review.BMC public health · 2013Pooled it
- Comparing Strategies for Recruiting Small, Low-Wage Worksites for Community-Based Health Promotion Research.Health education & behavior : the official publication of the Society for Public Health Education · 2018Trial
- Tracking intervention delivery in the 'Tobacco-Free Teachers/Tobacco-Free Society' program, Bihar, India.Health education research · 2015Trial
- Experiences recruiting Indian worksites for an integrated health protection and health promotion randomized control trial in Maharashtra, India.Health education research · 2015Trial
- Influence of individual and social contextual factors on changes in leisure-time physical activity in working-class populations: results of the Healthy Directions-Small Businesses Study.Cancer causes & control : CCC · 2012Trial
- Tobacco use cessation and weight management among motor freight workers: results of the gear up for health study.Cancer causes & control : CCC · 2010Trial
- Environmental assessment at worksites after a multilevel intervention to promote activity and changes in eating: the PACE project.Journal of occupational and environmental medicine · 2010Trial
- Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial.BMC public health · 2009Trial
- The influence of social context on changes in fruit and vegetable consumption: results of the healthy directions studies.American journal of public health · 2007Trial
- Local Health Jurisdiction Staff Deliver Health Promotion to Small Worksites, Washington.Journal of public health management and practice : JPHMPTrial
- Opportunities to Improve Health Equity for Employees in Low-Wage Industries in the United States.Annual review of public health · 2025Review
- Asthma, chronic obstructive pulmonary disease, and asthma-COPD overlap among US working adults.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Identifying effective interventions to promote consumption of protein-rich foods from lower ecological footprint sources: A systematic literature review.PLOS global public health · 2022Article
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesWe examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses.
methodsWorksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin use, and physical activity.
resultsEmployees in the intervention group showed greater improvements for every outcome compared with employees in the control group. Differences in improvement were statistically significant for multivitamin use and physical activity. Intervention effects were larger among workers than among managers for fruit and vegetable consumption and for physical activity.
conclusionsThe social-context model holds promise for reducing disparities in health behaviors. Further research is needed to improve the effectiveness of the intervention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.