Comprehensive workplace intervention for cancer prevention in China (WECAN): protocol for a stepped-wedge, cluster-randomised controlled trial.
Comprehensive workplace intervention for cancer prevention in China (WECAN): protocol for a stepped-wedge, cluster-randomised controlled trial.
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DOI：
10.1136/bmjopen-2023-072405
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发表时间：
2023-04-25
期刊：
影响因子：
2.9
通讯作者：
Zhang, Puhong
中科院分区：
文献类型：
--
作者：
Li, Yuan;Sun, Kaige;Wang, Baohua;Wang, Ning;Luo, Rong;Wang, Changqiong;Liu, Yu;Duffy, Stephen;MacGregor, Graham A.;Wu, Jing;He, Feng J.;Zhang, Puhong
癌症是全球第二大死因，大多数死亡发生在低收入和中等收入国家。有证据表明，通过综合干预战略，包括促进工作场所健康，避免行为风险因素，可大大减少癌症负担，这在发达国家已证明具有成本效益，但在发展中国家却很少实施。本研究旨在通过开发一个基于证据的综合工作场所健康模型，并配备智能手机应用程序进行实施，探索在中国预防和控制癌症的可行和可持续的方法。本研究设计为楔形步进式、集群随机对照试验。我们将在中国三个城市招聘15个工作岗位。将随机抽取750名员工进行评估，每6个月进行5轮调查。在第二次评估后，将随机分配工作场所，每6个月依次开始干预，分三步进行，每步5个工作场所。将开发一个“健康工作场所”移动应用程序，以支持这一干预措施。在员工中开展线上线下健康活动。雇主将提供支持性政策、环境和福利，以促进采取健康行为。主要结果是健康生活方式指数得分的变化，该指数由吸烟、饮酒、体育活动、饮食和体重指数等五个组成部分组成。本研究已获得伦敦玛丽女王大学研究伦理委员会（QMERC22.257）和中国疾病预防控制中心机构审查委员会（202210）批准。所有参与者必须获得书面知情同意。研究结果将通过演讲、出版物和社交媒体传播。ChiCTR2200058680。
Cancer is the second leading cause of death across the globe with the majority of deaths occurring in low-income and middle-income countries. Evidence has shown that the cancer burden can be substantially reduced by avoiding behavioural risk factors through comprehensive intervention strategies, including workplace health promotion, which has shown to be cost-effective in developed countries while rarely conducted in developing countries. This study aims to explore a feasible and sustainable approach to the prevention and control of cancer in China by developing an evidence-based comprehensive workplace health model equipped with a smartphone application for implementation. This study is designed as a stepped-wedge, cluster-randomised controlled trial. We will recruit 15 workplaces from three cities in China. A total of 750 employees will be randomly selected for evaluation that includes five rounds of survey conducted every 6 months. After the second evaluation, workplaces will be randomly allocated to start the intervention sequentially every 6 months in three steps with five workplaces per step. A mobile application ‘Healthy Workplace’ will be developed to support the intervention. On-line and off-line health-related activities will be carried out among employees. Employers will provide supportive policies, environment and benefits to facilitate the adoption of healthy behaviours. The primary outcome is the change of Healthy Lifestyle Index Score, which consists of five components including smoking, alcohol drinking, physical activity, diet and body mass index. The study has been approved by Queen Mary University of London Ethics of Research Committee (QMERC22.257) and Chinese Centre for Disease Control and Prevention Institutional Review Board (202210). Written informed consent is required from all participants. Results will be disseminated through presentations, publications and social media. ChiCTR2200058680.
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作者：
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发表时间：
2008-01-01
影响因子：
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10.1136/bmj.e7586
发表时间：
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期刊：
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