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: 8890829
• 负责人: Mark G. Wilson
• 金额: $ 46.31万
• 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 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8890829
• 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; Weight maintenance regimen; 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.

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。

项目成果

Effect of Intensity and Program Delivery on the Translation of Diabetes Prevention Program to Worksites: A Randomized Controlled Trial of Fuel Your Life.

• DOI: 10.1097/jom.0000000000000873
• 发表时间: 2016-11
• 期刊: Journal of occupational and environmental medicine
• 影响因子: 3.2
• 作者: Wilson MG;DeJoy DM;Vandenberg RJ;Corso P;Padilla H;Zuercher H
• 通讯作者: Zuercher H

A Prospective Programmatic Cost Analysis of Fuel Your Life: A Worksite Translation of DPP.

• DOI: 10.1097/jom.0000000000000868
• 发表时间: 2016-11
• 期刊: Journal of occupational and environmental medicine
• 影响因子: 3.2
• 作者: Ingels JB;Walcott RL;Wilson MG;Corso PS;Padilla HM;Zuercher H;DeJoy DM;Vandenberg RJ
• 通讯作者: Vandenberg RJ

Reach, Uptake, and Satisfaction of Three Delivery Modes of FUEL Your Life.

• DOI: 10.1177/1524839919869921
• 发表时间: 2021-05
• 期刊: HEALTH PROMOTION PRACTICE
• 影响因子: 1.9
• 作者: Padilla, Heather M.;Zuercher, Heather;Robertson, Melissa;DeJoy, David M.;Wilson, Mark;Vandenberg, Robert J.;Corso, Phaedra S.
• 通讯作者: Corso, Phaedra S.