Web-Based Health Promotion for Older Workers

基于网络的老年工人健康促进

• 批准号: 8259127
• 负责人: ROYER F COOK
• 金额: $ 39.8万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-15 至 2013-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8259127
• 关键词: Address; Adoption; Age; Age of Onset; Aging; Alcohol consumption; American; Area; Attitude; Attitude to Health; Baby Booms; Chronic; Chronic Disease; Computers; Contracts; Coupled; Development; Diet; Dietary Practices; Disease; Effectiveness; Elderly; Elements; Employee; Feedback; Focus Groups; Fortune; Fostering; Generations; Goals; Health; Health Care Costs; Health Promotion; Health Risk Appraisals; Health Services; Health behavior; Industry; Information Management; Information Storage; Internet; Intervention; Investments; Knowledge; Mainstreaming; Manufacturer Name; Marketing; Measures; Mental Health; Methods; Moods; Motivation; Multimedia; Names; Online Systems; Outcome; Participant; Phase; Physical activity; Policies; Population; Prevalence; Prevention; Prevention strategy; Procedures; Productivity; Randomized; Randomized Controlled Trials; Research; Risk; Risk Reduction; Sampling; Science; Screening procedure; Site; Smoking; Stress; Structure; Technology; Testing; Tobacco use; Treatment Efficacy; Weight maintenance regimen; Work; Working Women; Workplace; age group; aged; base; behavioral health; cost; cost effective; design; disability; disabling disease; disorder prevention; disorder risk; experience; health care service organization; high risk; improved; innovation; meetings; nutrition; programs; prototype; public health relevance; randomized trial; research study; software systems; stress management; theories; treatment as usual; working men

DESCRIPTION (provided by applicant): Workers aged 50 and older are at particular risk for a variety of diseases and disabling conditions that can erode their health and productivity and increase the costs of health care. Research has shown that worksite-based health risk appraisals and tailored, theory-based health promotion programs can provide cost- effective means to improve the health and productivity of the workforce. However, these promising interventions have not been specifically developed for, or applied to, older workers, despite the potentially greater need for disease prevention in this age group, and the likelihood that the return on investment could be higher for this age group than for younger workers. In recent years, Internet-based health improvement programs have been developed and tested in the workplace, and the evidence from several studies, including studies conducted by our organization (ISA) in multiple workplaces, has indicated that web-based health promotion programs can be efficacious interventions for improving the health of the workforce. Building on ISA's extensive experience in worksite health interventions (including previously developed and tested web-based interventions), the proposed project will develop and test an innovative web-based program - science-based, media-rich, tailored, and highly interactive - designed to reduce the health risks of older workers. 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 web- based program for older workers, followed by a field test of the program, including a randomized controlled trial with a sample of employees. The EMC Corporation, a Fortune 500 company with 26,000 employees, 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. PUBLIC HEALTH RELEVANCE: Workers aged 50 and older are at particular risk for a variety of diseases and disabling conditions that can erode their health and productivity and increase the costs of health care. A variety of health promotion interventions have been shown to be effective for the mainstream workforce, and offer promise for improving the health of older workers as well. The outcome of this Fast Track project will be the development and test of an innovative, web-based health promotion program for older workers consisting of a comprehensive, tailored program for employees and a toolkit for managers. The effective development and test of this program could provide a mechanism for broad dissemination of efficacious and cost-effective health promotion interventions to workplaces and an ultimate decrease in the prevalence of disease and disability in older Americans.

描述(由申请人提供)：50岁及以上的工人特别有可能患上各种疾病和致残条件，这些疾病会侵蚀他们的健康和生产力，并增加医疗保健的成本。研究表明，基于工作场所的健康风险评估和量身定做的、基于理论的健康促进计划可以提供具有成本效益的手段，以改善劳动力的健康和生产力。然而，这些有希望的干预措施并不是专门为老年工人制定的，也不适用于老年工人，尽管这个年龄段对疾病预防的潜在需求更大，而且这个年龄段的投资回报可能比年轻工人更高。近年来，基于互联网的健康促进计划已经在工作场所开发和测试，多项研究的证据表明，基于网络的健康促进计划可以有效地改善劳动力的健康状况，其中包括我们组织(ISA)在多个工作场所进行的研究。基于ISA在工作场所健康干预方面的丰富经验(包括之前开发和测试的基于网络的干预措施)，拟议的项目将开发和测试一个创新的基于网络的计划-基于科学的、媒体丰富的、量身定制的和高度互动的-旨在降低老年工人的健康风险。该项目还将包括为管理人员开发一个工具包，旨在促进采用支持网上干预和相关工作场所改进的政策和做法。第一阶段将包括原型的开发和可行性测试，以及在进入第二阶段之前必须达到的具体里程碑。第二阶段将包括为老年员工全面开发基于网络的计划，然后对该计划进行现场测试，包括对员工样本进行的随机对照试验。EMC公司是一家财富500强公司，拥有26,000名员工，它已热情地同意作为该项目两个阶段的现场。最终的计划将通过ISA的劳动力健康中心的集中努力向工作场所营销。 与公共卫生相关：50岁及以上的工人特别容易患上各种疾病和致残条件，这些疾病会侵蚀他们的健康和生产力，并增加医疗保健费用。各种健康促进干预措施已被证明对主流劳动力有效，并为改善老年工人的健康提供了希望。这个快速通道项目的结果将是为老年员工开发和测试一个创新的、基于网络的健康促进计划，该计划包括一个为员工量身定做的全面计划和一个为管理人员提供的工具包。这一计划的有效开发和测试可以提供一种机制，以便向工作场所广泛传播有效和具有成本效益的健康促进干预措施，并最终降低美国老年人的疾病和残疾患病率。