Work, Weight, and Wellness -- The 3W Program

描述(由申请人提供)： 在夏威夷，就像在其他许多州一样，旅游业是一个大产业。大多数酒店工作几乎不需要教育或培训，酒店雇佣了大量SES低的人和移民。夏威夷拥有世界上种族最多元化的人口，肥胖率和糖尿病发生率很高，特别是在波利尼西亚血统的人中(约占总人口的20%-22%)。这项研究是一项全面的生活方式改变计划，通过与大型医疗保健系统合作的工作场所进行。目标是增加体力活动，改善饮食，减少酒店员工的肥胖。夏威夷的40家酒店将进行配对，员工人数在6000至7000人之间。每组中的一名成员将被分配进行干预，一名成员被分配进行控制。所有员工都将接受BMI评估，并完成一份关于生活习惯、变化阶段和对体重的态度的问卷。一个由800人组成的小组(每组一半)将完成额外的体检和问卷评估。评估将在12个月和24个月后重复进行。干预型酒店将接受干预，包括1)支持生活方式改变和肥胖控制的环境变化，2)提供最先进行为干预的工作场所小组，3)BMI&GT；30致力于减肥的人可以在下班后进行小组和病例管理。干预措施结合了产生持续减肥的所有要素和基于决策理论的创新决策教程。主要结果是，与对照酒店相比，干预酒店员工的BMI发生了变化。次要结果涉及干预对种族和职业亚群、变化阶段和其他问题的影响。我们将对干预措施进行经济分析，如果该计划有效，我们将在04年积极传播该计划。我们还申请了为根据该RFA获得奖项的网站组执行协调职能。

DESCRIPTION (provided by applicant): In Hawaii, as in many other states, tourism is a large industry. Most hotel jobs require little education or training, and hotels employ large numbers of low SES persons and immigrants. Hawaii, with the world's most ethnically diverse population, has high rates of obesity and diabetes, particularly among those of Polynesian ancestry (about 20-22% of the population). This study is a comprehensive lifestyle change program delivered through worksites in partnership with a large health care system. The goal is to increase physical activity, improve diet, and reduce obesity of hotel employees. Forty hotels in Hawaii employing 6,000-7,000 persons will be pair matched. One member of each pair will be assigned to intervention, one.to control. All employees will be assessed for BMI and complete a questionnaire on lifestyle habits, stage of change, and attitudes toward weight. A subgroup of 800 persons (half in each group) will complete additional physical and questionnaire assessments. Assessments will be repeated 12 and 24 months later. Intervention hotels will receive an intervention that includes 1) environmental changes to support lifestyle change and obesity control, 2) worksite-based groups that will offer state of-the art behavioral interventions, and 3) after hours groups and case management available to those with a BMI >30 who are committed to losing weight. Interventions incorporate all elements that produce sustained weight loss and an innovative decision tutorial based on decision theory. The primary outcome is change in BMI among employees of intervention versus control hotels. Secondary outcomes address effects of the intervention on ethnic and occupational subgroups, stage of change and other issues. We will conduct an economic analysis of the interventions and and actively disseminate the program in year 04 if it is effective. We have also applied to carry out the Coordinating Function for the group of sites that receives awards under this RFA.