Impact of Health Promotion Programs on MCO Family Health

健康促进计划对 MCO 家庭健康的影响

• 批准号: 6953062
• 负责人: EDMUND R BECKER
• 金额: $ 25.62万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953062
• 关键词: attitude; behavioral /social science research tag; clinical research; disease /disorder prevention /control; family medicine; health behavior; health care service evaluation; health care service utilization; health education; health services research tag; health surveys; human subject; interdisciplinary collaboration; managed care; outcomes research; work site

DESCRIPTION (provided by applicant): Developing and implementing comprehensive work site health promotion programs is anticipated to help employees live healthier lifestyles by creating supportive work environments and offering awareness, education and behavioral change programs. While evidence suggests that health promotion programs are economically viable and there is support for alternative strategies, there are limited empirical studies that have simultaneously analyzed different health promotion strategies and partitioned the influence of each specific strategy in the overall effect. In our investigation, we propose to evaluate three basic questions-Given the three major strategies for promoting healthy behavior in the workplace: worksite health promotion programs, MCO health education programs, and health promotion through primary care practices - (1) what is the overall contribution of these three approaches for individuals and families on selected work site health promotion activities, (2) what is the unique impact of each approach on the health promotion activity and what is the extent of the differences, and (3) what effect do factors like patient characteristics, primary practice culture, structure of the health education and health promotion program have on the individual and family health promotion behavior? We have selected a broad range of nine meaningful and widely applicable health promotion measures and we have assembled a strong team of investigators with a solid research record and database to build a comprehensive work site model for analyzing these questions. Specific Aim 1: Create a three-year longitudinal dataset that contains comprehensive health promotion intervention profiles and patient characteristics for approximately 115,000 MCO members. Specific Aim 2: Evaluate the hypothesis that primary care practices with more effective teamwork (collaboration, task delegation) make a significant contribution to better MCO member outcomes (rates of preventive health services, absentee days) when they work with work site wellness programs and health education programs and the data are controlled for patient characteristics (race, family type, income, comorbidities) and organizational characteristics (PCP training and experience, length of time employer has had a workplace health promotion program). Specific Aim 3: Develop recommendations to better integrate primary practice teams with traditional work site wellness programs and health education programs that provide health promotion services to employees and their families

描述(申请人提供)：制定和实施全面的工作场所健康促进计划，通过创造支持性的工作环境，提供意识、教育和行为改变计划，帮助员工过上更健康的生活方式。虽然有证据表明，健康促进计划在经济上是可行的，而且有替代战略的支持，但同时分析不同健康促进战略并划分每种具体战略在总体效果中的影响的实证研究有限。 在我们的调查中，我们建议评估三个基本问题--考虑到促进工作场所健康行为的三种主要策略：工作场所健康促进计划、MCO健康教育计划和通过初级保健实践促进健康-(1)这三种方法在选定的工作场所健康促进活动中对个人和家庭的总体贡献是什么；(2)每种方法对健康促进活动的独特影响是什么？差异有多大；(3)患者特征、初级实践文化、健康教育和健康促进计划的结构等因素对个人和家庭的健康促进行为有什么影响？我们选择了广泛的九项有意义和广泛适用的健康促进措施，并组建了一支强大的调查团队，拥有坚实的研究记录和数据库，以建立一个全面的工作现场模型来分析这些问题。 具体目标1：创建一个为期三年的纵向数据集，其中包含大约115,000名MCO成员的全面健康促进干预概况和患者特征。 具体目标2：评估这样一种假设，即当MCO成员参与工作场所健康计划和健康教育计划并且数据受到患者特征(种族、家庭类型、收入、合并症)和组织特征(PCP培训和经验、雇主进行工作场所健康促进计划的时间长度)的控制时，初级保健做法与更有效的团队合作(协作、任务委派)对更好的结果(预防性健康服务率、缺勤天数)有显著贡献。具体目标3：提出建议，更好地将初级实践团队与向员工及其家人提供健康促进服务的传统工作场所健康计划和健康教育计划结合起来