A Web-Based Cardiovascular Health Intervention for the Workplace

描述(由申请人提供)：心脏病是所有医学疾病中最普遍和最致残的疾病之一。据估计，每三个成年人中就有一个患有某种形式的心血管疾病。通常与疾病发展有关的因素包括与生活方式有关的行为，如饮食、活动水平、体重和吸烟习惯。医疗管理和坚持强调减少或消除风险因素的计划受到了极大的关注。尽管公共卫生呼吁采取更大的预防和干预措施，但与这些健康行为有关的卫生统计数据表明，仍然非常需要有效的干预措施。在初级保健环境中存在许多障碍，难以在这方面发起帮助患者的尝试。研究表明，基于工作场所的干预措施在接触到很大比例的成年人和鼓励积极的健康行为方面大有可为。工作场所为超过65%的16岁及以上人口提供服务，是实施减少肥胖、不活动和其他不健康习惯的流行率和负担的绝佳环境。因此，工作场所开始实施各种干预措施来解决心血管疾病问题，并正在探索降低心血管风险的创新和具有成本效益的方法。[基于ISA在基于网站的健康干预措施(包括之前开发和测试的基于网络的干预措施)方面的丰富经验，拟议的项目将开发和测试一个创新的基于网络的计划--即，基于科学的、媒体丰富的、量身定制的和高度互动的--旨在降低在职成年人的心血管风险。该项目还将包括为管理人员开发一个工具包，旨在促进采用支持网上干预和相关工作场所改进的政策和做法。第一阶段将涉及原型的开发和可行性测试，以及在进入第二阶段之前必须达到的具体里程碑。第二阶段将涉及为工作场所全面开发心脏健康计划，随后将对基于网络的计划进行现场测试，包括对员工样本进行随机对照试验。通用汽车验收公司(GMAC)，一家ISA曾与其测试过健康干预措施的公司，已热情地同意作为该项目两个阶段的场地。]最终的计划将通过ISA的劳动力健康中心的集中努力向工作场所营销。心血管疾病是美国发病率和死亡率的主要来源，每五人中就有一人死于心脏事件，因此迫切需要找到有效的预防手段。这个快速通道项目的结果将是为工作场所开发和测试一个全面的、创新的、基于网络的心血管风险降低计划，其中包括为员工提供的自我指导教程和为管理人员提供的工具包。这一计划的有效开发和测试可以提供一种广泛传播到工作场所的机制，并最终降低与心脏相关的发病率和死亡率。

DESCRIPTION (provided by applicant): Cardiac disease is one of the most prevalent and disabling of all medical disorders. It is estimated that one in every three adults has some form of cardiovascular disease. Among the factors commonly implicated in the development of the disease are lifestyle-related behaviors such as diet, activity level, weight, and smoking habits. Tremendous attention has been placed on medical management and adherence to programs that emphasize reduction or elimination of risk factors. Despite public health 'calls to action' for greater prevention and intervention efforts, the health statistics related to these health behaviors indicate that there remains a great need for effective interventions. Many barriers exist in primary care settings for initiating attempts at assisting patients in this regard. Research indicates that workplace-based interventions show much promise for reaching a large percentage of adults and encouraging positive health behaviors. Worksites provide access to over 65 percent of the population aged 16 and over and can be excellent settings in which to implement strategies for reducing the prevalence and burden of obesity, inactivity, and other unhealthful habits. Accordingly, workplaces are beginning to implement a variety of interventions to address the problem of cardiovascular disease and are exploring innovative and cost-effective means for reducing cardiovascular risk. [Building on ISA's extensive experience in worksite web-based health interventions (including previously developed and tested web-based interventions), the proposed project will develop and test an innovative web-based program - i.e., science-based, media-rich, tailored, and highly interactive - designed to reduce cardiovascular risk among working adults. The project will also include the development of a toolkit for managers that is designed to foster the adoption of policies and practices that support the web-based intervention and related worksite improvements. Phase I will involve the development and feasibility testing of the prototype, along with specific milestones that must met before moving to Phase II. Phase II will involve the full development of the Heart Healthy program for workplaces, followed by a field test of the web-based programs, including a randomized control trial with a sample of employees. The General Motors Acceptance Corporation (GMAC), a company with whom ISA has tested previous health interventions, has enthusiastically agreed to serve as the site for both phases of the project.] The final program will be marketed to workplaces through concentrated efforts by ISA's Center for Workforce Health. Cardiovascular disease is the leading source of morbidity and mortality in the United States and with one of every five deaths attributed to a cardiac event, there exists a great need to find effective preventive tools. The outcome of this Fast Track project will be the development and test of a comprehensive, innovative, web- based cardiovascular risk reduction program for the workplace consisting of a self-guided tutorial for employees and a toolkit for managers. The effective development and test of this program could provide a mechanism for broad dissemination to workplaces and an ultimate decrease in cardiac-related morbidity and mortality.