Workplace Wellness for the Web: Nutrition

网络工作场所健康：营养

• 批准号: 7491440
• 负责人: JONAS I BROMBERG
• 金额: $ 30.7万
• 依托单位: INFLEXXION, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7491440
• 关键词: Absenteeism; Accounting; Address; Adult; American; Architecture; Arts; Behavior; Benefits and Risks; Blood Pressure; Body mass index; CD-ROM; Cardiovascular Diseases; Caring; Cause of Death; Cessation of life; Cholesterol; Chronic Disease; Collaborations; Condition; Cost Control; Daily; Development; Diabetes Mellitus; Diet Habits; Distant; Eating; Employee; Employee Health; Environment; Epidemic; Exercise; Fatty acid glycerol esters; Feedback; Future; Health; Health Care Costs; Health Promotion; Healthcare Systems; Healthy People 2010; High Blood Pressure; Incidence; Individual; Injury; Insurance; Intake; Internet; Intervention; Knowledge; Letters; Life Style; Lung diseases; Malignant Neoplasms; Marketing; Morale; Motivation; Names; Numbers; Obesity; Online Systems; Participant; Phase; Phase II Clinical Trials; Physical activity; Population; Productivity; Randomized Controlled Clinical Trials; Rate; Reporting; Resources; Risk Behaviors; Risk Factors; Risk Management; Risk Reduction; Role; Solutions; Technology; Testing; Time; Wellness Program; Work; Workplace; World Health Organization; base; behavioral health; burden of illness; cancer type; commercialization; cost; digital; disability; experience; fruits and vegetables; improved; innovation; nutrition; programs; sedentary; social; theories; usability; voice recognition

DESCRIPTION (provided by applicant): WorkingOnHealth.com/Nutrition (WOH-N) will be a Web-based health risk reduction program focused on nutrition, dietary management, and the role of physical activity in supporting health risk reduction. The negative health and social consequences of poor eating habits and sedentary lifestyles are well documented in the adult population, particularly in relation to certain types of cancer, cardiovascular disease, and diabetes. Healthy People 2010 sets worksite-specific objectives for increasing employers' offerings of health promotion activities, and employee participation by 75%. The workplace is an outstanding venue for delivering health risk reduction programs to large populations, quickly and efficiently. With the cost of healthcare rising at an alarming rate, companies are looking for solutions to help lower costs and workplace programs are becoming a central part of an overall corporate strategy. Employers who support employees' to reduce health risks, benefit in terms of reduced absenteeism, reduced insurance costs, fewer incidences of disabling injuries and illnesses, increased productivity and improved morale. The use of a theory driven Web-based resource is a promising way to address the growing problem of poor nutrition among adults, especially when offered in the workplace where healthy lifestyle changes can be promoted and reinforced. Such innovative resources improve availability of information, preserve anonymity, and make it easy for individuals to acquire knowledge and initiate health promoting changes about their nutrition and dietary habits. The development and testing of confidential, online resources available to employers is timely given the obesity epidemic and rising costs of health care. The financial reality is that if obesity-related costs continue to rise at the current unsustainable rates, they will severely strain the US health care system in the not-too-distant future. WOH-N will provide a tailored, interactive, program that will provide validated nutrition information and tailored feedback about personal risk factors in a media rich, interactive environment. WOH-N will combine state-of-the-art knowledge about tailoring health promotion strategies with advances in interactive technology. It will be customizable for specific purchasers and deal with the barriers to health enhancing behavior that are endemic to workplace settings. Phase I results strongly suggest that such a program is not only feasible, but potentially highly effective for employees and cost-effective for employers. By combining: (1) scientifically derived and validated content which is tailored to the individual user; (2) recognition and integration of the workplace context as part of the intervention strategy; and (3) use of state-of-the-art digital media formats and IVR technology to provide a rich, engaging, and flexible users experience, WOH-N will be a unique and cost-effective offering in the field of employee health risk management. A Phase II field trial is planned with a large employer group to test the hypothesis that participants exposed to WOH-N will demonstrate 1) significantly healthier eating and exercise behaviors, 2) lower BMI and blood pressure, and 3)significantly improved nutrition knowledge. Chronic diseases are now the major cause of death and disability worldwide. Conditions such as cardiovascular diseases, diabetes, obesity, cancer and respiratory diseases, now account for 59% of the 57 million deaths annually and 46% of the global burden of disease, and are expected to rise to 73% and 60%, respectively, by 2020 (WHO, 2002). A few, largely preventable, risk factors, such as high cholesterol, high blood pressure, and obesity account for the majority of the chronic disease burden. Changes in dietary habits and physical activity can have a major impact in reducing the rates of these chronic diseases (WHO, 2004).

