Worksites overweight/obesity control/prevention trial

工作场所超重/肥胖控制/预防试验

• 批准号: 6953061
• 负责人: ROBERT H ROSS
• 金额: $ 28.91万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953061
• 关键词: absenteeism; attitude; behavioral /social science research tag; body physical activity; body physical characteristic; clinical research; clinical trials; disease /disorder prevention /control; disease /disorder proneness /risk; education evaluation /planning; health behavior; health education; human subject; human therapy evaluation; lifestyle; obesity; occupational health /safety; outcomes research; social group process; socioeconomics; socioenvironment; weight loss; work site

DESCRIPTION (provided by applicant): A 3-year 4-arm small-to-medium employer-randomized control trial is proposed based on interest across DHHS in confronting mounting overweight/obesity and at CDC in identifying cost-effective Interventions that can improve workers' health. The study will gauge relative effectiveness-compared to Standard worksite wellness (SWW) which features no deliberate overweight and obesity control and prevention (OO/CP) components-of three Standard-plus (SpWW) models: Individual per se (Ips), Environmental per se (Eps), Integrated environmental-individual (lei). Interventions will seek to modify employee behaviors that contribute to overweight/obesity, Ips by providing health services to subsets of employees, Eps by altering worksite and surrounding settings affecting all employees, lei by integrating the two approaches. Each will feature distinct health promotion/disease prevention (around food choices, physical activity, alcohol, tobacco) but common design/implementation (employer/employee program delivery collaboration) components. The test period will last 30 mos, enlist 32 employers. In phase 1 (4 mos) baseline measures will be taken of relevant employer and employee characteristics and Test site program delivery (PD) teams will be constituted to work with the study team a) to tailor Interventions by selecting general Worksite wellness and specific OO/CP components (study-defined range, fixed minimum) and b) to design Protocols by which PD teams with study personnel will guide phase 2 (26 mos) Interventions. Primary outcomes include morbidity: weight (overweight/obesity = BMI >25/>30), waist circumference (overweight=WC >35 [w], >40 [m]), lipids (total cholest, HDL-cholest), blood glucose; disability: work limitations (WLQ); health-related quality of life: physical, mental health status (SF-36); productivity: absenteeism (rate), productivity (WLQ); cost: employer, employee cost (health-related). Test site are expected to report significantly more positive outcome than Control site, lei significantly more positive outcomes than Ips or Eps, Ips no more or less positive outcomes than Eps employers.

描述（由申请人提供）：基于DHHS的利益，提出了一项为期3年的4 ARM小型雇主随机控制试验，以面对超重/肥胖症的持续性超重/肥胖症，以识别具有成本效益的干预措施，以改善工人的健康。这项研究将衡量与标准工作场所健康（SWW）相对比的相对有效性（SWW），该功能没有三种标准型（SPWW）模型的超重和肥胖控制和预防（OO/CP）组件：单独的本身（IPS），环境环境（EPS），EPS（EPS），综合环境 - 个性（LEI）。干预措施将试图通过为员工子集提供健康服务，通过更改工作场所和影响所有员工的环境，通过整合两种方法来改变对员工子集的健康服务，EPS的卫生服务，通过为员工的子集提供健康服务，通过整合两种方法来修改IPS，EPS，通过整合两种方法，来修改IPS，EPS，通过整合对所有员工的环境，通过整合对员工的子集，EPS，通过更改EPS的卫生服务，来修改干预措施。每种都将具有独特的健康促进/疾病预防（围绕食物选择，体育锻炼，酒精，烟草），但具有共同的设计/实施（雇主/员工计划交付协作）组件。测试期将持续30个MOS，招募32名雇主。在第1阶段（4个MOS）中，将对相关的雇主和员工特征和测试现场计划（PD）团队进行基线措施，以与研究团队合作a）通过选择一般工作场所的福利和特定的OO/CP组件来量身定制干预措施（研究定义范围，固定范围，固定范围，b）将根据研究人员进行研究协议，将与PD一起进行阶段2（26阶段）2（26阶段2（26）2（26（26）2（26）2（26（26）（26）2（26（26）2（26）（26）2（26（26）（26）（26）2（26（26）（26）2（26（26）2（26（26）（26）2（26）2（26（26）。主要结果包括发病率：体重（超重/肥胖= BMI> 25/> 30），腰围（超重= WC> 35 [W]，> 40 [M]），脂质（总辣椒，HDL-CHOLEST），血葡萄糖；残疾：工作限制（WLQ）;与健康相关的生活质量：身心健康状况（SF-36）；生产力：缺勤（速率），生产力（WLQ）；费用：雇主，雇员费用（与健康相关）。预计测试地点比对照组的积极结果明显高，LEI明显比IPS或EPS更积极的结果，IPS不如EPS雇主更多或更少的积极结果。