Peggy A HannonUniversity of Washington | UW · Department of Health Systems and Population Health
Peggy A Hannon
PhD, MPH
About
137
Publications
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Introduction
Additional affiliations
September 2008 - June 2013
July 2013 - present
Publications
Publications (137)
Background
A Health Equity Task Force (HETF) of members from seven Centers funded by the National Cancer Institute’s (NCI) Implementation Science in Cancer Control Centers (ISC ³ ) network sought to identify case examples of how Centers were applying a focus on health equity in implementation science to inform future research and capacity-building...
Work is an important social determinant of health; unfortunately, work-related injuries remain prevalent, can have devastating impact on worker health, and can impose heavy economic burdens on workers and society. Occupational health services research (OHSR) underpins occupational health services policy and practice, focusing on health determinants...
Objective:
To explore tobacco-related knowledge and perceptions at Washington State (WA) agencies.
Methods:
Cross-sectional employee survey and qualitative focus groups with managers/supervisors. We produced descriptive statistics to examine differences in awareness and perceptions of tobacco-control efforts among employees and conducted a rapid...
Purpose
The Cancer Prevention and Control Research Network (CPCRN) is a national network focused on accelerating the translation of cancer prevention and control research evidence into practice through collaborative, multicenter projects in partnership with diverse communities. From 2003 to 2022, the CPCRN included 613 members.
Methods
We: (1) cha...
Purpose:
The COVID-19 pandemic has led to profound changes in the workplace as well as increases in stress, missed preventive care, and other health concerns. There is limited research since the onset of the pandemic on employees' primary health concerns and their willingness to engage with workplace health promotion (WHP) programs to address thes...
Purpose
To improve population health, community members need capacity (i.e., knowledge, skills, and tools) to select and implement evidence-based interventions (EBIs) to fit the needs of their local settings. Since 2002, the Centers for Disease Control and Prevention has funded the national Cancer Prevention and Control Research Network (CPCRN) to...
Colorectal cancer (CRC) screening reduces morbidity and mortality, but screening rates in the USA remain suboptimal. The Colorectal Cancer Control Program (CRCCP) was established in 2009 to increase screening among groups disproportionately affected. The CRCCP utilizes implementation science to support health system change as a strategy to reduce d...
Background
In 2019–2020, with National Cancer Institute funding, seven implementation laboratory (I-Lab) partnerships between scientists and stakeholders in ‘real-world’ settings working to implement evidence-based interventions were developed within the Implementation Science Centers in Cancer Control (ISC3) consortium. This paper describes and co...
Background
Embedding evidenced-based programs (EBPs) like PEARLS outside clinical settings can help reduce inequities in access to depression care. Trusted community-based organizations (CBOs) reach older adults who are underserved; however, PEARLS adoption has been limited. Implementation science has tried to close this know-do gap, however a more...
Objective:
To document the extent to which State and Territorial Health Departments (SHDs) integrate their occupational safety and health (OSH) and workplace health promotion (WHP) activities consistent with a Total Worker Health® approach.
Methods:
Nationally representative survey of OSH and WHP practitioners at 56 SHDs followed by in-depth int...
Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the U. S. Because the central mission of state and local health departments (HDs) is to protect, promote, and improve population health, these agencies are well-positioned to address risk behaviors for chronic disease. HD-employer partners...
Purpose and objectives:
Colorectal cancer screening rates remain suboptimal in the US. The Colorectal Cancer Control Program (CRCCP) of the Centers for Disease Control and Prevention (CDC) seeks to increase screening in health system clinics through implementation of evidence-based interventions (EBIs) and supporting activities (SAs). This program...
Evidence-based interventions, including provider assessment and feedback, provider reminders, patient reminders, and reduction of structural barriers, improve colorectal cancer screening rates. Assessing primary care clinics' readiness to implement these interventions can help clinics use strengths, identify barriers, and plan for success. However,...
Background
Evidence-based interventions (EBIs) for tobacco control can be implemented in worksite settings to reduce tobacco use. Small worksites are less likely to adopt tobacco control EBIs than large worksites. The purpose of this qualitative study was to 1) explore factors that impact small employers’ decisions to offer tobacco control EBIs, an...
Background
Nearly half of U.S. workers have access to workplace wellness programs (WWPs), 58% of workers with access participate. The aim of this study was to assess interest in WWP participation and identify reasons for lack of interest among workers with work-related permanent impairments—a population at elevated risk of adverse health outcomes....
Implementation science offers a rigorous set of tools to help mitigate long-standing and worsening gender disparities in academia.
Introduction:
Most US businesses are small, yet they employ almost half of the nation's workforce. Literature is limited about how small employers (those with 20-250 employees) have made decisions about operating their businesses during the COVID-19 pandemic. We sought to learn how employers made these decisions, what information sources they used...
