Health Literacy, Numeracy, and Health Promotion: A Secondary Analysis of the Choosewell 365 Workplace Trial.
Health Literacy, Numeracy, and Health Promotion: A Secondary Analysis of the Choosewell 365 Workplace Trial.
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DOI：
10.1016/j.amepre.2021.12.020
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发表时间：
2022-07
影响因子：
5.5
通讯作者：
Thorndike, Anne N.
中科院分区：
文献类型：
--
作者：
Jia, Jenny;Levy, Douglas E.;McCurley, Jessica L.;Anderson, Emma;Gelsomin, Emily D.;Porneala, Bianca;Thorndike, Anne N.
健康素养和计算能力与肥胖和饮食行为有关。这项研究调查了工作场所行为干预的效果，以防止体重增加和改善饮食不同的员工健康素养和算术。ChooseWell 365是一项针对医院员工的随机对照试验，在现有的自助餐厅交通灯标签（例如，绿色=健康，红色=不健康）。健康素养和计算能力采用最新生命体征（范围=0-6）和通用计算能力量表（范围=0-3）进行测量。混合效应线性模型检查了干预对自助餐厅购买，饮食质量（健康饮食指数2015，范围=0-100）和24个月内体重变化的影响是否因健康素养或计算能力的高低而不同。2016-2020年收集数据，2020-2021年进行分析。在12个月时，510名参与者完成了最新生命体征和一般计算量表; 36.7%的人最新生命体征<6（健康素养较低），31.6%的人一般计算量表<2（计算能力较低）。在24个月内，干预参与者与控制组相比，在较高和较低的健康素养和算术组中增加了健康购买。在12个月时，与健康素养较低的对照参与者相比，干预组的2015年健康饮食指数得分增加（5.5分，95% CI=1.51，9.54），但健康素养较高的参与者没有增加（p-交互作用=0.040）。BMI没有因健康素养或计算能力而有所不同。行为干预改善了不同健康素养和算术水平的医院员工的自助餐厅食物选择，并改善了健康素养较低的员工的饮食质量，这表明该组也改善了工作以外的食物选择。
Health literacy and numeracy are linked to obesity and dietary behaviors. This study investigates whether the effect of a workplace behavioral intervention to prevent weight gain and improve diet differed by employee health literacy and numeracy. ChooseWell 365 was an RCT of hospital employees testing a 12-month intervention using nudges and feedback to promote healthier choices, building on existing cafeteria traffic light labels (e.g., green=healthy, red=unhealthy). Health literacy and numeracy were measured with the Newest Vital Sign (range=0–6) and General Numeracy Scale (range=0–3). Mixed-effects linear models examined if intervention effects on cafeteria purchases, diet quality (Healthy Eating Index 2015, range=0–100), and weight change over 24 months differed by higher versus lower health literacy or numeracy. Data were collected in 2016–2020 and analyzed in 2020–2021. At 12 months, 510 participants completed the Newest Vital Sign and General Numerancy Scale; 36.7% had Newest Vital Sign<6 (lower health literacy) and 31.6% had General Numerancy Scale<2 (lower numeracy). Intervention participants increased healthy purchases over 24 months compared with controls in both higher and lower health literacy and numeracy groups. At 12 months, Healthy Eating Index 2015 scores increased in intervention versus control participants with lower health literacy (5.5 points, 95% CI=1.51, 9.54) but not in those with higher health literacy (p-interaction=0.040). BMI did not differ by health literacy or numeracy. A behavioral intervention improved cafeteria food choices of hospital employees of varying health literacy and numeracy levels and improved diet quality among employees with lower health literacy, suggesting this group also improved food choices outside of work.
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影响因子：
2
作者：
Marrie RA;Salter A;Tyry T;Fox RJ;Cutter GR
通讯作者：
Cutter GR
影响因子：
5.9
作者：
Neal, Bruce;Crino, Michelle;Wu, Jason H. Y.
通讯作者：
Wu, Jason H. Y.
影响因子：
5.4
作者：
Olstad, Dana Lee;Vermeer, Julianne;Raine, Kim D.
通讯作者：
Raine, Kim D.
影响因子：
4.9
作者：
Roberto, C. A.;Khandpur, N.
通讯作者：
Khandpur, N.
影响因子：
4.2
作者：
Kanellopoulou, Aikaterini;Notara, Venetia;Panagiotakos, Demosthenes B.
通讯作者：
Panagiotakos, Demosthenes B.