Behavioural interventions for CVD risk reduction for blue-collar workers: a systematic review.
Behavioural interventions for CVD risk reduction for blue-collar workers: a systematic review.
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DOI：
10.1136/jech-2021-216515
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发表时间：
2021-12
影响因子：
6.3
通讯作者：
Appelhans BM
中科院分区：
文献类型：
--
作者：
Crane MM;Halloway S;Walts ZL;Gavin KL;Moss A;Westrick JC;Appelhans BM
从事蓝领职业的人患心血管疾病 (CVD) 的几率很高。本系统评价的目的是描述针对这一高危人群的 CVD 危险因素的行为干预措施的特征和功效。根据 PRISMA 指南，我们检索了 7 个数据库，以找到专注于改变以下方面的干预措施：血压、胆固醇、饮食、体力活动、吸烟或体重。符合条件的研究使用随机研究设计对蓝领职业的个人进行了行为干预（不仅限于政策、环境或药物干预）。研究质量使用国家心肺血液研究所的研究质量评估工具进行评估。纳入了 22 项评估 31 项干预措施的研究：其中 11 项被评为“良好”或“一般”质量。干预强度范围从通过邮寄信件的单次接触到包括工作人员和参与者之间在多个时间点进行个人层面接触的研究。至少包括一些个人接触的研究通常会产生最大的效果。无论干预强度如何，干预措施对自我报告饮食变化的影响最大。 5 项较高质量的研究中，有 4 项明确针对职业群体量身定制干预措施，成功减少了至少 1 个风险因素。使用个体接触并根据职业环境定制干预措施对蓝领职业人员的 CVD 危险因素减少产生了最大的效果。一般来说，研究质量较低，但显示出针对这一高危人群的有希望的效果。未来的工作应该将这些有希望的发现纳入更高质量的研究中。 CRD42019136183
Individuals working in blue-collar occupations experience high rates of cardiovascular disease (CVD). The purpose of this systematic review is to describe the characteristics and efficacy of behavioral interventions that have targeted CVD risk factors in this high-risk group. Following PRISMA guidelines, we searched 7 databases to find interventions focused on changing the following: blood pressure, cholesterol, diet, physical activity, smoking, or weight. Eligible studies tested a behavioral intervention (not exclusively policy, environmental, or pharmaceutical), in individuals working in blue-collar occupations using a randomized study design. Study quality was evaluated using the National Heart, Lung, and Blood Institute’s study quality assessment tool. 22 studies evaluating 31 interventions were included: 11 were rated as “good” or “fair” quality. Intervention intensity ranged from a single contact via a mailed letter to studies that included individual-level contacts at multiple time points between staff and participants. Studies that included at least some individual contact generally yielded the greatest effects. Interventions had the greatest observed effects on self-report changes in diet, regardless of intervention intensity. Four of the 5 higher quality studies that explicitly tailored the intervention to the occupational group were successful at reducing at least 1 risk factor. Interventions that used individual contact and tailored the intervention to the occupational setting yielded the greatest effects on CVD risk-factor reduction in individuals working in blue-collar occupations. Generally, studies were low quality but showed promising effects for reaching this high-risk population. Future work should incorporate these promising findings in higher-quality studies. CRD42019136183
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影响因子：
5.1
作者：
French, Simone A.;Harnack, Lisa J.;Hannan, Peter J.;Mitchell, Nathan R.;Gerlach, Anne F.;Toomey, Traci L.
通讯作者：
Toomey, Traci L.
DOI：
10.1080/10773525.2016.1142724
发表时间：
2016-01-01
影响因子：
--
作者：
Gram, B.;Westgate, K.;Sjogaard, G.
通讯作者：
Sjogaard, G.
影响因子：
--
作者：
Kvaavik, Elisabeth;Batty, G. David;Gale, Catharine R.
通讯作者：
Gale, Catharine R.
影响因子：
5.5
作者：
Bonauto, David K.;Lu, Dayu;Fan, Z. Joyce
通讯作者：
Fan, Z. Joyce
影响因子：
4.5
作者：
Groeneveld IF;Proper KI;van der Beek AJ;Hildebrandt VH;van Mechelen W
通讯作者：
van Mechelen W