Durability and diffusion of the nutrition intervention in the Working Well Trial.

Durability and diffusion of the nutrition intervention in the Working Well Trial.
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良好工作试验中营养干预的持久性和传播。

DOI:
10.1006/pmed.1998.0342
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发表时间:
1998
影响因子:
5.1
通讯作者:
Probart,C
Probart,C
中科院分区:
医学2区
文献类型:
--
作者:
Patterson,RE;Kristal,AR;Biener,L;Varnes,J;Feng,Z;Glanz,K;Stables,G;Chamberlain,RM;Probart,C

文献摘要

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背景工作井试验(WWT)强调员工参与计划和实施的健康促进干预。这些参与性战略旨在促进健康促进方案的制度化,从而鼓励维持干预活动。我们使用来自WWT 107个工作场所的数据来测试研究计划后营养干预活动是否得到维持(即,耐久性)或被控制点采用(即,在基线,在完成2年的干预,2年后,我们进行了组织调查,关于工作场所的健康促进活动。营养活动得分从0到3计算的基础上提供的营养相关的程序,自助手册或指南,和视频,磁带,小册子,或poster.ResultsFrom基线到干预结束时,有一个显着增加的营养活动得分在干预工地与对照组相比(P< 0.001)。然而,2年后,干预和对照工地之间没有差异。此外,有没有显着增加的营养活动得分在控制网站2年后,他们收到的干预协议和material.ConclusionsResearch是需要开发和测试工作场所为基础的干预措施,以促进制度化,持久性和扩散。
BackgroundThe Working Well Trial (WWT) emphasized employee participation in the planning and implementation of the health promotion intervention. These participatory strategies were intended to promote institutionalization of the health promotion program and thereby encourage maintenance of the intervention activities. We used data from 107 worksites in the WWT to test whether the nutrition intervention activities were maintained after the research program (i.e., durability) or were adopted by control sites (i.e., diffusion).MethodsAt baseline, upon the completion of the 2-year intervention, and 2 years later, we conducted organization surveys regarding worksite health promotion activities. A nutrition activity score from 0 to 3 was calculated based on availability of nutrition-related programs, self-help manuals or guides, and videos, tapes, brochures, or posters.ResultsFrom baseline to the end of the intervention, there was a significant increase in the nutrition activity score in intervention worksites compared with the controls (P< 0.001). However, 2 years later, there was no difference between intervention and control worksites. In addition, there was no significant increase in the nutrition activity score in control site 2 years after they received the intervention protocols and materials.ConclusionsResearch is needed to develop and test worksite-based interventions to promote institutionalization, durability, and diffusion.