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Open Access Study protocol

The IGNITE (investigation to guide new insight into translational effectiveness) trial: Protocol for a translational study of an evidenced-based wellness program in fire departments

Diane L Elliot1*, Kuehl S Kerry2, Esther L Moe1, Carol A DeFrancesco1, Linn Goldberg1, David P MacKinnon2, Jeanne Enders3 and Kim C Favorite4

Author Affiliations

1 Division of Health Promotion and Sports Medicine; Department of Medicine; 3181 SW Sam Jackson Park Road CR110; Oregon Health & Science University; Portland, Oregon 97239-3098, USA

2 Department of Psychology; Arizona State University; Tempe, Arizona 85287-1104, USA

3 School of Business; Portland State University; P.O. Box 751; Portland, Oregon 97207-0751, USA

4 Northwest Fire Fighter Fitness Foundation; P.O. Box 55262; Shoreline, Washington 98155-0262, USA

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Implementation Science 2010, 5:73  doi:10.1186/1748-5908-5-73

Published: 8 October 2010

Abstract

Background

Worksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Pathways for Translational Research,' to define and prioritize determinants that enable and hinder translation of evidenced-based health interventions in well-defined settings.

Methods

The IGNITE (investigation to guide new insights for translational effectiveness) trial is a prospective cohort study of a worksite wellness and injury reduction program from adoption to final outcomes among 12 fire departments. It will employ a mixed methods strategy to define a translational model. We will assess decision to adopt, installation, use, and outcomes (reach, individual outcomes, and economic effects) using onsite measurements, surveys, focus groups, and key informant interviews. Quantitative data will be used to define the model and conduct mediation analysis of each translational phase. Qualitative data will expand on, challenge, and confirm survey findings and allow a more thorough understanding and convergent validity by overcoming biases in qualitative and quantitative methods used alone.

Discussion

Findings will inform worksite wellness in fire departments. The resultant prioritized influences and model of effective translation can be validated and manipulated in these and other settings to more efficiently move science to service.