Contents lists available at ScienceDirect Evaluation and Program Planning journal homepage: www.elsevier.com/locate/evalprogplan Development of an e-health education program at the workplace using formative research – Technologies for improving quality of life Roberto Rodrigues Bandeira Tosta Maciel a,b, ⁎ , Luciana Dias Chiavegato a,c , Luz Stella Marin d , Daniel Deivson Alves Portella b , Marcio Costa de Souza b , Fernanda Warken Rosa Camelier b , Rosimeire Simprini Padula a a Master´s and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil b Department of Life Sciences, Universidade do Estado da Bahia, Salvador, BA, Brazil c Pulmonology Division, Universidade Federal de São Paulo, São Paulo, Brazil d Department of Safety Sciences, Indiana University of Pennsylvania, Indiana, PA, USA ARTICLE INFO Keywords: Occupational health Community-based participatory research E learning Internet-based Non-communicable diseases ABSTRACT Background: e-Learning, a means by which to expand people’s access to information can be effective in pro- moting health in the workplace. This study to present steps in the development of an e-health education program at the workplace. Objective: This study aimed to present all steps of develop a telehealth education program for computer users using formative research to identify themes to health education for workers. Methods: A team of expert conducted focus groups with administrative workers (n = 36 participants) to identify thematic health to the development of program. Three meetings were audio video recorded, and notes. All data were based on constant analysis, classical content analysis and keywords in-context. Results: The content of the nine audio videos included four musculoskeletal health topics (Walking Program, Back School, Muscle Relaxation Techniques, and Work-related Musculoskeletal Diseases); three to healthy diet (Eating and Commensality, Ultra-processed Food and Food labeling, and Oil and Fat); two to mental health (Burnout Syndrome and the Meaning of work). Conclusion: The proposed steps in the development of a workplace e-health education program were successfully achieved. The engagement of the workers’ staged focus groups was fundamental to the choice of themes relevant to the population in question. 1. Background Chronic non-communicable diseases (NCDs), which comprise an important global health problem, cause premature deaths, diseases, and disabilities among the workforce (Lall & Prabhakaran, 2014). The World Health Organization (WHO) indicates that the main way to re- duce incidence rates and costs related to NCDs is to implement pre- vention strategies (World Health Organization, 2015). Risk factors as- sociated with the development of chronic non-communicable disease include poor diet, a sedentary lifestyle, smoking, and excessive alcohol consumption (Dugani & Gaziano, 2016). Sedentary behavior during working hours among office employees, whose performance of activities generate an energy demand of less than 1.5 MET (Barnes et al., 2013; Clemes, O’Connell, & Edwardson, 2014) associated with weight gain, diabetes, increased mortality (Hu, Li, Colditz, Willett, & Manson, 2003) and musculoskeletal disorders (Global Burden of Disease Study 2013 Collaborators, 2015; Mohammadi, 2014),which has contributed to labor disabilities and to health loss (Global Burden of Disease Study 2013 Collaborators, 2015, 2016). Office workers need of stimulation to achieve healthier living habits (Dunstan et al., 2013), with to decrease their sodium intake and to improve their physical activity levels (Micha et al., 2012; World Health Organization, 2011). In recent years, changes in the working environ- ment have led workers to become increasingly sedentary, both at work and during leisure hours (Hallman et al., 2015). Additionally, sig- nificant cognitive demands on these workers provide a mental work- load due to increased technological development (Then et al., 2014). Thus, the dimensions we chose to address in this study, and which led us to our approach in dealing with workers, are musculoskeletal health, https://doi.org/10.1016/j.evalprogplan.2018.12.009 Received 28 May 2018; Received in revised form 4 October 2018; Accepted 24 December 2018 ⁎ Corresponding author at: Master´s and Doctoral Program in Physical Therapy, R. Cesário Galero, 448/475 - Tatuapé, São Paulo, SP, 03071-000, Brazil. E-mail address: robertorbtm@hotmail.com (R.R.B.T. Maciel). Evaluation and Program Planning 73 (2019) 129–137 Available online 26 December 2018 0149-7189/ © 2018 Elsevier Ltd. All rights reserved. T