FIVE-A-DAY--HEALTHIER EATING FOR THE OVERLOOKED WORKER

一些公共卫生机构建议美国人消费 每天五份水果和蔬菜，以减少他们的风险 慢性疾病，如癌症和心血管疾病。 目前， 消费量低，特别是在社会经济地位较低和少数民族人口中。 工作场所具有独特的优势，可以增加 这些群体之间的消费;然而，大多数现有的工作场所健康 这些计划忽视了蓝领工作，这些工作通常由较低的社会经济地位人员担任， 少数族裔人口。 拟议的项目，一个两部分的工地健康 计划，旨在（1）提高认识和了解 食用水果和蔬菜的健康益处，（2）增加 水果和蔬菜的消费量每天减少50份，（3）比较 旨在影响健康的同伴健康教育者计划的影响 态度和行为，通过人际网络，以传统的 使用非个人沟通渠道的工作场所健康计划，以及 (4)评估这种影响在被忽视的人群中的持续性， 亚利桑那州10家大型公共部门雇主的工人， 基于创新扩散和社会比较理论。 在配对设计中，所有工作站点最初都将收到5A Day 工作场所健康计划，传统的工作场所健康促进 计划，使工作场所在营养教育方面的努力均等化， 在全国范围内开展的“一日五餐”活动中的曝光率 后 九个月后，健康同伴计划将随机分配到一半的 每对匹配的工地，这将运行沿着与5 为期九个月的日间工作场所健康计划。 它将 从目标工作分类中确定、培训40名工人并支付工资 (who很好地融入了社交网络，并有动力提供帮助 作为同事的变革推动者， 人际社交网络。 计划进行四项评价：⑴在 干预前基线，（2）干预后前9个月 仅5 A Day Wellness计划，（3）在18个月结束时 干预，和（4）干预结束后6个月， 衡量影响的持久性。

Several public health agencies have recommended that Americans consume five servings of fruits and vegetables daily to reduce their risk of chronic diseases such as cancer and cardiovascular disease. Currently, consumption is low, especially in lower SES and minority populations. The worksite presents unique advantages for an intervention to increase consumption among these groups; however, most existing worksite wellness programs overlook the blue-collar jobs typically held by lower SES and minority populations. The proposed project, a two-part worksite wellness program, aims to (1) increase the awareness and understanding of the health benefits of consuming fruits and vegetables, (2) increase consumption of fruits and vegetables by .50 servings per day, (3) compare the impact of a peer health educator program designed to influence health attitudes and behavior through interpersonal networks to a traditional worksite wellness program using impersonal communication channels, and (4) evaluate the persistence of this impact in a population of overlooked workers in 10 large public sector employers in the State of Arizona, based on the Diffusion of Innovations and Social Comparison Theories. In a matched-pair design, all worksites will initially receive a 5 A Day Worksite Wellness Program, a traditional worksite health promotion program, to equalize worksites on their nutrition education efforts and on their exposure to the concurrent national 5 A Day campaign. After nine months, a Health Peers Program will be randomized to one-half of each of the matched pairs of worksites, which will run along with the 5 A Day Worksite Wellness Program for another nine months. It will identify, train, and pay 40 workers from the target job classifications (who are well-integrated into social networks and motivated to help fellow employees) to act as change agents for coworkers in their interpersonal social networks. Four evaluations are planned: (1) at baseline prior to the intervention, (2) after the first nine months of the 5 A Day Wellness Program alone, (3) at the end of the 18-month intervention, and (4) six months after the end of the intervention to measure persistence of impact.