Effect of intensity and health coaches on the translation of DPP to worksites

强度和健康教练对 DPP 转化为工作场所的影响

• 批准号: 8183191
• 负责人: Mark G. Wilson
• 金额: $ 64.2万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-05 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8183191
• 关键词: Cities; Clinic; Clinical; Clinical Trials; Cost Effectiveness Analysis; County Government; Data; Diabetes Mellitus; Eating; Eating Behavior; Effectiveness; Effectiveness of Interventions; Employee; Energy Intake; Energy Metabolism; Evidence based intervention; Expenditure; Fostering; Foundations; Frequencies; Goals; Growth; Health; Health Professional; Intervention; Life Style; Manuals; Measures; Modality; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome Measure; Participant; Physical activity; Population; Prevalence; Public Health; Randomized; Relative (related person); Research; Risk Factors; Site; Target Populations; Telephone; Testing; Time; Translating; Translations; Weight; Work; Workplace; base; comparative effectiveness; cost effectiveness; design; diabetes prevention program; diabetic; follow-up; high risk; indexing; intervention effect; primary outcome; programs; research to practice; secondary outcome

DESCRIPTION (provided by applicant): This project proposes to test adaptations of the Diabetes Prevention Program (DPP) designed to increase the likelihood of widespread use in workplace settings. DPP, which has been proven efficacious in clinical trials, is a six month weight management program designed to reduce caloric intake and increase caloric expenditure. As a clinic- based intervention, the original DPP intervention was tested on a high risk (pre-diabetic) target group using frequent one-on-one contact to achieve change, a model that is not generalizable to a broader population or non-clinical settings. In this study, we will determine a) if a moderate intensity adaptation of DPP can be efficacious, b) the comparative effectiveness of two intervention modalities - telephone and group, and c) the incremental cost-effectiveness of the interventions. The participating sites are two city/county governments with over 4500 employees. Participants will be randomly assigned to one of three intervention conditions: telephonic coaching and manual, group coaching and manual, and manual alone. The intervention manual that underlies all three interventions is the same as DPP. The primary outcome measure is BMI with secondary outcomes of healthy eating behaviors and physical activity. An incremental cost-effectiveness analysis will be conducted comparing each intervention to one another. Data will be collected at baseline, posttest (six months), and follow up (12 months). The hypotheses will be tested using a growth modeling approach examining changes over time. This will enable us to maximize the translation of DPP across worksite populations by using approaches which are realistic for most work organizations. PUBLIC HEALTH RELEVANCE: The existence of high quality research findings does not in itself assure good practice. In order to effectively translate research to practice, we must understand which intervention components are most effective for implementing an evidence-based intervention. These components must be adapted to the context and culture of the setting and target population to maximize the effects of intervention. This project translates a clinically efficacious program (Diabetes Prevention Program) to a broader public health population, testing adaptations that will foster wide spread use in worksite settings. This will enable public health professionals to maximize the impact of an efficacious program, reaching a much larger population than possible in clinical settings.

描述（由申请人提供）：本项目提议测试糖尿病预防计划（DPP）的适应，旨在增加工作场所环境中广泛使用的可能性。 DPP在临床试验中已被证明有效，是一个六个月的体重管理计划，旨在减少热量摄入量并增加热量支出。作为基于诊所的干预措施，使用频繁的一对一接触以实现更改，对原始DPP干预进行了高风险（糖尿病前）目标组的测试，该模型无法推广到更广泛的种群或非临床环境。在这项研究中，我们将确定a）DPP的中等强度适应是否可以有效，b）两种干预方式的比较有效性 - 电话和组，c）干预措施的增量成本效益。参与的地点是两个城市/县政府，拥有4500多名员工。参与者将被随机分配到三个干预条件之一：电话教练和手册，小组教练和手动以及手动。构成所有三种干预措施的干预手册与DPP相同。主要结果指标是BMI，其健康饮食行为和体育活动的继发结果。将进行逐步的成本效益分析，将每种干预措施相互比较。数据将在基线，测试后（六个月）收集，并随访（12个月）。假设将使用增长建模方法进行检验，以检查随着时间的推移的变化。这将使我们通过使用对大多数工作组织现实的方法来最大程度地跨工作场所的DPP翻译。 公共卫生相关性：高质量研究结果本身并不能确保良好实践。为了有效地将研究转化为实践，我们必须了解哪些干预组件对于实施基于证据的干预最有效。这些组成部分必须适合设置和目标人群的上下文和文化，以最大程度地提高干预措施的影响。该项目将临床有效的计划（糖尿病预防计划）转化为更广泛的公共卫生人群，测试适应，这些适应将在工作场所设置中促进广泛的传播。这将使公共卫生专业人员能够最大程度地提高有效计划的影响，从而达到临床环境中的人口大得多。