CD ROM BASED CANCER PREVENTION PROGRAM FOR THE WORKSITE

减少烟草、酒精和膳食脂肪的消费对降低癌症发病率和死亡率大有希望。目前，工作场所缺乏理论上健全的、包括多种癌症危险行为、使用多媒体、自我管理和互动的程序。这项研究的目的是开发和测试一个基于光盘的程序，旨在通过减少工人的烟草、酒精和膳食脂肪的消费来降低他们的癌症发病率。多媒体项目将以社会学习模式为基础，并将包括使用引人入胜的视频材料，强调健康行为的短期好处。在第一阶段，开发了一个原型光盘癌症预防计划，并进行了初步测试；结果表明，该方法是可行的和有前景的。在第二阶段，光盘方案将完成，并在工作地点进行现场测试，采用随机的前测-后测实验设计。现场测试将在GTE公司进行，抽样800名员工。在现场测试之后，该计划将进行修订，并准备向行业推介。拟议的商业应用：癌症发病率对美国雇主来说是一个巨大的成本负担，其形式是与员工疾病和过早死亡相关的直接和间接费用，但业界几乎没有旨在减少工人烟草、酒精和膳食脂肪消费的有效计划。一个精心开发的、基于光盘的癌症预防计划对雇主和管理护理组织来说都应该是相当重要的。

Reduction ibn the consumption of tobacco, alcohol and dietary fat hold great promise for reducing cancer incidence and mortality. At present, there is a dearth of programs available to the worksite that are theoretically sound, include multiple cancer risk behaviors, use multi-media, and are self-administered and interactive. The objective of the research is to develop and test a CD-ROM based program designed to reduce the incidence of cancer in workers by decreasing their consumption of tobacco, alcohol and dietary fat. The multi-media program will be based on a social learning model and will include the use of engaging video materials that emphasize the short-term benefits of health behaviors. In phase I, a prototype CD-ROM cancer prevention program was developed and pilot tested; results indicated that the approach is feasible and promising. In phase II, the CD-ROM program will be completed and field-tested at a worksite, using a randomized pretest-posttest experimental design. The field test will take place at the GTE Corporation with a sample of 800 employees. Following the filed test, the program will be revised and prepared for marketing to industry. PROPOSED COMMERCIAL APPLICATION: Cancer morbidity represent a substantial cost burden to U.S. employers in the form of direct and indirect expenses associated with illness and premature death of employees, yet industry has little available in the way of effective programs aimed at reducing worker consumption of tobacco, alcohol and dietary fat. A carefully developed, CD-ROM based cancer prevention program should be of considerable appear to both employers and managed care organizations.