Background
Implementation laboratories include partnerships between scientists and stakeholders in ‘real-world’ settings working to implement evidence-based interventions. In 2019–2020, with National Cancer Institute funding, seven implementation laboratories (I-Labs) were developed within the Implementation Science Centers in Cancer Control (ISC3)...
Background
Most older adults do not meet recommended guidelines for physical activity. Referrals from physical therapists (PTs) to community- and evidence-based physical-activity programs like Enhance®Fitness have potential to address this gap. We tested an intervention intended to increase referrals of older adults to Enhance®Fitness programs offe...
Introduction
Transportation is a common barrier to colonoscopy completion for colorectal cancer (CRC) screening. The study aims to identify the barriers, facilitators, and process recommendations to implement a rideshare non-emergency medical transportation (NEMT) intervention following colonoscopy completion within a safety-net healthcare setting....
Purpose
This study examined the relationship between employee outcomes and employer implementation of evidence-based interventions (EBIs) for chronic disease prevention.
Design
Cross-sectional samples collected at 3 time points in a cluster-randomized, controlled trial of a workplace health promotion program to promote 12 EBIs.
Setting
King Count...
Introduction
Injured workers with work-related permanent impairments—who account for roughly 10% of all injured workers—face elevated risks of reinjury and return-to-work (RTW) interruption related to health, disability, and workplace factors. Nearly half of United States workers have access to workplace wellness programs (WWPs), which hold potenti...
Background:
Colorectal cancer (CRC) screening by annual fecal immunochemical test (FIT) with follow-up on abnormal results is a cost-effective strategy to reduce CRC incidence and mortality. Unfortunately, many patients with abnormal results do not complete a follow-up colonoscopy. We tested whether navigation targeted to patients who are unlikely...
Introduction
The Centers for Disease Control and Prevention administers the Colorectal Cancer Control Program to increase colorectal cancer screening rates among people aged 50–75 years in areas where rates are lower than state or national levels. The aim of this study is to better understand the effectiveness of specific Colorectal Cancer Control...
Objective:
To contribute to a broader understanding of effective implementation strategies to help managers engage employees in workplace wellness.
Methods:
We beta-tested an online training at four Washington state agencies (two test, two control). We administered a post-training evaluation, re-administered an online manager survey and conducte...
Background:
Evidence-based interventions (EBIs) could reduce cervical cancer deaths by 90%, colorectal cancer deaths by 70%, and lung cancer deaths by 95% if widely and effectively implemented in the USA. Yet, EBI implementation, when it occurs, is often suboptimal. This manuscript outlines the protocol for Optimizing Implementation in Cancer Cont...
Purpose
To examine the reliability and validity of a brief measure (the Workplace Support for Health [WSH] scale) to assess employees’ perceived support for a healthy lifestyle.
Design
Repeated cross-sectional surveys.
Setting
We collected employer- and employee-level survey data from small, low-wage workplaces in King County, WA enrolled in a ra...
Given the powerful implications of relationship quality for health and well-being, a central mission of relationship science is explaining why some romantic relationships thrive more than others. This large-scale project used machine learning (i.e., Random Forests) to 1) quantify the extent to which relationship quality is predictable and 2) identi...
Objective:
To examine local health department (LHD) contexts, capacity for, and interest in partnering with employers on workplace health promotion programs (WHPPs) for chronic disease prevention.
Design:
Qualitative interviews with LHD directors.
Setting:
LHDs from 21 counties in 10 states.
Participants:
Twenty-one LHD directors.
Main outc...
Background: The Fred Hutch/University of Washington Cancer Consortium (Consortium) is a National Cancer Institute-designated comprehensive cancer center located in the Seattle metro area. The Consortium comprises four partnering institutions (Fred Hutchinson Cancer Research Center, University of Washington, Seattle Children's Hospital, and Seattle...
Introduction:
Evidence-based interventions for tobacco control in the US workplace can reach a large audience. The purpose of our study was to explore the prevalence and determinants of type of tobacco use (ie, cigarettes only, e-cigarettes only, or dual use) among adult employees in the United States and to examine type of use by state.
Methods:...
Purpose
To construct a wellness committee (WC) implementation index and determine whether this index was associated with evidence-based intervention implementation in a workplace health promotion program.
Design
Secondary data analysis of the HealthLinks randomized controlled trial.
Setting
Small businesses assigned to the HealthLinks plus WC stu...
Background: Little is known about the impact of sedentary behavior (SB) reduction interventions on older adults with obesity and depressed mood. An exploratory analysis examined behavioral and mental health effects of a SB reduction among participants with depressed moods. Methods: Participants were obese older adults (n=30, mean age=66, 77% female...
