Images of a Healthy Worksite

描述(由申请人提供)： 根据世界卫生组织的说法，要阻止或最终扭转肥胖流行率的上升趋势，需要广泛的、以人口为基础的方法。预防肥胖可以通过促进健康的饮食和积极运动的生活方式来实现。为了响应这一申请，已经与纽约州罗切斯特的主要雇主伊士曼柯达公司建立了合作伙伴关系，以测试工作场所预防肥胖的干预措施。这项建议的总体目标是基于参与性研究，设计一项全面的营养和体力活动战略，涉及流行病学三合一的三个层面(宿主、环境和病原体)，以促进健康的生活方式，从而阻止人口体重指数曲线右移。为了实现这项建议的目标，具体目标是：(1)广泛了解食物和身体活动在工人中的社会/文化作用，并征求工人对社会可行和文化上可接受的创新干预措施的看法；(2)进行嵌套的前后测控制组横断面设计，以测试健康生活方式促进干预措施，涉及份量控制、健康营养和久坐不动。六对工地将被随机分为干预和控制条件。将在基线和干预结束时测量工作场所内员工的两个横断面样本。将通过跟踪一组员工加班来观察结果衡量的模式；(3)进行过程和结果评估，以评估战略和中期结果的实施情况；(4)从社会和商业角度使用成本效益方法确定工作场所干预的经济效益；以及(5)开发跨科学和职业健康学科的快速信息传播方法。开发的战略和工具将对纽约罗切斯特地区的20,000名员工和全球60,000名员工产生潜在影响。

DESCRIPTION (provided by applicant): According to the World Health Organization, to stop or eventually reverse the rise in obesity prevalence, broad, population-based approaches are needed. Obesity prevention can be achieved by promoting a healthy diet and a physically active lifestyle. In response to this Request for Application, a partnership with Eastman Kodak Co., the major employer in Rochester, NY, has been developed to test a worksite intervention for obesity prevention. The overall goal of this proposal is to design a comprehensive nutrition and physical activity strategy based on participatory research involving the three levels of the epidemiologic triad (host, environment, and agent) to promote a healthy lifestyle and, as a consequence, to stop the shift of the population body mass index curve to the right. In order to achieve the goal of this proposal, the specific aims are: (1) To gain a broad understanding of the social/cultural role of food and physical activity among workers as well as to elicit workers' perspectives on innovative interventions that are socially feasible and culturally acceptable; (2) To perform a Nested Pretest-Posttest Control Group Cross-Sectional design to test healthy lifestyle promotion interventions addressing portion control, healthy nutrition, and sedentarism. Six pairs of worksites will be randomized to intervention and control conditions. Two cross-sectional samples of employees within worksites will be measured at baseline and at the end of the intervention. The pattern of the outcome measures will be observed by following a cohort of employees overtime.; (3) To perform Process and Outcome Evaluation to assess the implementation of strategies and intermediate outcomes; (4) To identify the economic benefits of the workplace intervention by using a cost-effectiveness approach from the societal and business perspective; and (5) To develop methods for fast-track information dissemination across the scientific and occupational health disciplines. The strategies and tools developed will have a potential impact on 20,000 employees in the Rochester, NY area and 60,000 worldwide.