Cost Effective Health Promotion for Older Workers

对老年工人进行具有成本效益的健康促进

• 批准号: 6952867
• 负责人: Susan L Hughes
• 金额: $ 43.67万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-20 至 2007-09-19
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6952867
• 关键词: absenteeism; behavioral /social science research tag; body physical activity; clinical research; clinical trials; diet; disability insurance; disease /disorder prevention /control; education evaluation /planning; exercise; health behavior; health care cost /financing; health care service utilization; health education; health service demonstration project; human old age (65+); human subject; human therapy evaluation; longitudinal human study; nutrition education; nutrition related tag; occupational health /safety; overeating; quality of life; smoking cessation; work site

DESCRIPTION (provided by applicant): The number of workers over age 55 is expected to increase from 19.2 million in 2002 to 31.8 million by 2015 (GAO Report, 2003). Given these projected increases, the development and testing of cost-effective health promotion interventions for this population is an urgent national priority. If we can reach older adults while they are still working and engage them successfully in sustained health promotion activities, we may be able to make a major impact on future health care expenditures. This project addresses this urgent problem by testing the comparative cost effectiveness of two evidence-based health promotion/ behavior change interventions. The first intervention, the COACH program, uses individualized telephone reinforcement to bolster adherence. The second, the RealAge program, is totally web-based. Both programs administer standardized risk assessments, develop risk profiles, and provide a set of choices for older adult workers with respect to health behavior Action Plans to address improved diet/nutrition, physical activity, and smoking cessation. At present, the comparative appeal of these two approaches and their comparative cost-effectiveness is unknown. The proposed study will test the cost-effectiveness of the two interventions with support staff 50-59 years of age at a major inner city Midwest University using a randomized clinical trial design with 450 participants. Consenting participants will be randomly assigned to a COACH group, a RealAge group, or a health education control group. Process data on intervention use and adherence to Action Plans will be collected. Measures that will be collected at baseline, six, and 12 months include mediators, primary, and secondary outcomes. Mediating variables include stages of readiness for and self-efficacy for specific behavior changes, primary outcomes include health care use and cost, absenteeism, and disability days, and secondary outcomes include vitality, depression, quality of life, blood pressure, and BMI. Cost-effectiveness will be assessed by subtracting program costs from savings obtained in health care utilization and gains in short, intermediate, and long term quality of life adjusted years.

描述（由申请人提供）：55岁以上的工人数量预计将从2002年的1920万增加到2015年的3180万（GAO报告，2003）。鉴于这些预计的增长，为这一人群开发和试验具有成本效益的健康促进干预措施是一项紧迫的国家优先事项。如果我们能够在老年人仍在工作时接触到他们，并使他们成功地参与持续的健康促进活动，我们也许能够对未来的保健支出产生重大影响。该项目通过测试两种基于证据的健康促进/行为改变干预措施的相对成本效益来解决这一紧迫问题。第一种干预，COACH项目，使用个性化的电话强化来加强依从性。第二个是RealAge程序，完全是基于网络的。这两个项目管理标准化的风险评估，制定风险概况，并在健康行为行动计划方面为老年成年工人提供一套选择，以解决改善饮食/营养、体育活动和戒烟问题。目前，这两种方法的相对吸引力及其相对成本效益尚不清楚。拟议的研究将测试两种干预措施的成本效益，支持人员年龄在50-59岁，在一个主要的市中心中西部大学使用随机临床试验设计，有450名参与者。同意的参与者将被随机分配到COACH组、RealAge组或健康教育对照组。将收集有关干预措施使用和遵守行动计划的过程数据。将在基线、6个月和12个月收集的测量指标包括中介指标、主要和次要结局。中介变量包括对特定行为改变的准备阶段和自我效能，主要结果包括医疗保健使用和成本、缺勤和残疾天数，次要结果包括活力、抑郁、生活质量、血压和BMI。成本效益将通过从医疗保健利用中获得的节省和短期、中期和长期生活质量调整年的收益中减去项目成本来评估。