Healthy Leadership for Cardiovascular Risk Reduction

降低心血管风险的健康领导力

• 批准号: 7484919
• 负责人: Joel B Bennett
• 金额: $ 40.84万
• 依托单位: ORGANIZATIONAL WELLNESS & LEARNING SYS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-02-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7484919
• 关键词: Address; Area; Attitude; Behavior; Behavioral; Biometry; Books; Buffers; Businesses; Cardiovascular Diseases; Condition; Costs and Benefits; Data; Decision Making; Development; Diet and Nutrition; Effectiveness; Effectiveness of Interventions; Electronics; Emotional; Employee; Employee Health; Evaluation; Exercise; Expert Opinion; Feedback; Fostering; Goals; Health; Health Benefit; Health Promotion; Health behavior; Healthy People 2010; Heart; Hostility; Industry; Internet; Intervention; Interview; Knowledge; Leadership; Learning; Life Style; Link; Measures; Mediation; Medical; Modeling; Moods; Motivation; Occupations; Online Systems; Outcome; Outcome Measure; Participant; Phase; Prevention; Principal Investigator; Productivity; Program Development; Programmed Learning; Psyche structure; Randomized; Rate; Research; Research Design; Risk; Risk Factors; Risk Reduction; Savings; Self Assessment; Series; Site; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Social isolation; Social support; Stress; Supervision; Surveys; Testing; Training; Work; Workplace; base; behavioral health; cardiovascular disorder risk; cardiovascular risk factor; commercial application; concept; cooking; cost; design; follow-up; improved; innovation; instrument; interest; prevent; productivity loss; programs; prototype; role model; skills; social; tool

DESCRIPTION (provided by applicant): The long-term objective of the project is to develop an electronically-based (Internet) management tool that facilitates delivery of health promotion programs to workplaces and reduces manager and employee risks for cardiovascular disease. Workplace managers and executives can present significant medical savings to an organization through three positive paths of influence: (1) they can provide supportive supervision and positive leadership, a known health protective factor in the work environment; (2) they can model heart healthy life-styles to associates (role modeling); and (3) managers and executives make decisions about whether employees will receive health promotion programs. The Internet program will be designed to enhance positive changes within each of these paths of influence. To appeal to executives, the program integrates and aligns health messages within a business-relevant leadership development program. Program content will draw on the empirical relationship between healthy life-style and known behavioral risks in leaders (stress, social isolation, power motivation). Interactive exercises will feature expert opinions and integrate leadership tips with tools for recognizing/addressing psycho-social risks for cardiovascular disease (CVD). As part of the integration of leadership with health promotion, the program includes a series of e-health modules on stress, diet, nutrition, and active lifestyle that can be used by managers and that managers can provide to workers. A prototype web-site was developed and pilot-tested in Phase I. Executives and managers were interviewed, and provided Internet access along with evaluation instruments to assess potential usefulness of the program. Favorable ratings and extensive evaluation data provide the basis for Phase 2 development of a program designed to train leaders to self-assess risks, select health programs, and utilize strategies to disseminate similar programs for workers. The Phase II research trial entails randomly assigning 150 senior managers within five different organizations (representing different industries) to receive the program or a no-training control condition. Pre-test and follow-up measures will assess outcomes of changes in CVD biometrics (e.g., BMI), health behavior, leadership style (interpersonal effectiveness) and stress. A primary outcome is manager interest and utilization of the e-health modules for themselves and workers. The research design will include a pretest posttest survey of 200 employees of some managers who receive the intervention. Outcome measures for employees will assess the indirect impact of the intervention on employee health, stress, and CVD risk. Accordingly, the study will assess both the direct effect of the intervention on managers (improvements in supportive leadership and health) as well as the indirect effect on workers.

描述（由申请人提供）：该项目的长期目标是开发一种基于电子（互联网）的管理工具，便于向工作场所提供健康促进计划，并降低经理和员工患心血管疾病的风险。工作场所的经理和行政人员可以通过三种积极的影响途径为组织节省大量的医疗费用：（1）他们可以提供支持性监督和积极的领导，这是工作环境中已知的健康保护因素;（2）他们可以为同事树立心脏健康的生活方式（角色示范）;（3）经理和行政人员决定员工是否接受健康促进计划。互联网计划将旨在加强这些影响力路径中的每一个的积极变化。为了吸引高管，该计划将健康信息整合并与业务相关的领导力发展计划保持一致。课程内容将借鉴健康的生活方式和领导者已知的行为风险（压力，社会孤立，权力动机）之间的经验关系。互动练习将以专家意见为特色，并将领导技巧与识别/解决心血管疾病（CVD）心理社会风险的工具相结合。作为领导力与健康促进相结合的一部分，该方案包括一系列关于压力、饮食、营养和积极生活方式的电子健康模块，管理人员可以使用这些模块，管理人员也可以向工人提供这些模块。在第一阶段开发了一个原型网站并进行了试点测试。行政人员和管理人员进行了采访，并提供互联网接入沿着评估工具，以评估该计划的潜在效用。有利的评级和广泛的评估数据为第二阶段的计划开发提供了基础，该计划旨在培训领导者自我评估风险，选择健康计划，并利用战略为工人传播类似的计划。第二阶段的研究试验需要随机分配150名高级管理人员在五个不同的组织（代表不同的行业）接受该计划或无培训的控制条件。预测试和随访措施将评估CVD生物统计学变化的结果（例如，BMI）、健康行为、领导风格（人际效能）和压力。一个主要成果是管理人员的兴趣和利用电子保健模块为自己和工人。研究设计将包括一个前测后测调查的200名员工的一些管理人员谁收到的干预。对员工的结果测量将评估干预对员工健康、压力和心血管疾病风险的间接影响。因此，该研究将评估干预措施对管理人员的直接影响（支持性领导和健康的改善）以及对工人的间接影响。