Wellness for Firefighters: Moving an Evidence-based Program Online

消防员的健康：将循证计划转移到网上

• 批准号: 8306425
• 负责人: Diane Louise Elliot
• 金额: $ 21.5万
• 依托单位: ODYSSEY SCIENCE INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8306425
• 关键词: Accountability; Address; Adopted; Body Weight; Cancer Control; Cardiovascular Diseases; Communities; Computers; Concept Review; Development; Diet; Drug Prevention Program; Educational Curriculum; Effectiveness; Employee; Evidence based program; Feedback; Fire - disasters; Funding; Goals; Health; Health Care Costs; Health Promotion; Heart Diseases; Heart Injuries; Heightened Cancer Risk; High Prevalence; High-Risk Cancer; Hour; Individual; Injury; Internet; Investments; Knowledge; Learning; Letters; Life Style; Manuals; Marketing; Mediating; Monitor; National Institute of Drug Abuse; Occupational; Occupations; Online Systems; Paper; Participant; Phase; Physical activity; Process; Recruitment Activity; Safety; Schedule; Science; Services; Small Business Technology Transfer Research; Social Network; Structure; Techniques; Technology; Time; Training; Wellness Program; Work; Workplace; base; behavior change; cancer risk; cardiovascular injury; cost; design; evidence base; experience; improved; innovation; instructor; meetings; member; preference; programs; prototype; shift work; simulation; social competition; usability; web site; working group

DESCRIPTION (provided by applicant): Firefighters' lifesaving work comes at a cost, with increased risk for cancer, heart disease and injuries. We aim to develop a highly interactive web-based/mobile application health promotion/injury reduction program for the fire service. Its content will be based on the PHLAME (Promoting Healthy Lifestyles) program, which is the only evidence-based wellness program for firefighters. We developed PHLAME, and its efficacy, durability and mediating components have been established with NCI-funding. Although PHLAME is effective and has a high return on investment, we have identified significant barriers to wide-scale implementation, including its workbook-based format and the time required for coworkers to meet for curriculum sessions. A workbook format also does not align with firefighters' learning preferences, as they are gamers and frequently use online training simulations. The proposed format will be a major advance and incorporate cutting edge web-based and mobile app behavior change technology in a platform that engages both individuals and their coworker groups. Mobile applications will extend the program beyond their 24-hour work shifts. The camaraderie and mutual support of the original PHLAME meetings was important for behavior change, and that aspect will be maintained and enhanced with online and mobile app strategic gaming, competitions and social connections. We are experience in online programs, having received NIDA-funding to begin to move our evidenced-based drug prevention programs online. Importantly, we are partnering with an established creative internet strategy and design firm, experienced in the activities needed to develop and construct the prototype. Ultimately, the proposed program would be adopted by a department and placed in fire stations, so that bonded coworkers (a shift at a fire station) participate individually and asa team through online activities and social networking. Six activities from PHLAME will be selected, adapted and enhanced in a fully functional prototype web-based platform, with synergistic mobile applications. We will assess usability with six work groups of firefighters, who will experience the prototype for two weeks. Usability, acceptance, enjoyment and perceived effectiveness will be assessed among firefighters familiar with the existing PHLAME program and with no prior PHLAME experience. We will establish proof-of-concept by reviewing the prototype and usability findings with a spectrum of fire service wellness experts and decision makers, who can address the full program's purchase and deployment in departments. We have a decade of collaborative work with the fire service and strong support from their national organizations. An extensive market awaits an easy to implement, innovative web-based and mobile enhanced derivative of the only worksite wellness and safety program proven to improve wellness and reduce health care costs of firefighters. The format will be specific to the fire service, but the platform, once developed will advance occupational wellness and could be extended to other worker domains. PUBLIC HEALTH RELEVANCE: Due to their hazardous work, firefighters are at high risk for cancer, heart disease and injuries. However, the only worksite wellness program proven-effective for firefighters is workbook-based, and it does not match how firefighters best learn or fit well in busy fire departments. We will develop a prototype wellness program, adapted from the existing format and enhanced to make it web and mobile app based, using games, simulations and competitions that can engage firefighters individually and as teams of coworkers; this is the first phase in making an innovative program to protect the health of those who protect us and our communities.

描述（由申请人提供）：消防员的救生工作是有代价的，患癌症、心脏病和受伤的风险增加。我们的目标是开发一个高度互动的基于网络/移动的应用程序的健康促进/减少伤害的消防服务计划。其内容将基于PHLAME（促进健康生活方式）计划，这是消防员唯一基于证据的健康计划。我们开发了PHLAME，其功效，耐用性和调解组件已建立与NCI资金。虽然PHLAME是有效的，有很高的投资回报率，我们已经确定了大规模实施的重大障碍，包括其基于工作簿的格式和所需的时间为同事满足课程会议。工作簿格式也不符合消防员的学习偏好，因为他们是游戏玩家，经常使用在线培训模拟。拟议的格式将是一个重大的进步，并将尖端的基于网络和移动的应用程序的行为改变技术纳入一个平台，使个人和他们的同事群体都参与其中。移动的应用程序将扩展到他们的24小时轮班以外的程序。最初PHLAME会议的同志情谊和相互支持对于行为改变很重要，这方面将通过在线和移动的应用程序战略游戏、比赛和社交联系来保持和加强。我们在在线项目方面有经验，已经收到了NIDA的资金，开始将我们基于证据的药物预防项目转移到网上。重要的是，我们正在与一家成熟的创意互联网战略和设计公司合作，该公司在开发和构建原型所需的活动方面经验丰富。最终，拟议中的计划将被一个部门采纳，并被放置在消防站，这样，有联系的同事（消防站的轮班）就可以通过在线活动和社交网络单独或阿萨团队参与。将在一个功能齐全的网络平台原型中选择、调整和加强PHLAME的六项活动，并使用协同的移动的应用程序。我们将与六个消防员工作组一起评估可用性， 将体验原型两周可用性，接受，享受和感知的有效性将评估消防员熟悉现有的PHLAME计划，并没有以前的PHLAME经验。我们将通过与一系列消防服务健康专家和决策者一起审查原型和可用性结果来建立概念验证，这些专家和决策者可以解决整个计划在部门中的购买和部署问题。我们与消防部门有十年的合作，并得到他们国家组织的大力支持。一个广泛的市场等待一个易于实施，创新的基于网络和移动的增强衍生物的唯一工地健康和安全计划证明，以改善健康和降低医疗保健成本的消防队员。该格式将针对消防服务，但该平台一旦开发将促进职业健康，并可扩展到其他工人领域。 公共卫生相关性：由于他们的危险工作，消防员患癌症，心脏病和受伤的风险很高。然而，唯一被证明对消防员有效的工作场所健康计划是基于工作簿的，它不符合消防员在忙碌部门最好的学习或适应方式。我们将开发一个原型健康计划，从现有的格式进行调整，并增强，使其基于网络和移动的应用程序，使用游戏，模拟和比赛，可以让消防员个人和同事团队参与;这是制定创新计划的第一阶段，以保护那些保护我们和我们社区的人的健康。