Intervention Whyalla: Workplace health promotion for improving metabolic health and health awareness

This is a multi-strategy intervention. Firstly, type 2 diabetes screening using HbA1c measured at point-of-care with immediate referral to general practitioners when HbA1c is 6.5% (48 mmol/mol) or greater. Secondly, Health promotion strategies delivered by peer champions (trained co-workers) to work units during normal weekly worktime meetings (2hr/week over 8 weeks). The strategies include education practical skill development; flexible goal setting; action planning and self-monitoring (attending to theoretical constructs of behaviour: knowledge; intentions, attitudes, subjective norms, perceived efficacy (Theory of Planned Behaviour); perceived susceptibility, perceived severity, perceived benefits, perceived barriers (Health Belief Model); collective efficacy (Social Learning Theory). Behaviours focussed on are in the causal pathway to abdominal obesity, type 2 diabetes and diabetic control: physical inactivity, low fruit and vegetable consumption, high sugar sweeted beverage consumption, high alcohol consumption, short sleep and smoking. Peer champions will be trained by an chronic disease self-management Trainer-trainer accredited in both Stanford and Flinders models. The recruitment and training of peer champions is a key component of readiness to adopt the intervention within a workgroup. Thirdly, during the health promotion eduction and in response to process and outcomes data collected during the study, workplace environmental intervention strategies will be developed. Although the overall duration of this intervention is not set, as the timing of adoption is not prescribed, we expect to run this study initially for 20 months.