PREVENTING CVD THROUGH WORKSITE HEALTH PROMOTION

通过工作场所健康促进预防心血管疾病

• 批准号: 3442021
• 负责人: ANDREA FOOTE
• 金额: $ 7.02万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-09-30 至 1989-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3442021
• 关键词: cardiovascular disorder education; cardiovascular disorder prevention; disease /disorder proneness /risk; health care model; health care referral /consultation; health care service evaluation; health service demonstration project; hypertension; information dissemination; medical outreach /case finding; occupational health /safety; therapy compliance; tobacco abuse education; weight control

The industrial community has expressed keen interest in health promotion/disease prevention (HP/DP) programs as a way of improving cardiovascular health and reducing health-related costs among employees. However, there is insufficient information available about the effectiveness or efficiency of each of the various program models that are available. HP/DP programs can generally be differentiated into risk reduction and health promotion components. Risk reduction activities focus on the identification of specific risk factors and the development of interventions to reduce those risks. Health promotion activities, in contrast, focus on various types of life style changes aimed at positive wellness (not just the absence of illness or risk). In addition, some program designs include substantial amounts of on-site activity designed to involve maximum numbers of employees in the program, while others are primarily low-cost promotional devices to educate and inform employees. While occasional studies have demonstrated positive outcomes for specific program components, no studies are available that examine the relative effects of different program designs, or of risk reduction as compared with health promotion activities. In addition, little information is availaable about the cost-effectiveness or cost-benefit of these programs. The proposed study uses a quasi-experimental design involving four matched auto manufacturing plants, with one control site, one promotional or paper program site, one risk reduction site, and one health promotion site. Effects of each program model will be evaluated, including reduction of three targeted cardiovascular disease risk factors within the plant population--cigarette smoking, high blood pressure, and overweight, and changes in absenteeism, turnover, mortality, disability, and medical benefit utilization. Cost of implementing each model will be documented, and cost-effectiveness and cost-benefit analyses conducted.

工业界对健康问题表示了浓厚的兴趣 促进/疾病预防（HP/DP）计划作为改善 心血管健康和降低雇员的健康相关费用。 然而，关于这方面的资料不足。 每个项目模型的有效性或效率， available. HP/DP计划通常可分为风险 减少和促进健康的组成部分。 减少风险活动重点 关于确定具体风险因素和 采取措施降低这些风险。 健康促进活动， 对比，注重各类生活方式的积极转变 健康（不仅仅是没有疾病或风险）。 此外一些 项目设计包括大量的现场活动， 参与计划的员工人数最多，而其他人则 主要是低成本的促销手段，以教育和告知员工。 虽然偶尔有研究表明， 程序组件，没有研究可以检查相对 不同方案设计的效果，或与 健康促进活动。 此外，可获得的信息很少， 关于这些项目的成本效益或成本效益。 这项研究采用了一个准实验设计，涉及四个匹配的 汽车制造厂，一个控制站点，一个促销或纸张 方案网站、一个减少风险网站和一个健康促进网站。 将评估每种方案模式的效果，包括减少 工厂内的三个目标心血管疾病风险因素 吸烟、高血压和超重， 缺勤率、人员流动率、死亡率、残疾率和医疗费用的变化 效益利用 将记录实施每种模式的费用， 并进行成本效益和成本效益分析。