The Worksite Heart Health Improvement Project (WHHIP): Feasibility and Efficacy


Correspondence to:

Kelly Flannery, Assistant Professor, University of Maryland Baltimore, School of Nursing, 655 W Lombard Street, Room 652, Baltimore, MD 21201. E-mail:



Test the feasibility and efficacy of the Worksite Heart Health Improvement Project (WHHIP).


The WHHIP was a quasi-experimental 6-month pilot performed in 2 long-term care facilities.


Thirty-nine female minority nursing assistants participated in this study with a mean age of 42.39 (SD = 12.79) years.


Measures were collected at baseline, 3, and 6 months and included blood pressure, lipid panel, body mass index, physical activity levels, diet behaviors, depressive symptoms, and self-efficacy outcomes.


The 3-month WHHIP intervention included 3 components: environmental and policy assessment; education; and on-going motivation. The control site received education only.


Subject participation averaged 47% and 58% in exercise and diet related activities, respectively. Generalized estimating equations showed the treatment group showed significant improvements in depressive symptoms (= .012), systolic blood pressure (= .028), total cholesterol (= .002) and triglycerides (= .011) over time. The treatment group also showed trends for improvement in diet behaviors (= .069) and diastolic blood pressure (= .073).


This study provided feasibility evidence for the WHHIP and preliminary evidence that the WHHIP can improve heart healthy behaviors and subsequent outcomes among nursing assistants in long-term care settings.