This editorial provides a high level overview of the articles included in this supplement.
Context:
Worksites can serve as community sites for local health jurisdictions (LHJs) to assist with implementation of evidence-based interventions (EBIs) to prevent and control chronic diseases.
Objective:
To assess the feasibility and effectiveness of using LHJ staff to disseminate Connect to Wellness (CtW), an effective dissemination package...
Objectives. To determine whether (1) participating in HealthLinks, and (2) adding wellness committees to HealthLinks increases worksites’ evidence-based intervention (EBI) implementation.
Methods. We developed HealthLinks to disseminate EBIs to small, low-wage worksites. From 2014 to 2017, we conducted a site-randomized trial in King County, Washin...
Purpose and objectives:
Colorectal cancer (CRC) is the second-leading cause of cancer death in the United States. Although effective CRC screening tests exist, CRC screening is underused. Use of evidence-based interventions (EBIs) to increase CRC screening could save many lives. The Colorectal Cancer Control Program (CRCCP) of the Centers for Dise...
Few data are available on patient navigators (PNs) across diverse roles and organizational settings that could inform optimization of patient navigation models for cancer prevention. The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and the Colorectal Cancer and Control Program (CRCCP) are two federally-funded screening prog...
The Cancer Prevention and Control Research Network (CPCRN) is a strategic collaborative effort focused on accelerating the dissemination and implementation of evidence-based cancer prevention and control interventions to communities. In 2014, the CPCRN Coordinating Center began collecting information in alignment with the Centers for Disease Contro...
Background
Physical activity is important for maintaining older adult health, but a majority of older adults are not meeting recommended physical activity levels. This paper describes the protocol and participant baseline characteristics for a trial (named “PT-REFER”) to test an intervention focused on developing community-clinical linkages to incr...
Objective:
The aim of this study was to assess whether tobacco policy, program, and communication evidence-based practice implementation is associated with employee tobacco outcomes [current smoking; quit attempt; smokeless tobacco (SLT) use; and perceived worksite support for cessation] at small low-wage worksites.
Methods:
We analyzed data fro...
Background
State and Territorial Health Departments (SHDs) have a unique role in protecting and promoting workers’ health. This mixed-methods study presents the first systematic investigation of SHDs’ activities and capacity in both Occupational Safety and Health (OSH) and Workplace Health Promotion (WHP) in the United States (US).
Methods
Nationa...
Background and purpose:
Declines in strength, flexibility, and balance in older adults can lead to injuries and loss of independence and are particularly common in those of greater age and in worse health. EnhanceFitness (EF) is a nationally disseminated, evidence-based group exercise program for older adults that has been shown to improve functio...
Introduction
Organizational readiness to change may be a key determinant of implementation success and a mediator of the effectiveness of implementation interventions. If organizational readiness can be reliably and validly assessed at the outset of a change initiative, it could be used to assess the effectiveness of implementation-support activiti...
Background:
HealthLinks is a workplace health promotion program developed in partnership with the American Cancer Society. It delivers a package of evidence-based interventions and implementation support to small worksites in low-wage industries. As part of a randomized, controlled trial of HealthLinks, we studied approaches to recruiting these wo...
Objective:
The aim of this integrative literature review is to synthesize the existing evidence regarding managers' support for employee wellness programs.
Data source:
The search utilized multiple electronic databases and libraries.
Study inclusion and exclusion criteria:
Inclusion criteria comprised peer-reviewed research published in Englis...
Purpose:
The purpose of this study is to evaluate managers' barriers and facilitators to supporting employee participation in the Washington State Wellness program.
Design:
Exploratory sequential mixed methods.
Setting:
Four Washington State agencies located in Olympia and Tumwater, Washington.
Participants:
State employees in management pos...
Objective:
The aim of this study was to identify alignments between wellness offerings low socioeconomic status (SES) employees need and those large companies can provide.
Methods:
Focus groups (employees); telephone interviews (large companies). Employees were low-SES, insured through their employers, and employed by large Washington State comp...
State health departments and Prevention Research Centers (PRCs) have complementary mandates and expertise important to improving population health. State health departments manage and administer numerous programs with broad population reach. PRCs bridge dissemination and implementation research and public health practice to improve health programmi...
The Cancer Prevention and Control Research Network (CPCRN) is a thematic network dedicated to accelerating the adoption of evidence-based cancer prevention and control practices in communities by advancing dissemination and implementation science. Funded by the Centers for Disease Control and Prevention and National Cancer Institute, CPCRN has oper...
Small employers, especially those in low-wage industries, frequently lack the capacity and resources to implement evidence-based health promotion interventions without support and assistance. The purpose of this paper is to (a) describe the intervention design and study protocol of the HealthLinks Trial and (b) report baseline findings. This study...
