Assessing Be Fit, a worksite program promoting healthy weight and exercise

描述(申请人提供)：不良饮食和缺乏体力活动每年导致40万人死亡，并可能很快超过烟草成为美国死亡的主要原因。需要有效的干预措施来改变饮食和锻炼，并随着时间的推移保持这些行为。工作场所是促进营养和体力活动的干预措施的理想环境，因为个人和环境都可以成为目标。桑代克博士的职业目标是成为行为干预领域的独立临床调查员，通过改变生活方式来预防肥胖和慢性病。在她之前烟草控制研究经验的基础上，她的建议概述了一个计划，将她的职业重点转变为开发行为干预措施，以改变饮食和锻炼。在健康行为干预、运动生理学和成本效益分析等密集课程的帮助下，桑代克博士建议评估马萨诸塞州综合医院的员工健康计划(Be Fit)，并对一项基于互联网的创新维护计划进行随机试验。她使用RE-AIM模型评估健康促进计划，以评估干预措施的覆盖范围、有效性、采用率和维持性。这项研究的结果将有助于为未来干预措施的设计提供信息。这项研究的具体目标是：具体目标1：确定12周强化员工健康计划(BE FIT)的有效性。具体目标2：完成一项随机对照试验，以评估在强化BE Fit计划之后进行的为期9个月的基于互联网的自我监测维护计划是否增加了参与者保持在12周计划期间获得的行为和健康益处的可能性。具体目标3：评估Be Fit健康计划的覆盖范围和采用情况。具体目标4：从社会角度对基于互联网的维修方案进行成本效益分析。这一职业发展奖将允许桑代克博士在全国公认的研究人员的指导下，在支持性的学术环境中获得更多的研究技能和经验，并将使她实现她的目标，即成为一名以患者为导向的独立研究人员，在生活方式改变干预措施中预防肥胖和慢性病。相关性(见说明)：基于候选人以前在烟草控制研究方面的经验，该奖项将允许候选人成为以患者为中心的研究的独立研究员，重点是改变生活方式以预防肥胖和慢性病。该研究项目致力于在个人和环境层面上预防肥胖症，并采取干预措施，在城市大型工作场所启动和保持饮食和固定FimnlnvFiis的变化。(摘要结束)

DESCRIPTION (provided by applicant): Poor diet and physical inactivity account for 400,000 deaths a year and may soon overtake tobacco as the leading cause of mortality in the United States. Effective interventions are needed to modify diet and exercise and to maintain these behaviors over time. The worksite is an ideal setting for interventions to promote nutrition and physical activity because both the individual and the environment can be targeted. Dr. Thorndike's career goal is to become an independent clinical investigator in behavioral interventions for lifestyle modification to prevent obesity and chronic disease. Building on her previous experience in tobacco control research, her proposal outlines a plan for transitioning her career focus to developing behavioral interventions to modify diet and exercise. Aided by intensive coursework in health behavior interventions, exercise physiology, and cost-effectiveness analysis, Dr. Thorndike proposes to assess the Massachusetts General Hospital's employee wellness program (Be Fit) and to conduct a randomized trial of an innovative Internet-based maintenance program. She uses the RE-AIM model for evaluating health promotion programs to assess the reach, effectiveness, adoption, and maintenance of the interventions. The results of this research will help inform the design of future interventions. The Specific Aims of the research are: Specific Aim 1: To determine the effectiveness of a 12 week intensive employee wellness program (Be Fit). Specific Aim 2: To complete a randomized controlled trial to assess whether a 9-month Internet-based self- monitoring maintenance program following the intensive Be Fit program increases the likelihood that participants will maintain the behavioral and health benefits achieved during the 12 week program. Specific Aim 3: To assess the reach and adoption of the Be Fit wellness program. Specific Aim 4: To perform a societal-perspective cost-effectiveness analysis of the Internet-based maintenance program. This career development award will allow Dr. Thorndike to acquire additional research skills and experience under the mentorship of nationally recognized researchers in a supportive academic environment and will allow her to achieve her goal of becoming an independent patient-oriented researcher in lifestyle modification interventions to prevent obesity and chronic disease. RELEVANCE (See instructions): Building on the candidate's previous experience in tobacco control research, the award will allow the candidate to become an independent investigator in patient-oriented research focused on lifestyle modification to prevent obesity and chronic disease. The research project addresses obesity prevention at both the individual and the environmental level with an intervention to initiate and maintain changes in diet and fixfirr.isfi for fimnlnvfifis at a large urban worksite. (End of Abstract)