Translating a Weight Management Program to Worksites

将体重管理计划转化为工作场所

• 批准号: 7657374
• 负责人: Mark G. Wilson
• 金额: $ 38.52万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7657374
• 关键词: Translating; Weight; Management; Program; Worksites

DESCRIPTION (provided by the applicant): This project proposes to evaluate the implementation of the Diabetes Prevention Program (DPP) adapted to fit the unique characteristics of work organizations. Implementation research is an important step in the translation of research to practice because it examines how a set of intervention strategies can be used to integrate an evidence-based intervention within a specific setting, without the tightly controlled research infrastructure frequently associated with efficacy and effectiveness trials. DPP, which has been proven efficacious in clinical trials and effective in the worksite as well, is a 24 week weight management program designed to reduce caloric intake and increase caloric expenditure. The implementation of DPP in this study will be supported with strategies designed to bolster work and home environmental supports which, based on the ecological model and previous research, are key strategies for supporting health promotion programs in work settings. The corporate partner for the study will be Union Pacific Railroad (UPRR) which has very high levels of overweight and obesity that have been costly to the organization. Using a non-equivalent control group design, after matching sites, we will randomly assign four sites to treatment and control (n=1150 per condition). The primary outcome is BMI with secondary outcomes including healthy eating behaviors and physical activity levels. Other very important outcomes include changes in the work and home environmental supports, organizational measures measuring workplace improvement, and financial outcomes including health care utilization and ROI. Data will be collected at baseline, end of program, and six months post program. Statistical methods will be used to control for baseline differences and examine change over time. This study will not only provide the opportunity to test the implementation of a proven intervention in a high risk population, it will also enable us to test worksite specific implementation strategies (work and home environmental supports) about which there is considerable anecdotal, but little empirical evidence. This will provide valuable evidence on effective strategies for translating a proven intervention program to worksites.

描述（由申请人提供）：本项目提议评估适合适合工作组织独特特征的糖尿病预防计划（DPP）的实施。实施研究是将研究转化为实践的重要一步，因为它研究了如何使用一组干预策略将基于证据的干预措施整合到特定环境中，而无需经常与功效和有效性试验相关的严格控制的研究基础设施。 DPP在临床试验中已被证明有效，并且在工作场所也有效，是一项24周的体重管理计划，旨在减少热量摄入量并增加热量支出。在本研究中实施DPP的实施将得到旨在支持工作和家庭环境支持的策略，这些策略基于生态模型和先前的研究，是支持工作环境中健康促进计划的关键策略。该研究的公司合作伙伴将是联合太平洋铁路（UPRR），其超重和肥胖对组织的昂贵。使用非等效的对照组设计，在匹配站点之后，我们将随机分配四个站点以治疗和对照（n = 1150）。主要结果是BMI，其继发结果包括健康的饮食行为和体育活动水平。其他非常重要的结果包括工作和家庭环境支持的变化，衡量工作场所改善的组织措施以及包括医疗保健利用和ROI在内的财务成果。数据将在基线，计划结束和计划后六个月收集。统计方法将用于控制基线差异并随着时间的推移检查变化。这项研究将不仅提供了测试对高风险人群进行验证干预措施的实施的机会，还将使我们能够测试特定于工作地点的特定实施策略（工作和家庭环境支持），涉及大量轶事，但很少经验证据。这将为将验证的干预计划转换为工作地点的有效策略提供宝贵的证据。