Introduction
Evidence-based practices in the workplace can increase levels of healthy eating, cancer screening, physical activity, and tobacco cessation but are underused, even in large workplaces. This report summarizes an evaluation of the first year of The CEOs Challenge, a program developed by the American Cancer Society to promote implementati...
Introduction
Restaurant workers are a large population at high risk for tobacco use, physical inactivity, and influenza. They are difficult to reach with health care interventions and may be more accessible through workplaces, yet few studies have explored the feasibility of workplace health promotion in this population. This study sought to identi...
Purpose:
To develop a theory-based questionnaire to assess readiness for change in small workplaces adopting wellness programs.
Design:
In developing our scale, we first tested items via "think-aloud" interviews. We tested the revised items in a cross-sectional quantitative telephone survey.
Setting:
The study setting comprised small workplace...
Purpose:
To evaluate an evidence-based workplace approach to increasing adult influenza vaccination levels applied in the restaurant setting
Design:
We implemented an intervention and conducted a pre/post analysis to determine effect on vaccination.
Setting:
Eleven Seattle-area restaurants.
Subjects:
Restaurants with 25+ employees speaking E...
Crime is both a societal safety and public health issue. Examining different measures and aspects of crime-related safety and their correlations may provide insight into the unclear relationship between crime and children's physical activity. We evaluated five neighborhood crime-related safety measures to determine how they were interrelated. We th...
Although the regionalization of public health systems has been well documented in the case of emergency preparedness, there is little literature on the application of regional approaches to other aspects of public health. From 2011 through 2014 the Washington State Department of Health implemented a Community Transformation Grant to support communi...
Introduction:
Changing health behaviors and health-related environments is important in reducing chronic disease. Minority workplaces are potential venues to provide regular, effective health promotion opportunities to underserved individuals. The purpose of this study was to test the feasibility of changing workplace policy, programs, and practic...
Background
Practitioners often require training and technical assistance to build their capacity to select, adapt, and implement evidence-based interventions (EBIs). The CDC Colorectal Cancer Control Program (CRCCP) aims to promote CRC screening to increase population-level screening. This study identified the training and technical assistance (TA)...
Purpose. To examine the relationship between perceived workplace health support and employee productivity.
Design. A quantitative cross-sectional study.
Setting. Washington State agencies.
Subjects. A total of 3528 employees from six state agencies were included in this analysis.
Measures. Perceived workplace health support was assessed by two ques...
Restaurant employees represent a substantial portion of the US workforce, interact closely with the public, and are at risk for contracting influenza, yet their influenza vaccination rates and attitudes are unknown.
Assess influenza vaccination rates and attitudes among Seattle restaurant employees, to identify factors that could enhance the succes...
Background: Training and technical assistance (TA) are methods to increase the dissemination and uptake of evidence-based practices. Twenty-nine states and tribal organizations receive Centers for Disease Control and Prevention funding to increase colorectal cancer (CRC) screening by promoting CRC screening population-wide using evidence-based appr...
Background: Employees’ perceptions of evidence-based approaches to workplace wellness, including changes to workplace policies, environment, and communications, are understudied, especially in low-wage industries. The purpose of this study was to determine whether employees’ perceptions of their worksites’ wellness programs and support for healthy...
Background: Twenty-nine states and tribal organizations receive funding from the Centers for Disease Control and Prevention to increase colorectal cancer (CRC) screening by (1) promoting CRC screening population-wide using evidence-based approaches (EBAs) and (2) providing CRC screening to the un/underinsured. This analysis examines the implementat...
Introduction
Since 2009, the Centers for Disease Control and Prevention (CDC) has awarded nearly $95 million to 29 states and tribes through the Colorectal Cancer Control Program (CRCCP) to fund 2 program components: 1) providing colorectal cancer (CRC) screening to uninsured and underinsured low-income adults and 2) promoting population-wide CRC s...
Background
There are few studies describing how to scale up effective capacity-building approaches for public health practitioners. This study tested local-level evidence-based decision making (EBDM) capacity-building efforts in four U.S. states (Michigan, North Carolina, Ohio, and Washington) with a quasi-experimental design.Methods
Partners withi...
Purpose:
Study goals were to (1) understand the attitudes of employees in low-wage industries toward workplace health promotion, including views on appropriateness of employer involvement in employee health and level of interest in workplace health promotion overall and in specific programs, and (2) determine the potential for extending workplace...
Background:
Although cancer research has advanced at a rapid pace, a gap remains between what is known about how to improve cancer prevention and control (CPC) and what is implemented as best practices within health care systems and communities. The Cancer Prevention and Control Research Network (CPCRN), with more than 10 years of dissemination an...