COHN Health Promotion and Prevention 3 — Questions and Answers
Question 1: A COHN is evaluating outcomes of a worksite smoking cessation program. Which outcome is a PROCESS measure rather than an outcome measure?
- Percentage of employees who quit smoking at 6 months
- Number of employees who attended cessation classes (Correct answer)
- Reduction in smoking-related healthcare claims
- Change in employees' carbon monoxide breath test readings
Correct answer: Number of employees who attended cessation classes
Process measures evaluate program delivery activities (e.g., attendance), while outcome measures assess health results.
Question 2: The PRECEDE-PROCEED model's 'enabling factors' include:
- Attitudes and beliefs that motivate behavior
- Skills, resources, and accessibility that facilitate behavior (Correct answer)
- Social norms and peer influences on behavior
- Reinforcements received after performing a behavior
Correct answer: Skills, resources, and accessibility that facilitate behavior
Enabling factors are the skills, resources, and structural supports that make a health behavior possible.
Question 3: Which employee group should be prioritized when resources are limited for a worksite cardiovascular disease prevention program?
- All employees under age 40
- Employees identified as high risk through biometric screenings (Correct answer)
- Only employees with current cardiovascular diagnoses
- Managers and supervisors exclusively
Correct answer: Employees identified as high risk through biometric screenings
Targeting high-risk individuals identified through biometric screenings maximizes impact by directing limited resources where benefit is greatest.
Question 4: According to OSHA, what is a key component of an effective workplace health and safety program?
- Annual third-party audits replacing internal reviews
- Management leadership and worker participation (Correct answer)
- Exclusive focus on injury prevention over illness prevention
- Voluntary compliance without enforcement mechanisms
Correct answer: Management leadership and worker participation
OSHA emphasizes that effective programs require both management leadership and meaningful worker participation.
Question 5: A COHN wants to reduce musculoskeletal disorders among assembly line workers. Which primary prevention strategy is MOST appropriate?
- Providing ergonomic training after injury occurs
- Redesigning workstations to fit the range of workers (Correct answer)
- Screening workers for pre-existing musculoskeletal conditions
- Offering physical therapy referrals to symptomatic employees
Correct answer: Redesigning workstations to fit the range of workers
Workstation redesign is primary prevention because it eliminates the hazard before injury occurs, rather than responding to symptoms.
Question 6: In social cognitive theory, 'self-efficacy' in the context of health promotion means:
- A person's belief in their ability to successfully perform a specific behavior (Correct answer)
- The social support a person receives from coworkers
- The incentives provided by an employer for healthy behaviors
- An individual's understanding of health risk information
Correct answer: A person's belief in their ability to successfully perform a specific behavior
Self-efficacy, per Bandura, is the individual's confidence in their capability to execute the behavior needed to achieve a goal.
Question 7: Which data source would BEST help a COHN identify leading health risks in a workforce for program planning?
- National health statistics from the CDC only
- A combination of workers' compensation data, health risk appraisals, and biometric screenings (Correct answer)
- Employee self-reported sick day reasons
- OSHA injury and illness logs alone
Correct answer: A combination of workers' compensation data, health risk appraisals, and biometric screenings
Combining multiple data sources provides a comprehensive picture of workforce health risks, capturing occupational, lifestyle, and clinical factors.
COHN Health Promotion and Prevention 3
A COHN is evaluating outcomes of a worksite smoking cessation program.
Which outcome is a PROCESS measure rather than an outcome measure?