FIVE-A-DAY--HEALTHIER EATING FOR THE OVERLOOKED WORKER

几家公共卫生机构建议美国人消费 每天吃五份水果和蔬菜，以降低患癌症的风险 慢性疾病，如癌症和心血管疾病。目前， 消费很低，特别是在较低的社会经济地位和少数群体中。 工作场所为增加干预提供了独特的优势 在这些群体中的消费；然而，大多数现有的工作场所健康 课程忽略了通常由较低的社会经济地位和 少数族裔人口。拟议的项目是一个由两部分组成的工作场所健康 计划的目的是：(1)提高对 食用水果和蔬菜的健康益处，(2)增加 水果和蔬菜的消耗量每天减少0.50份，(3)比较 旨在影响健康的同伴健康教育者计划的影响 态度和行为通过人际网络传递给传统的 使用非个人沟通渠道的工作场所健康计划，以及 (4)评估这种影响在被忽视的人群中的持久性 亚利桑那州10家大型公共部门雇主的工人， 基于创新扩散和社会比较理论。 在配对设计中，所有工作站点最初都会收到5天的奖励 工作场所健康计划，一种传统的工作场所健康促进 计划，使工作场所在营养教育方面的努力和 关于他们在同时进行的全国5A日活动中的情况。之后 九个月后，健康同行计划将随机分配到一半的 每对匹配的工作站点，它们将与5个 一天工作场所健康计划，再持续九个月。会的 确定、培训和支付目标职务分类中的40名员工 (他们很好地融入了社交网络，并有动力提供帮助 同事)充当同事的变革推动者 人际社交网络。计划进行四项评价：(1)在 干预前的基线，(2)前9个月之后 单独的5天健康计划，(3)在18个月结束时 干预，以及(4)干预结束后六个月 衡量影响的持续性。

Several public health agencies have recommended that Americans consume five servings of fruits and vegetables daily to reduce their risk of chronic diseases such as cancer and cardiovascular disease. Currently, consumption is low, especially in lower SES and minority populations. The worksite presents unique advantages for an intervention to increase consumption among these groups; however, most existing worksite wellness programs overlook the blue-collar jobs typically held by lower SES and minority populations. The proposed project, a two-part worksite wellness program, aims to (1) increase the awareness and understanding of the health benefits of consuming fruits and vegetables, (2) increase consumption of fruits and vegetables by .50 servings per day, (3) compare the impact of a peer health educator program designed to influence health attitudes and behavior through interpersonal networks to a traditional worksite wellness program using impersonal communication channels, and (4) evaluate the persistence of this impact in a population of overlooked workers in 10 large public sector employers in the State of Arizona, based on the Diffusion of Innovations and Social Comparison Theories. In a matched-pair design, all worksites will initially receive a 5 A Day Worksite Wellness Program, a traditional worksite health promotion program, to equalize worksites on their nutrition education efforts and on their exposure to the concurrent national 5 A Day campaign. After nine months, a Health Peers Program will be randomized to one-half of each of the matched pairs of worksites, which will run along with the 5 A Day Worksite Wellness Program for another nine months. It will identify, train, and pay 40 workers from the target job classifications (who are well-integrated into social networks and motivated to help fellow employees) to act as change agents for coworkers in their interpersonal social networks. Four evaluations are planned: (1) at baseline prior to the intervention, (2) after the first nine months of the 5 A Day Wellness Program alone, (3) at the end of the 18-month intervention, and (4) six months after the end of the intervention to measure persistence of impact.