Checklist of health promotion environments at worksites (CHEW): Development and measurement characteristics

Oldenburg, Brian, Sallis, James F., Harris, David and Owen, Neville (2002) Checklist of health promotion environments at worksites (CHEW): Development and measurement characteristics. American Journal of Health Promotion, 16 5: 288-99.

Author Oldenburg, Brian
Sallis, James F.
Harris, David
Owen, Neville
Title Checklist of health promotion environments at worksites (CHEW): Development and measurement characteristics
Journal name American Journal of Health Promotion   Check publisher's open access policy
ISSN 0890-1171
Publication date 2002-01-01
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 16
Issue 5
Start page 288
End page 99
Total pages 12
Editor M P O'Donnell
Place of publication Michigan, USA
Publisher The Americian Journal of Health Promotion Inc.
Language eng
Subject C1
321216 Health Promotion
730200 Public Health
Abstract Purpose. Health promotion policy frameworks, recent theorizing, and research all emphasize understanding and mobilizing environmental influences to change particular health-related behaviors in specific settings. The workplace is a key environmental setting. The Checklist of Health Promotion Environments at Worksites (CHEW) was designed as a direct observation instrument to assess characteristics of worksite environments that are known to influence health-related behaviors. Methods. The CHEW is a 112-item checklist of workplace environment features hypothesized to be associated, both positively and negatively, with physical activity, healthy eating, alcohol consumption, and smoking. The three environmental domains assessed are (1) physical characteristics of the worksite, (2) features of the information environment, and (3) characteristics of the immediate neighborhood around the workplace. The conceptual rationale and development studies for the CHEW are described, and data from observational studies of 20 worksites are reported. Results. The data on CHEW-derived environmental attributes showed generally good reliability and identified meaningful sets of variables that plausibly may influence health-related behaviors. With the exception of one information environment attribute, intraclass correlation coefficients ranged from 0.80 to 1.00. Descriptive statistics on selected physical and information environment characteristics indicated that vending machines, showers, bulletin boards, and signs prohibiting smoking were common across worksites. Bicycle racks, visible stairways, and signs related to alcohol consumption, nutrition, and health. promotion were relatively uncommon. Conclusions. These findings illustrate the types of data on environmental attributes that can be derived, their relevance for program planning, and how they can characterize variability across worksites. The CHEW is a promising observational measure that has the potential to assess environmental influences on health behaviors and to evaluate workplace health promotion programs.
Keyword Public, Environmental & Occupational Health
Health Promotion Environments
Health Behaviors
Prevention Research
Employee Heart Health
Cancer Prevention
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 71 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 15 Aug 2007, 04:27:50 EST