Assessing Be Fit, a worksite program promoting healthy weight and exercise

不良饮食和缺乏体力活动每年导致40万人死亡，并可能很快取代烟草成为 在美国是主要的死亡原因。需要有效的干预措施来改变饮食和 锻炼并随着时间的推移保持这些行为。工作现场是干预措施的理想环境 促进营养和体力活动，因为个人和环境都可以成为目标。Dr。 Thorndike的职业目标是成为行为干预领域的独立临床调查员 改变生活方式，预防肥胖和慢性病。以她以前的烟草经验为基础 控制研究，她的建议勾勒出了一个计划，将她的职业重点转移到培养行为 调整饮食和运动的干预措施。在密集的健康行为干预课程的帮助下， 运动生理学和成本效益分析，桑代克博士建议评估马萨诸塞州 综合医院的员工健康计划(Be Fit)并进行一项创新的随机试验 基于互联网的维修计划。她使用RE-AIM模型来评估健康促进 评估干预措施覆盖范围、有效性、采用率和维持性的计划。结果是 这项研究将有助于为未来干预措施的设计提供信息。研究的具体目的是： 具体目标1：确定12周强化员工健康计划(BE FIT)的有效性。 具体目标2：完成一项随机对照试验，以评估9个月的基于互联网的自我 在密集的BE FIT计划之后监测维护计划增加了 参与者将保持在12周计划期间获得的行为和健康益处。 具体目标3：评估Be Fit健康计划的覆盖范围和采用情况。 具体目标4：从社会角度对以互联网为基础的 维护计划。 这项职业发展奖将使桑代克博士获得更多的研究技能和经验。 在国家认可的研究人员的指导下，在支持性的学术环境中，并将 让她实现她的目标，成为一名独立的、以患者为中心的生活方式研究者 旨在预防肥胖和慢性病的改良式干预措施。 相关性(请参阅说明)： 基于候选人以前在烟草控制研究方面的经验，该奖项将允许 成为关注生活方式的以患者为中心的研究的独立研究员的候选人 修改以预防肥胖和慢性病。该研究项目致力于预防肥胖，网址为 个人和环境水平的干预，以启动和保持饮食的变化 在一个大的城市工地上，为fimnnnvfiis修复fifir.isfi。

Poor diet and physical inactivity account for 400,000 deaths a year and may soon overtake tobacco as the leading cause of mortality in the United States. Effective interventions are needed to modify diet and exercise and to maintain these behaviors over time. The worksite is an ideal setting for interventions to promote nutrition and physical activity because both the individual and the environment can be targeted. Dr. Thorndike's career goal is to become an independent clinical investigator in behavioral interventions for lifestyle modification to prevent obesity and chronic disease. Building on her previous experience in tobacco control research, her proposal outlines a plan for transitioning her career focus to developing behavioral interventions to modify diet and exercise. Aided by intensive coursework in health behavior interventions, exercise physiology, and cost-effectiveness analysis, Dr. Thorndike proposes to assess the Massachusetts General Hospital's employee wellness program (Be Fit) and to conduct a randomized trial of an innovative Internet-based maintenance program. She uses the RE-AIM model for evaluating health promotion programs to assess the reach, effectiveness, adoption, and maintenance of the interventions. The results of this research will help inform the design of future interventions. The Specific Aims of the research are: Specific Aim 1: To determine the effectiveness of a 12 week intensive employee wellness program (Be Fit). Specific Aim 2: To complete a randomized controlled trial to assess whether a 9-month Internet-based self- monitoring maintenance program following the intensive Be Fit program increases the likelihood that participants will maintain the behavioral and health benefits achieved during the 12 week program. Specific Aim 3: To assess the reach and adoption of the Be Fit wellness program. Specific Aim 4: To perform a societal-perspective cost-effectiveness analysis of the Internet-based maintenance program. This career development award will allow Dr. Thorndike to acquire additional research skills and experience under the mentorship of nationally recognized researchers in a supportive academic environment and will allow her to achieve her goal of becoming an independent patient-oriented researcher in lifestyle modification interventions to prevent obesity and chronic disease. RELEVANCE (See instructions): Building on the candidate's previous experience in tobacco control research, the award will allow the candidate to become an independent investigator in patient-oriented research focused on lifestyle modification to prevent obesity and chronic disease. The research project addresses obesity prevention at both the individual and the environmental level with an intervention to initiate and maintain changes in diet and fixfirr.isfi for fimnlnvfifis at a large urban worksite..