Partnering to Reduce Obesity with Environmental Changes

合作减少环境变化带来的肥胖

• 批准号: 7122953
• 负责人: DONNA M GATES
• 金额: $ 20.38万
• 依托单位: UNIVERSITY OF CINCINNATI
• 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/7122953
• 关键词: absenteeism; attitude; behavioral /social science research tag; body physical activity; body physical characteristic; clinical research; clinical trials; disease /disorder prevention /control; disease /disorder proneness /risk; education evaluation /planning; health behavior; health education; human subject; human therapy evaluation; lifestyle; obesity; occupational health /safety; outcomes research; social group process; socioeconomics; socioenvironment; weight loss; work site

DESCRIPTION (provided by applicant): Obesity and its associated mortality and morbidity are a national health crisis. It is estimated that American employers spend more than $900 billion dollars annually on medical expenditures and that obesityattributable medical expenditures to be $75 billion dollars. Interventions to reduce or prevent obesity that are aimed at the individual level have been studied extensively. On the other hand, data from theory-based research using institutional-level (environmental) approaches are seriously lacking. Yet, institutional-level approaches have the potential to reach large numbers of persons at substantially lower costs than approaches based on individuals and are therefore of critical interest. The specific aim of this randomized, controlled trial is to test the effectiveness of an institutional-level intervention to prevent or reduce obesity at small manufacturing companies in Kentucky. As secondary aims we will determine whether the intervention increases health promoting behaviors, decreases cardiovascular and diabetic risk factors, and reduces productivity costs related to absences and work limitations. Small manufacturing companies in Kentucky were chosen to target because many of the workers are of Appalachian descent and low socioeconomic status, are at increased risk for heart disease and diabetes, and perform sedentary jobs. Although the work environments in manufacturing provide unique opportunities to address obesity, the literature lacks evidence of successful interventions from rigorous worksite trials. This proposal addresses the RFA's request to test a cost-effective health intervention using the synergy created through partnerships among academia, public health, and industry. The investigators and health planners will use the Social Ecological model and Diffusion of Innovations Theory to plan and test a year-long, company-wide campaign at three companies. The institutional-level components include tailored strategies to change knowledge, attitudes, and behavior. Three hundred randomly selected employees at the intervention and control worksites will be followed at baseline, 3, 6, and 12 months for anthropometric measures, lifestyle behaviors, absences, and work performance. Since the number of employees who worked in manufacturing in the United States in 2003 was estimated to be 14,701,000 (BLS, 2004), and since overweight and obesity affects up to 66 % of the working population, this project will make a significant contribution to the growing efforts to address the obesity epidemic in the United States.

描述（由申请人提供）：肥胖及其相关的死亡率和发病率是一个国家的健康危机。据估计，美国雇主每年在医疗支出上花费超过9000亿美元，而肥胖导致的医疗支出为750亿美元。针对个人水平的减少或预防肥胖的干预措施已得到广泛研究。另一方面，严重缺乏使用机构一级（环境）方法的理论研究数据。然而，机构一级的办法有可能以比基于个人的办法低得多的成本惠及大量的人，因此至关重要。这项随机对照试验的具体目的是测试肯塔基州小型制造公司机构干预预防或减少肥胖的有效性。作为次要目标，我们将确定干预是否增加健康促进行为，减少心血管和糖尿病风险因素，并降低与缺勤和工作限制相关的生产力成本。肯塔基州的小型制造业公司被选为目标，因为许多工人是阿巴拉契亚血统和低社会经济地位，患心脏病和糖尿病的风险增加，并从事久坐不动的工作。尽管制造业的工作环境为解决肥胖问题提供了独特的机会，但文献缺乏严格的现场试验成功干预的证据。该提案满足了RFA的要求，即利用学术界、公共卫生和工业界之间的伙伴关系所产生的协同作用，测试一种具有成本效益的卫生干预措施。调查人员和健康规划人员将使用社会生态模型和创新扩散理论来计划和测试三家公司为期一年的全公司范围的活动。机构层面的组成部分包括改变知识、态度和行为的定制战略。在干预和对照工作场所随机选择300名员工，在基线、3个月、6个月和12个月时进行人体测量、生活方式行为、缺勤和工作表现的随访。由于2003年在美国制造业工作的雇员人数估计为14，701，000人（劳工统计局，2004年），并且由于超重和肥胖影响了高达66%的工作人口，因此该项目将为解决美国肥胖流行病的日益努力做出重大贡献。

项目成果

Challenges of a worksite health promotion project.

工作场所健康促进项目的挑战。

• DOI: 10.3928/08910162-20100216-02
• 发表时间: 2010
• 期刊: AAOHN journal : official journal of the American Association of Occupational Health Nurses
• 作者: Gates,DonnaM;Brehm,BonnieJ
• 通讯作者: Brehm,BonnieJ

Changing the work environment to promote wellness: a focus group study.

改变工作环境以促进健康：焦点小组研究。

• DOI: 10.1177/216507990605401202
• 发表时间: 2006
• 期刊: AAOHN journal : official journal of the American Association of Occupational Health Nurses
• 作者: Gates,Donna;Brehm,Bonnie;Hutton,Scott;Singler,Mary;Poeppelman,Amanda
• 通讯作者: Poeppelman,Amanda