The proposed study, NC Works4Health (NCW4H), builds on the strengths of long-standing academic-community research partnerships between this UNC at Chapel Hill (UNC) team of investigators and key stakeholders across health, social service, employment, and economic development sectors. The overall goal of this study is to test the effectiveness of a multilevel intervention that can be readily adopted by communities to reduce chronic disease risks in socioeconomically disadvantaged populations by (a) embedding prevention efforts in DSS-E programs at the individual level, and (b) enhancing supervisor supports for DSS-E hires at the employer level. Interventions at each level, and their joint effects, are designed to mitigate the psychological, behavioral, and clinically relevant risks for chronic disease onset, morbidity, and comorbidity that accrue with unemployment and the employment-entry transition.
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Mean Psychological Distress Scores at Baseline
Timeframe: Baseline (Month 0)
Mean Psychological Distress Scores at Month 3
Timeframe: 3 Months
Mean Psychological Distress Scores at Month 6
Timeframe: Month 6
Mean Psychological Distress Scores at Month 12
Timeframe: Month 12
Weight at Baseline
Timeframe: Baseline (Month 0)
Weight at Month 3
Timeframe: Month 3
Weight at Month 6
Timeframe: Month 6
Weight at Month 12
Timeframe: Month12
Blood Pressure at Baseline
Timeframe: Baseline (Month 0)
Blood Pressure at Month 3
Timeframe: Month 3
Blood Pressure at Month 6
Timeframe: Month 6
Blood Pressure at Month 12
Timeframe: Month 12