FUEL Your Life: A Translation of the Diabetes Prevention Program to Worksites
FUEL Your Life: A Translation of the Diabetes Prevention Program to Worksites
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DOI：
10.4278/ajhp.130411-quan-169
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发表时间：
2016-01-01
影响因子：
2.7
通讯作者：
Davis, Marsha
中科院分区：
文献类型：
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作者：
Wilson, Mark G.;DeJoy, David M.;Davis, Marsha
目的.为了评估燃料你的生活，糖尿病预防计划的工作场所翻译的有效性。设计。在某大型运输公司的五个工地进行了随机对照组设计。测量数据收集于测试前、测试后（6个月）和随访（12个月）。联合太平洋铁路公司的铁路维修设施。参与者包括362名工人（227名治疗组，135名对照组）。为你的生活加油是从糖尿病预防计划翻译过来的，以更好地适应工作场所的环境。主要的区别是使用同伴健康教练提供社会支持和加强和职业护士提供课程内容（6个10分钟的会议），而不是由糖尿病预防计划雇用的生活方式教练的参与者，导致结构化的会议时间表。主要结果是体重和身体质量指数（BMA），次要结果包括饮食行为、身体活动和社会支持。潜在增长模型被用来衡量随着时间的推移的结果的变化。干预组的参与者保持体重/BMI（-0.1磅/-0.1 BMI），而对照组的参与者体重/BM（+2.6磅/+0.3 BMI）增加，导致组间差异具有统计学意义。55%的干预参与者减轻了一些体重，而对照组只有35%的体重减轻。低强度的干预措施“为你的生活加油”对促进减肥无效，但对帮助工人在12个月内保持体重有效。
Purpose. To evaluate the effectiveness of FUEL Your Life, a translation of the Diabetes Prevention Program for worksites.Design. A randomized control group design was conducted in five worksites of a large transportation company. Measures were collected pretest, posttest (6 months), and follow-up (12 months).Setting. Railroad maintenance facilities of Union Pacific Railroad.Subjects. Participants consisted of 362 workers (227 treatment, 135 control).Intervention. FUEL Your Life was translated from the Diabetes Prevention Program to better fit within the context of the worksite. The primary difference was the use of peer health coaches to provide social support and reinforcement and an occupational nurse to provide lesson content (six sessions of 10 minutes) to participants instead of the lifestyle coaches employed by the Diabetes Prevention Program, resulting in a less structured meeting schedule.Measures. The primary outcomes were weight and body mass index (BMA with secondary outcomes including eating behaviors, physical activity, and social support.Analysis. Latent growth modeling was used to measure changes in the outcomes over time.Results. Participants in the intervention group maintained weight/BMI (-.1 pounds/-.1 BMI), whereas the control participants gained weight/BM[ (+2.6 pounds/+.3 BMI), resulting in a statistically significant difference between groups. Fifty-five percent of intervention participants lost some weight, whereas only 35% of the control group lost weight.Conclusions. FUEL Your Life, a low intensity intervention, was not effective for promoting weight loss, but was effective for helping workers maintain weight over a 12-month period.