Cost Effective Health Promotion Intervention for Older Workers

应聘者描述(申请人提供)：我国劳动力老龄化，年龄在55岁至之间的人口增长率最高，预计从2002年到2012年，劳动力参与率将增加51%。鉴于老年员工会产生更高的医疗成本，企业部门有强烈的动机制定成功的降低风险干预措施，既有可能降低老年员工的医疗成本，也有可能提高他们的生产率(美国政府问责局，2001)。这一阶段的SBIR应用将确定一种独特的风险降低干预措施的可行性、可接受性和短期有效性，该干预措施整合了健康、员工帮助和工作生活战略，以最好地满足55岁至年龄段老年员工的全方位健康和社会需求。具体的研究目标是：1)修改健康风险评估和针对55-年龄较大的工人的量身定做的反馈；2)在两个工作地点通过随机对照试验实施综合风险降低干预；3)使用RE-AIM概念模型对计划进行评估；以及4)根据第一阶段评估结果制定并提交第二阶段申请。环境与健康集团正在与世界上最大的工作-生活员工福利提供商Workplace Options(WPO)和应用软件提供商ConvergenceHealth合作，ConvergenceHealth目前为1100万健康计划订户提供HRA。环境与健康和世界卫生组织将与ConvergenceHealth合作，修改世界卫生组织目前的Advantage Web HRA及其个性化报告软件和自我管理软件，专门针对55岁至的个人。综合风险降低干预措施将在两个工作地点实施，工作场所选项提供健康指导、员工协助和工作-生活服务。计划评估将侧重于计划的覆盖面(包括参与者的代表性和参与者对计划的接受度)；实施忠诚度；计划在降低行为风险方面的短期有效性；以及维护，特别是参与者是否在两个月的干预期内保留在计划中。为比较治疗组和对照组的行为变化而获得的数据将用于预测第二阶段应用的样本量。将获得干预交付成本的初步预测，以便对第二阶段应用程序进行强有力的成本效益分析。第一阶段研究和随后的第二阶段应用所产生的产品将是一种创新的新产品，有可能向美国和海外的数千家公司销售。公共卫生相关性：该项目的目的是为55岁以上的老年工人开发一个基于工作场所的成本效益高的健康促进/降低风险计划-。

DESCRIPTION (provided by applicant): The nation's workforce is aging, and the highest growth rate will be among persons aged 55 to 64 years old, with a projected 51% increase in labor force participation from 2002 to 2012. Given that older workers incur higher health care costs, the corporate sector has a strong incentive to develop successful risk reduction interventions that have the potential to both reduce older workers health care costs as well as enhance their productivity (USGAO, 2001). This Phase 1 SBIR application will establish the feasibility, acceptability, and short term effectiveness of a unique risk reduction intervention that integrates strategies for wellness, employee assistance, and work life, in order to best address the full spectrum of health and social needs of older workers, aged 55 to 64 years old. Specific study aims are to: 1) Modify Health Risk Appraisal (HRA) and tailored feedback for older workers aged 55-64 years old; 2) Implement the integrated risk reduction intervention in a randomized controlled trial at two worksites; 3) Evaluate the program using the RE-AIM conceptual model; and, 4) Develop and submit Phase II application, based on the Phase I evaluation results. Environment and Health Group is collaborating with Workplace Options (WPO), the world's largest provider of work-life employee benefits and ConvergenceHealth, an application software provider that currently delivers HRAs to 11 million health plan subscribers. Environment and Health and WPO will work with ConvergenceHealth to modify WPO's current Advantage Web HRA, along with its individualized report software and self-management software, specifically for individuals aged 55 to 64 years old. The integrated risk reduction intervention will be implemented in two worksites, with Workplace Options providing wellness coaching, employee assistance, and work-life services. Program evaluation will focus on program reach (including representativeness of participants and acceptability of program by participants); implementation fidelity; short-term effectiveness of the program in reducing behavioral risks; and, maintenance, specifically whether participants are retained in the program over the two month intervention period. The data obtained for the comparisons of behavioral change across treatment and control groups will be used to predict sample size for the Phase 2 application. Initial projections of intervention delivery costs will be obtained for a robust cost effectiveness analysis for the Phase 2 application. The product resulting from the Phase 1 study, and the subsequent Phase 2 application, will be an innovative new product that has the potential to be marketed to literally thousands of companies in the United States and abroad. PUBLIC HEALTH RELEVANCE: The purpose of this project is to develop a cost-effective worksite based health promotion/risk reduction program for older workers aged 55-64.