Overweight and Obesity Control at Worksites

描述（由申请人提供）： 在夏威夷和其他许多州一样，旅游业是一个大产业。 大多数旅馆工作不需要什么教育或培训，旅馆雇用大量社会经济地位低的人和移民。 夏威夷拥有世界上最多种族的人口，肥胖和糖尿病的发病率很高，尤其是波利尼西亚血统的人（约占人口的20-22%）。 这项研究是一项全面的生活方式改变计划，通过工作场所与大型医疗保健系统合作提供。 目标是增加体育活动，改善饮食，减少酒店员工的肥胖。 夏威夷的40家酒店将雇用6 000至7 000人。 每对中的一名成员将被分配到干预，one.to控制。 所有员工都将接受BMI评估，并完成一份关于生活习惯、改变阶段和对体重态度的问卷。 一个800人的亚组（每组一半）将完成额外的身体和问卷评估。将在12个月和24个月后重复评估。 干预酒店将接受干预，包括1）环境变化，以支持生活方式的改变和肥胖控制，2）基于工作场所的团体，将提供最先进的行为干预，以及3）对那些BMI >30并致力于减肥的人提供的下班后团体和病例管理。 干预措施包括产生持续减肥的所有元素和基于决策理论的创新决策教程。 主要结果是干预酒店员工与对照酒店员工的BMI变化。 次要结果涉及干预对种族和职业亚组、变化阶段和其他问题的影响。 我们将对干预措施进行经济分析，如果有效，我们将在04年积极推广该方案。 我们亦已申请为根据本RFA获授奖项的一组地盘履行协调职能。

DESCRIPTION (provided by applicant): In Hawaii, as in many other states, tourism is a large industry. Most hotel jobs require little education or training, and hotels employ large numbers of low SES persons and immigrants. Hawaii, with the world's most ethnically diverse population, has high rates of obesity and diabetes, particularly among those of Polynesian ancestry (about 20-22% of the population). This study is a comprehensive lifestyle change program delivered through worksites in partnership with a large health care system. The goal is to increase physical activity, improve diet, and reduce obesity of hotel employees. Forty hotels in Hawaii employing 6,000-7,000 persons will be pair matched. One member of each pair will be assigned to intervention, one.to control. All employees will be assessed for BMI and complete a questionnaire on lifestyle habits, stage of change, and attitudes toward weight. A subgroup of 800 persons (half in each group) will complete additional physical and questionnaire assessments. Assessments will be repeated 12 and 24 months later. Intervention hotels will receive an intervention that includes 1) environmental changes to support lifestyle change and obesity control, 2) worksite-based groups that will offer state of-the art behavioral interventions, and 3) after hours groups and case management available to those with a BMI >30 who are committed to losing weight. Interventions incorporate all elements that produce sustained weight loss and an innovative decision tutorial based on decision theory. The primary outcome is change in BMI among employees of intervention versus control hotels. Secondary outcomes address effects of the intervention on ethnic and occupational subgroups, stage of change and other issues. We will conduct an economic analysis of the interventions and and actively disseminate the program in year 04 if it is effective. We have also applied to carry out the Coordinating Function for the group of sites that receives awards under this RFA.