Helping Worksites Support Healthy Eating & Physical Activity Among Native Hawaiia

描述(申请人提供)：夏威夷原住民是夏威夷主要族群中肥胖率最高的。肥胖症本身就是各种慢性病和状况的风险因素，包括癌症。营养不良和缺乏运动是肥胖的主要原因。过去的研究表明，工作场所健康计划在整体上以及在团体教育中的价值，以及对夏威夷原住民健康实践的支持。雇用大量夏威夷原住民的工作场所能否制定并成功实施政策和计划，增加健康饮食和体育活动，减少肥胖？ 此次试点是回答这一问题的第一步。这项研究的具体目的是：1)使用工作场所健康促进环境检查表(CHEW)评估工作场所环境；2)评估当前用于建立和维护健康工作场所环境和政策的资源、政策和管理支持(使用MPS)；以及3)从雇主和员工那里收集关于健康促进计划的可取组成部分和可接受的机制的数据，以衡量变化。 六个组织(有27个主要办事处和附属办事处)已同意参加试点研究。咀嚼将在27个地点进行，27个地点的33名经理将使用MPS进行面试。将在5个岛屿上进行10个重点小组，以征求对方案、政策和研究措施的偏好(提问由Sallis等人开发的环境和政策干预研究框架指导)。这6家机构雇用了大约1000人(其中约50%是夏威夷原住民)。所有员工将被要求完成一项基于SALIS和焦点小组数据的在线调查，数据收集将继续进行，直到我们从每个机构获得50%的回复。调查人员将描述调查结果表明可能奏效的工地干预计划和研究措施。将征求参与者对该计划和措施的反馈意见，这些意见将被纳入一项研究提案，以测试推荐的工地干预计划的有效性。

DESCRIPTION (provided by applicant): Native Hawaiians have the highest prevalence of obesity among the major ethnic groups in Hawai'i. Obesity in itself is a risk factor for a variety of chronic diseases and conditions, including cancer. Poor nutrition and physical inactivity are the major contributors to obesity. Past research suggests value of worksite wellness programs in general and in group education and support for healthy practices among Native Hawaiians. Can worksites that employ large proportions of Native Hawaiians develop and successfully implement policies and programs that will increase healthy eating and physical activity and reduce obesity? This pilot is a first step in answering this question. The Specific Aims of the study are to: 1) Assess worksite environments using the Checklist of Health Promotion Environments at Worksites (CHEW); 2) Evaluate current resources, policies, and management support for establishing and maintaining healthy worksite environments and policies (using the MPS); and 3) Gather data from employers and staff on desirable components for a health promotion programs and on acceptable mechanisms to measure changes. Six organizations (with 27 main and satellite offices) have agreed to participate in the pilot study. The CHEW will be administered at each of 27 sites, and 33 managers of 27 sites will be interviewed using the MPS. Ten focus groups will be conducted across 5 islands to solicit preferences for programs, policies, and research measures (with questioning guided by a framework for research on environmental and policy interventions developed by Sallis et al.). The 6 agencies employ about 1,000 individuals (about 50% of whom are Native Hawaiian). All employees will be asked to complete an online survey based on Sallis and focus group data, with data collection continuing until we have 50% response from each agency. Investigators will describe the worksite intervention program and research measures that the findings indicate may work. Feedback on both the program and the measures will be solicited from the participants, and these comments will be incorporated into a research proposal to test the effectiveness of the recommended worksite intervention program.