PREVENTING CVD THROUGH WORKSITE HEALTH PROMOTION

工业界对健康表现出了浓厚的兴趣 促进/疾病预防(HP/DP)计划作为改进的一种方式 心血管健康和降低员工的健康相关成本。 然而，目前还没有足够的关于 每种不同计划模型的有效性或效率 可用。HP/DP计划通常可以区分为风险 减少和促进健康的组成部分。降低风险活动的重点 论特定风险因素的识别与发展 减少这些风险的干预措施。健康推广活动，于 对比之下，重点关注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，还有一些 计划设计包括大量的现场活动，旨在 涉及计划中最大数量的员工，而其他员工 主要是低成本的宣传工具，用于教育和告知员工。 虽然偶尔的研究表明，对特定的 程序组件，目前还没有研究来检查相对 不同计划设计的效果，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。 建议的研究采用准实验设计，包括四个匹配的 汽车制造厂，有一个控制点，一个宣传材料或文件 计划站点、一个降低风险站点和一个健康促进站点。 将评估每种方案模式的效果，包括减少 工厂内的三个有针对性的心血管疾病风险因素 人口--吸烟、高血压和超重，以及 缺勤、离职率、死亡率、伤残和医疗方面的变化 效益利用。实施每种模式的成本将被记录下来， 并进行成本效益和成本效益分析。

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.