描述（由申请人提供）：WorkingOnHealth.com/Nutrition (WOH-N) 将是一个基于网络的健康风险降低计划，重点关注营养、饮食管理以及身体活动在支持降低健康风险中的作用。不良饮食习惯和久坐的生活方式对成年人的健康和社会造成的负面影响已得到充分记录，特别是与某些类型的癌症、心血管疾病和糖尿病有关。 Healthy People 2010 制定了针对工作场所的特定目标，以增加雇主提供的健康促进活动并将员工参与率提高 75%。工作场所是快速有效地向大量人群提供降低健康风险计划的绝佳场所。随着医疗保健成本以惊人的速度上涨，公司正在寻找有助于降低成本的解决方案，而工作场所计划正在成为整体公司战略的核心部分。支持员工降低健康风险的雇主将受益于减少缺勤、降低保险费用、减少致残伤害和疾病的发生率、提高生产力和提高士气。使用理论驱动的网络资源是解决成年人日益严重的营养不良问题的一种很有前途的方法，特别是在可以促进和加强健康生活方式改变的工作场所提供这种资源时。此类创新资源提高了信息的可用性，保持匿名性，并使个人能够轻松获取知识并发起有关营养和饮食习惯的健康促进改变。鉴于肥胖流行和医疗保健成本不断上升，开发和测试可供雇主使用的机密在线资源是及时的。财务现实是，如果与肥胖相关的成本继续以目前不可持续的速度上升，将在不久的将来给美国医疗保健系统带来严重压力。 WOH-N 将提供量身定制的交互式计划，该计划将在媒体丰富的交互式环境中提供经过验证的营养信息和有关个人风险因素的定制反馈。 WOH-N 将把定制健康促进策略的最先进知识与互动技术的进步相结合。它将针对特定购买者进行定制，并解决工作场所环境中普遍存在的促进健康行为的障碍。第一阶段的结果强烈表明，这样的计划不仅可行，而且对雇员来说可能非常有效，对雇主来说也具有成本效益。通过结合：(1) 经科学推导和验证的内容，为个人用户量身定制； (2) 认识并整合工作场所环境作为干预策略的一部分； (3) 利用最先进的数字媒体格式和 IVR 技术来提供丰富、有吸引力且灵活的用户体验，WOH-N 将成为员工健康风险管理领域独特且具有成本效益的产品。计划与一个大型雇主团体进行第二阶段现场试验，以测试以下假设：接触 WOH-N 的参与者将表现出 1) 显着更健康的饮食和运动行为，2) 较低的 BMI 和血压，以及 3) 显着提高的营养知识。慢性病现在是全世界死亡和残疾的主要原因。心血管疾病、糖尿病、肥胖、癌症和呼吸系统疾病等疾病目前占每年 5700 万人死亡的 59%，占全球疾病负担的 46%，预计到 2020 年将分别上升到 73% 和 60%（世界卫生组织，2002 年）。一些基本上可以预防的危险因素，如高胆固醇、高血压和肥胖，构成了慢性疾病负担的大部分。饮食习惯和身体活动的改变可以对降低这些慢性病的发病率产生重大影响（世界卫生组织，2004）。