Environmental Approaches for Obesity Management at Dow

陶氏肥胖管理的环境方法

• 批准号: 6953745
• 负责人: RON Z GOETZEL
• 金额: $ 105.86万
• 依托单位: CORNELL 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 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953745
• 关键词: behavior modification; behavioral /social science research tag; body composition; body physical activity; clinical research; cost effectiveness; focus groups; health behavior; health surveys; human subject; nutrition education; nutrition related tag; obesity; social support network; weight control; work site

DESCRIPTION (provided by applicant): The primary objective of the proposed study is to evaluate the marginal effects of introducing two levels of environmental interventions directed at reducing overweight and obesity in the workplace, on top of existing individualized interventions, on five sets of outcomes: a. body mass index and other weight-related biometric measures; b) behavioral health risk factors; c) weight-related health conditions; d) health care utilization and medical expenditures; and e. employee productivity measured in terms of reduced absenteeism and on-the job presenteeism. The design also includes an assessment of costs and benefits of the two treatments, considering the medical, absenteeism and productivity benefits derived from such interventions, an assessment of the impact of the interventions on the worksite climate. We propose a quasi-experimental design that is appropriate for the nature of the intervention. Six manufacturing locations in Louisiana and Texas operated by The Dow Chemical Company, employing 6,000 workers will serve as study sites. They will be randomly assigned to a moderate environmental treatment, an intensive environmental treatment, or control (individualized treatment only). The moderate interventions will include inexpensive environmental changes (e.g., prompts and reminders), while the high intensity intervention will involve engagement of senior managers in development of a worksite culture that is broadly supportive of improved weight and health management by employees. Annual health screening and biometrics data along with administrative medical claims, absence records, and productivity survey data will be analyzed to determine program impacts. Non-experimental statistical methods will be used to control for baseline differences that remain across sites after randomization. The study will also produce extensive information about how employers can successfully implement environmental treatments at worksites.

描述（由申请人提供）： 拟议研究的主要目标是评估在现有的个性化干预措施之上，引入两个级别的环境干预措施以减少工作场所的超重和肥胖的边际效应，五组结果：a.身体质量指数和其他与体重相关的生物计量; B）行为健康风险因素; c）与体重相关的健康状况; d）卫生保健利用和医疗支出;以及e.员工生产力，以减少缺勤和工作出勤率来衡量。 该设计还包括评估两种治疗的成本和效益，考虑到这些干预措施带来的医疗、缺勤和生产力效益，以及评估干预措施对工作场所气候的影响。 我们提出了一个准实验设计，是适当的干预的性质。由陶氏化学公司在路易斯安那州和德克萨斯州运营的六个制造地点将雇用6,000名工人作为研究地点。 他们将被随机分配到中度环境治疗，强化环境治疗或对照（仅个体化治疗）。 适度的干预措施将包括廉价的环境变化（例如，提示和提醒），而高强度干预将涉及高级管理人员参与发展一种广泛支持改善雇员体重和健康管理的工作场所文化。 将对年度健康检查和生物统计数据沿着以及行政医疗索赔、缺勤记录和生产力调查数据进行分析，以确定计划的影响。 将使用非实验性统计方法控制随机化后各研究中心之间的基线差异。 这项研究还将提供有关雇主如何在工作场所成功实施环境处理的广泛信息。