Design of a RCT evaluating the (cost-) effectiveness of a lifestyle intervention for male construction workers at risk for cardiovascular disease: the health under construction study.
Design of a RCT evaluating the (cost-) effectiveness of a lifestyle intervention for male construction workers at risk for cardiovascular disease: the health under construction study.
复制标题
DOI：
10.1186/1471-2458-8-1
复制
发表时间：
2008-01-03
影响因子：
4.5
通讯作者：
van Mechelen W
中科院分区：
文献类型：
--
作者：
Groeneveld IF;Proper KI;van der Beek AJ;van Duivenbooden C;van Mechelen W
在荷兰建筑业的所有工人中，20%的人患心血管疾病(CVD)的风险增加。心血管疾病风险的一个主要风险因素是不健康的生活方式。我们研究的目的是为心血管疾病风险增加的建筑工人设计一种生活方式干预，并评估其(成本-效果)。在随机对照试验中，692名参与者将被随机分为对照组或干预组。对照组将接受常规护理。对于干预组，根据访谈和当前文献设计了生活方式干预。这项干预将持续6个月，将包括3次面对面接触和4次电话接触，包括旨在增加日常体力活动和改善饮食行为的个人咨询和/或戒烟。咨询将在职业健康服务机构(OHS)进行，并将根据动机访谈(MI)进行。关于健康生活方式的其他书面信息也将提供给干预组的那些人。在基线、6个月后和12个月后，将进行测量。主要的结果变量将是关注的生活方式行为，即每日PA、饮食摄入量和吸烟状况。次要结果变量将是体重指数(BMI)、收缩压和舒张压、总胆固醇和高密度脂蛋白、糖化血红蛋白和心肺功能(CRF)。还将评估疾病缺勤率和成本效益。干预组和对照组之间的所有结果指标将进行多水平分析比较。通过改善生活方式，心血管疾病的风险可能会降低，从而为员工和雇主带来好处。如果证明有效，这种生活方式干预将在建造业的职业健康服务中更大规模地实施。电流控制试验ISRCTN60545588
Of all workers in Dutch construction industry, 20% has an elevated risk of cardiovascular disease (CVD). A major risk factor for CVD risk is an unhealthy lifestyle. The aim of our study is to design a lifestyle intervention for construction workers with an elevated CVD risk, and to evaluate its (cost-) effectiveness. In a RCT, 692 participants will be randomised to either the control or the intervention group. The control group will receive usual care. For the intervention group, a lifestyle intervention has been designed based on interviews and current literature. The intervention will last 6 months and will comprise 3 face-to-face and 4 telephone contacts, consisting of individual counselling aimed at increasing daily physical activity (PA) and improving dietary behaviour, and/or smoking cessation. Counselling will take place at the Occupational Health Service (OHS), and will be done according to motivational interviewing (MI). Additional written information about healthy lifestyle will also be provided to those in the intervention group. At baseline, after 6 and after 12 months, measurements will take place. Primary outcome variables will be the lifestyle behaviours of concern, i.e. daily PA, dietary intake, and smoking status. Secondary outcome variables will be body mass index (BMI), systolic and diastolic blood pressure, total and HDL blood cholesterol, Hba1c and cardio-respiratory fitness (CRF). Sickness absenteeism and cost-effectiveness will be assessed as well. Multilevel analysis will be performed to compare all outcome measures between the intervention group and the control group. By improving lifestyle, CVD risk may be lowered, yielding benefits for both employee and employer. If proven effective, this lifestyle intervention will be implemented on a larger scale within the Occupational Health Services in construction industry. Current Controlled Trials ISRCTN60545588
登录
查看更多内容
影响因子：
120.7
作者：
PATE, RR;PRATT, M;WILMORE, JH
通讯作者：
WILMORE, JH
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
2.4
作者：
Oenema, A;Brug, J;Lechner, L
通讯作者：
Lechner, L
影响因子：
5.5
作者：
Jurca, R;Jackson, AS;Laukkanen, R
通讯作者：
Laukkanen, R
影响因子：
5.1
作者：
Brug, J;Steenhuis, I;deVries, H
通讯作者：
deVries, H