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The study period was from September 2014 to June 2016, during which time we piloted the HWPP program, collected process measures, and collected baseline and follow-up worker assessments by surveys and focus groups.The Institutional Review Board at Washington University approved all research activities and all participants provided informed consent.We partnered with a regional grocery store chain who expressed interest in supporting their workers’ health.Using the HWPP as a facilitation guide, we formed a team of grocery store workers and evaluated their ability to create meaningful and relevant workplace health activities that promote and support healthy behaviors in their workforce.Upon completion of that study, we approached our partners about piloting the HWPP in one store.We explained that the goal of the program was to develop and implement health and wellness initiatives to promote health in the workplace setting and support workers’ efforts to make positive health changes; one of the grocers agreed to participate.This promising and relatively new program has been used in various work settings including corrections facilities, real estate, non-profit healthcare and social assistance agencies, and state government executive offices [28,30].

Using a formal evaluation framework, we measured program implementation including workplace context, fidelity to HWPP materials, design team and steering committee engagement, program outputs, and perceptions of the program.Participatory methods such as Participatory Action Research and Participatory Ergonomics promote the inclusion of end users in the intervention development process [14,15,16,17,18,19,20].These end users may be line-level workers who directly benefit from the intervention, managers or others who implement and monitor interventions, or others who are impacted by the interventions in some way.programs have not been well studied, and little is known about what is needed to successfully implement these programs.We conducted a participatory health promotion program with grocery store workers using the Healthy Workplace Participatory Program (HWPP) from the Center for the Promotion of Health in the New England Workplace.

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The HWPP was moderately successful in this setting, but required a substantial amount of worker and facilitator time.

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