CD ROM BASED CANCER PREVENTION PROGRAM FOR THE WORKSITE

减少烟草、酒精和膳食脂肪的消费对降低癌症发病率和死亡率大有希望。 目前，工作场所缺乏理论上合理的项目，包括多种癌症风险行为，使用多媒体，自我管理和互动。这项研究的目的是开发和测试一个基于光盘的方案，旨在通过减少烟草、酒精和膳食脂肪的消费来降低工人的癌症发病率。 多媒体计划将以社会学习模式为基础，并将包括使用强调健康行为短期益处的引人入胜的视频材料。在第一阶段，一个原型的CD-ROM癌症预防方案的开发和试点测试;结果表明，这种方法是可行的，有前途的。在第二阶段，光盘程序将完成和现场测试，在工地上，使用随机前测后测实验设计。 现场测试将在GTE公司进行，样本为800名员工。 在现场测试之后，该计划将被修订并准备向行业营销。拟定商业应用：癌症发病率对美国雇主来说是一个巨大的成本负担，其形式是与员工疾病和过早死亡相关的直接和间接费用，但工业界几乎没有有效的计划来减少工人对烟草、酒精和膳食脂肪的消费。 一个精心开发的，基于CD-ROM的癌症预防计划应该对雇主和管理式医疗机构都有相当大的影响。

Reduction ibn the consumption of tobacco, alcohol and dietary fat hold great promise for reducing cancer incidence and mortality. At present, there is a dearth of programs available to the worksite that are theoretically sound, include multiple cancer risk behaviors, use multi-media, and are self-administered and interactive. The objective of the research is to develop and test a CD-ROM based program designed to reduce the incidence of cancer in workers by decreasing their consumption of tobacco, alcohol and dietary fat. The multi-media program will be based on a social learning model and will include the use of engaging video materials that emphasize the short-term benefits of health behaviors. In phase I, a prototype CD-ROM cancer prevention program was developed and pilot tested; results indicated that the approach is feasible and promising. In phase II, the CD-ROM program will be completed and field-tested at a worksite, using a randomized pretest-posttest experimental design. The field test will take place at the GTE Corporation with a sample of 800 employees. Following the filed test, the program will be revised and prepared for marketing to industry. PROPOSED COMMERCIAL APPLICATION: Cancer morbidity represent a substantial cost burden to U.S. employers in the form of direct and indirect expenses associated with illness and premature death of employees, yet industry has little available in the way of effective programs aimed at reducing worker consumption of tobacco, alcohol and dietary fat. A carefully developed, CD-ROM based cancer prevention program should be of considerable appear to both employers and managed care organizations.