Enhancing Long-Term 5-a-Day Behavior Change in Worksites

加强工作场所每天 5 次的长期行为改变

• 批准号: 7455299
• 负责人: SHIRLEY AA BERESFORD
• 金额: $ 56.95万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-28 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7455299
• 关键词: Adopted; Affect; Arts; Behavior; Behavioral; Biological Markers; Communities; Consumption; Daily; Dietary Intervention; Effectiveness; Effectiveness of Interventions; Employee; Environmental Risk Factor; Food; Genetic Polymorphism; Goals; Health; Individual; Intake; Intervention; Intervention Studies; Maintenance; National Cancer Institute; Numbers; Outcome Measure; Population; Procedures; Process; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Research; Research Support; Sampling; Self Assessment; Social Environment; Social support; System; Taste Perception; Time; Training; Update; Work; Workplace; base; behavior change; biopsychosocial; comparison group; day; design; effectiveness trial; follow-up; fruits and vegetables; intervention program; member; preference; programs; receptor; size; skills; theories; therapy design

DESCRIPTION (provided by applicant): The long-term goal of this research is to enhance the long- term maintenance of dietary behavior change, specifically the maintenance of increased fruit and vegetable consumption in the working population. This study is a randomized trial to evaluate the effectiveness of a new intervention, based on updated behavioral theories, to continue and maintain the behavior of increased fruit and vegetable (F&V) consumption, and to investigate the individual and worksite processes associated with sustaining and supporting that behavior. The intervention is designed to help the worksites adopt the 5 a Day activities as part of their overall operating procedures, in order to reinforce the maintenance of increased F&V consumption. It features state--of-the-art behavioral strategies at the worksite social environment, organizational and individual levels, to augment the long-term change in fruit and vegetable consumption and to build the capacity of the worksite to sustain 5 a Day activities. Members of the Employee Advisory Board (EAB) will be trained to be the main vehicle for the intervention. The project will help identify factors influencing the initiation and maintenance of behavior change at multiple levels. This project is important because only a limited number of community-based intervention studies have assessed the maintenance of behaviors more than two years after the research supported intervention has ended, and even fewer have actually intervened to sustain the program activities using a theoretical framework. The randomized controlled trial involves 20 current intervention worksites that will be randomized to maintenance intervention or control, and 20 current comparison worksites that will receive the intervention and then also be randomized to maintenance or control. The worksite is the experimental unit, and the primary outcome measure is change at the worksite level in servings of fruits and vegetables, assessed using independent cross-sectional samples of employees at two time points: the new baseline and 24-month follow-up. Biological markers of fruit and vegetable intake will also be assessed in a sub-sample of employees. Fruit and vegetables are important for good health, but the mean intake in the U.S. remains less than the five servings daily recommended by the National Cancer Institute. Worksites are good channels of dietary change and can be considered small communities where social environments can be changed to promote health. Indeed, both the original Seattle 5 a Day worksite program and preliminary results from the current Seattle 5 a Day worksite program successfully increased average daily consumption by employees of fruit and vegetables by about one third of a serving size.

描述（由申请人提供）：本研究的长期目标是加强饮食行为改变的长期维持，特别是维持工作人群中水果和蔬菜消费的增加。这项研究是一项随机试验，以评估一种新的干预措施的有效性，基于最新的行为理论，继续和维持增加水果和蔬菜（F&V）消费的行为，并调查与维持和支持该行为相关的个人和工作场所过程。该干预措施旨在帮助工作场所将每日5次活动作为其总体操作程序的一部分，以加强对增加的F&V消耗的维护。它的特点是在工作场所的社会环境，组织和个人层面的最先进的行为战略，以扩大水果和蔬菜消费的长期变化，并建立工作场所的能力，以维持每天5个活动。员工咨询委员会（EAB）的成员将接受培训，成为干预的主要工具。该项目将帮助确定影响多层次行为改变的启动和维持的因素。这个项目很重要，因为只有有限数量的社区干预研究在研究支持的干预结束后两年多的时间里评估了行为的维持情况，而实际上使用理论框架进行干预以维持项目活动的研究就更少了。随机对照试验涉及20个当前干预工作场所，将随机分配至维持干预或对照组，以及20个当前比较工作场所，将接受干预，然后也随机分配至维持或对照组。工作场所是实验单位，主要结果指标是工作场所水果和蔬菜供应量的变化，在两个时间点使用独立的员工横截面样本进行评估：新的基线和24个月的随访。水果和蔬菜摄入量的生物标志物也将在雇员的子样本中进行评估。水果和蔬菜对健康很重要，但美国的平均摄入量仍然低于国家癌症研究所推荐的每日五份。工作场所是改变饮食的良好渠道，可以被认为是可以改变社会环境以促进健康的小社区。事实上，无论是最初的西雅图5一天工作地点计划，还是目前的西雅图5一天工作地点计划的初步结果，都成功地将员工的水果和蔬菜的平均每日消费量增加了约三分之一。