Heart Check: The development and evolution of an organizational heart health assessment

Heart Check: The development and evolution of an organizational heart health assessment
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DOI:
10.4278/0890-1171-17.2.132
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发表时间:
2002-11-01
影响因子:
2.7
通讯作者:
Fisher, B
Fisher, B
中科院分区:
医学4区
文献类型:
--
作者:
Golaszewski, T;Fisher, B

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目的.本文的目的是记录的发展,测试和应用的组织评估工具,用于衡量雇主的心脏健康的支持。介绍了其未来研究和应用计划的其他信息。这篇文章代表了汇集的结果,从多个研究使用各种设计,包括试点测试,横截面分析,和准实验。工作场所涵盖了所有行业类型和规模的雇主,以及整个纽约州。超过10,000名纽约雇员和1000名纽约雇主参加了本研究的多个阶段。心脏检查是一个226项的清单,旨在衡量工作场所的组织基础,行政支持,烟草控制,营养支持,体力活动支持,压力管理,筛查服务和公司人口统计等特征。额外的副研究使用专业判断和行为调查。作为一种评估工具,心脏检查显示了可靠性和有效性的证据。该工具的应用程序显示的特点,定义高得分的公司,准标准的纽约雇主,并在干预期间应用时,积极的变化,在组织的支持水平。一个相对便宜的,易于使用的,和计量测试的仪器存在测量员工心脏健康的组织支持的结构。该工具显示,作为通过工作场所基于公共卫生的干预措施增强心脏健康的系统的一部分,有希望。
Purpose. The purpose of this article is to document the development, testing, and application Of an organizational assessment tool used to measure employer support for heart health. Additional information is presented on its future research and applications plan.Design. This article represents the pooling of results from multiple studies using a variety of designs, including pilot tests, cross-sectional analyses, and quasi-experiments.Setting. Worksites covering the spectrum of employers across industry types and size, and throughout all of New York State.Subjects. Over 10,000 New York employees and 1000 New York employers are represented in the multiple phases of this research.Measures. Heart Check is a 226-item inventory designed to measure such features in the worksite as organizational foundations, administrative supports, tobacco control, nutrition support, physical activity support, stress management, screening services, and company demographics. Additional side studies used professional judgments and behavioral surveys.Results. As an assessment tool Heart Check shows evidence for reliability and validity. Applications of the instrument show characteristics that define high-scoring companies, quasi standards for New York employers, and, when applied during interventions, positive changes in organizational support levels.Conclusions. A relatively inexpensive, easy-to-use, and metrically tested instrument exists for measuring the construct of organizational support for employee heart health. The instrument shows promise as Part of a system to enhance heart health through public health-based interventions in the workplace.