CANCER CONTROL AT THE WORKPLACE - THE WORKING WELL TRIAL

Background. Few research studies have been conducted on cancer prevent ion and control at the workplace. This article presents an overview of the largest worksite cancer control trial in the United States-The Wo rking Well Trial-conducted in 114 worksites by four study centers, a c oordinating center, and the National Cancer Institute. The trial's org anizational structure, research design, dependent measures, and theore tical model for intervention are described. Special features of the tr ial include using the worksite as the unit of randomization, intervent ion, and evaluation and a theory-driven conceptual model of interventi on that places emphasis on individual and organizational targets for c hange, uses the transtheoretical stage of change model to guide a sust ained 2-year multiple risk factor intervention, and makes use of volun teer resources within the worksite to reduce cost, increase participat ion, and improve tailoring to individual needs. The trial will have a potential impact on over 25,000 workers. Conclusion. The issues raised in this overview have implications for the evaluation and disseminati on of cancer prevention and control programs to defined populations. ( C) 1994 Academic Press, Inc.