A Web-Based Cardiovascular Health Intervention for the Workplace

基于网络的工作场所心血管健康干预

• 批准号: 7326248
• 负责人: Diane K. Deitz
• 金额: $ 10万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2008-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7326248
• 关键词: Address; Adherence; Adoption; Adult; Affect; American Heart Association; Attention; Attitude; Behavior; Behavioral; Cardiac; Cardiology; Cardiovascular Diseases; Cardiovascular system; Cessation of life; Communities; Complement; Concept Review; Condition; Data; Development; Diet; Disease; Eating; Economics; Effectiveness; Elements; Employee; Ensure; Environment; Epidemiology; Etiology; Event; Feedback; Focus Groups; Fostering; Goals; Habits; Health; Health Personnel; Health behavior; Healthcare; Healthcare Industry; Healthcare Systems; Heart; Heart Diseases; Hypertension; Hypotension; Independent Scientist Award; Individual; Industry; Information Management; Intervention; Knowledge; Life Style; Marketing; Measures; Medical; Mental Depression; Methods; Modeling; Moods; Morbidity - disease rate; Motivation; Motor; Multimedia; Myocardial Infarction; National Health and Nutrition Examination Survey; Obesity; Online Systems; Outcome; Participant; Patients; Persons; Phase; Physical activity; Policies; Population; Prevalence; Prevention intervention; Preventive; Primary Health Care; Procedures; Process; Program Development; Program Reviews; Psyche structure; Public Health; Published Comment; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Rate; Recommendation; Research; Research Project Grants; Risk; Risk Assessment; Risk Factors; Risk Reduction; Sampling; Science; Secure; Site; Smoking; Social Environment; Source; Specificity; Staging; Stroke; Suggestion; System; Testing; Tobacco Use Cessation; Training; United States; United States National Institutes of Health; Weight; Woman; Work; Workplace; aged; base; cardiogenesis; cardiovascular disorder risk; cardiovascular risk factor; concept; cost; design; experience; fitness; health care service organization; heart disease risk; hypercholesterolemia; improved; innovation; interest; mortality; programs; prototype; research study; skills; smoking cessation; statistics; stress management; tool; willingness; working men

DESCRIPTION (provided by applicant): Cardiac disease is one of the most prevalent and disabling of all medical disorders. It is estimated that one in every three adults has some form of cardiovascular disease. Among the factors commonly implicated in the development of the disease are lifestyle-related behaviors such as diet, activity level, weight, and smoking habits. Tremendous attention has been placed on medical management and adherence to programs that emphasize reduction or elimination of risk factors. Despite public health 'calls to action' for greater prevention and intervention efforts, the health statistics related to these health behaviors indicate that there remains a great need for effective interventions. Many barriers exist in primary care settings for initiating attempts at assisting patients in this regard. Research indicates that workplace-based interventions show much promise for reaching a large percentage of adults and encouraging positive health behaviors. Worksites provide access to over 65 percent of the population aged 16 and over and can be excellent settings in which to implement strategies for reducing the prevalence and burden of obesity, inactivity, and other unhealthful habits. Accordingly, workplaces are beginning to implement a variety of interventions to address the problem of cardiovascular disease and are exploring innovative and cost-effective means for reducing cardiovascular risk. [Building on ISA's extensive experience in worksite web-based health interventions (including previously developed and tested web-based interventions), the proposed project will develop and test an innovative web-based program - i.e., science-based, media-rich, tailored, and highly interactive - designed to reduce cardiovascular risk among working adults. The project will also include the development of a toolkit for managers that is designed to foster the adoption of policies and practices that support the web-based intervention and related worksite improvements. Phase I will involve the development and feasibility testing of the prototype, along with specific milestones that must met before moving to Phase II. Phase II will involve the full development of the Heart Healthy program for workplaces, followed by a field test of the web-based programs, including a randomized control trial with a sample of employees. The General Motors Acceptance Corporation (GMAC), a company with whom ISA has tested previous health interventions, has enthusiastically agreed to serve as the site for both phases of the project.] The final program will be marketed to workplaces through concentrated efforts by ISA's Center for Workforce Health. Cardiovascular disease is the leading source of morbidity and mortality in the United States and with one of every five deaths attributed to a cardiac event, there exists a great need to find effective preventive tools. The outcome of this Fast Track project will be the development and test of a comprehensive, innovative, web- based cardiovascular risk reduction program for the workplace consisting of a self-guided tutorial for employees and a toolkit for managers. The effective development and test of this program could provide a mechanism for broad dissemination to workplaces and an ultimate decrease in cardiac-related morbidity and mortality.

描述（由申请人提供）：心脏病是所有医疗疾病中最普遍，最禁用的一种。据估计，每三个成年人中有一个患有某种形式的心血管疾病。疾病发展所涉及的通常与生活方式相关的行为，例如饮食，活动水平，体重和吸烟习惯。非常关注医疗管理和遵守强调降低或消除危险因素的计划。尽管公共卫生“呼吁采取行动”以进行更大的预防和干预工作，但与这些健康行为有关的健康统计数据表明，仍然需要有效的干预措施。在初级保健环境中存在许多障碍，以启动在这方面为患者提供帮助的尝试。研究表明，基于工作场所的干预措施表现出很大的希望，可以达到大部分成人并鼓励积极的健康行为。 Worksite提供了16岁及以上人口中65％以上的65％的访问权限，并且可以是实施策略来减少肥胖，不活动和其他不健康习惯的策略的绝佳环境。因此，工作场所开始实施各种干预措施来解决心血管疾病的问题，并正在探索降低心血管风险的创新和经济有效的手段。 [基于ISA在基于Workite Web的健康干预措施（包括先前开发和基于Web的干预措施）中的丰富经验，该项目将开发和测试基于创新的基于Web的程序 - 即基于科学的，媒体丰富，量身定制和高度交互式 - 旨在减少工作成人中心血管风险。该项目还将包括针对经理的工具包的开发，旨在促进支持基于网络的干预措施和相关工作现场改进的政策和实践。第一阶段将涉及原型的发展和可行性测试，以及在进入II期之前必须达到的特定里程碑。第二阶段将涉及工作场所心脏健康计划的全面发展，然后对基于Web的程序进行现场测试，包括随机控制试验，并带有一系列员工样本。 ISA与以前的健康干预措施一起测试的公司通用汽车接受公司（GMAC）热情地同意作为该项目的两个阶段的网站。]最终计划将通过ISA劳动力健康中心的集中努力来推销工作场所。心血管疾病是美国发病率和死亡率的主要来源，而每五次死亡之一归因于心脏事件，因此非常需要找到有效的预防工具。这个快速轨道项目的结果将是针对工作场所的全面，创新，基于网络的心血管风险降低计划的开发和测试，该计划由员工的自指导教程和管理人员的工具包组成。该计划的有效发展和测试可以为工作场所的广泛传播提供一种机制，并最终降低了与心脏有关的发病率和死亡率。