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常见和致残的疾病之一。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。在疾病发展中通常涉及的因素包括生活方式相关的行为，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危险因素的计划受到了极大的关注。尽管公共卫生“呼吁采取行动”，加大预防和干预力度，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，在这方面帮助患者的尝试存在许多障碍。研究表明，在工作场所采取的干预措施很有希望惠及大部分成年人，并鼓励积极的健康行为。工作场所为65%以上的16岁及以上人口提供服务，可以成为实施减少肥胖、不活动和其他不健康习惯的流行和负担的战略的绝佳场所。因此，工作场所开始实施各种干预措施，以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成本效益高的手段。[基于伊萨在工作场所基于网络的健康干预措施（包括以前开发和测试的基于网络的干预措施）方面的丰富经验，拟议项目将开发和测试一个创新的基于网络的程序-即，以科学为基础，媒体丰富，量身定制，高度互动-旨在降低工作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，以促进采用支持网络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，沿着在进入第二阶段之前必须达到的具体里程碑。第二阶段将涉及工作场所心脏健康计划的全面发展，然后是基于网络的计划的现场测试，包括对员工样本的随机对照试验。伊萨曾与通用汽车验收公司（GMAC）一起测试过以前的健康干预措施，该公司已热情地同意作为该项目两个阶段的网站。最终的计划将通过伊萨劳动力健康中心的集中努力向工作场所推销。心血管疾病是美国发病率和死亡率的主要来源，每五例死亡中就有一例归因于心脏事件，因此非常需要找到有效的预防工具。这个快速通道项目的成果将是开发和测试一个全面的、创新的、基于网络的工作场所心血管风险降低计划，包括员工自我指导教程和管理人员工具包。该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.