Helping Worksites Support Healthy Eating & Physical Activity Among Native Hawaiia

描述（由申请人提供）：夏威夷土著人在夏威夷的主要种族群体中肥胖率最高。肥胖本身是多种慢性疾病和病症的危险因素，包括癌症。营养不良和缺乏运动是肥胖的主要原因。过去的研究表明，工作场所健康计划的价值一般和团体教育和支持夏威夷土著人的健康做法。雇用大量夏威夷土著人的工作场所能否制定并成功实施增加健康饮食和体育活动并减少肥胖的政策和计划？ 这个试点是回答这个问题的第一步。本研究的具体目的是：1）使用工作场所健康促进环境检查表（CHEW）评估工作场所环境; 2）评估建立和维持健康工作场所环境和政策的现有资源、政策和管理支持（使用MPS）;从雇主和员工那里收集关于健康促进计划的理想组成部分和衡量变化的可接受机制的数据。 六个组织（27个主要办事处和卫星办事处）已同意参加试验性研究。CHEW将在27个研究中心的每个研究中心进行，将使用MPS对27个研究中心的33名管理人员进行访谈。10个焦点小组将在5个岛屿进行，以征求对方案，政策和研究措施的偏好（由Sallis等人开发的环境和政策干预研究框架指导提问）。这6个机构雇用了大约1，000人（其中约50%是夏威夷土著人）。所有员工将被要求完成基于Sallis和焦点小组数据的在线调查，数据收集将持续到每个机构的回复率达到50%。调查人员将描述研究结果表明可能有效的工作现场干预计划和研究措施。将征求参与者对方案和措施的反馈，这些意见将纳入研究建议，以测试推荐的工地干预方案的有效性。

DESCRIPTION (provided by applicant): Native Hawaiians have the highest prevalence of obesity among the major ethnic groups in Hawai'i. Obesity in itself is a risk factor for a variety of chronic diseases and conditions, including cancer. Poor nutrition and physical inactivity are the major contributors to obesity. Past research suggests value of worksite wellness programs in general and in group education and support for healthy practices among Native Hawaiians. Can worksites that employ large proportions of Native Hawaiians develop and successfully implement policies and programs that will increase healthy eating and physical activity and reduce obesity? This pilot is a first step in answering this question. The Specific Aims of the study are to: 1) Assess worksite environments using the Checklist of Health Promotion Environments at Worksites (CHEW); 2) Evaluate current resources, policies, and management support for establishing and maintaining healthy worksite environments and policies (using the MPS); and 3) Gather data from employers and staff on desirable components for a health promotion programs and on acceptable mechanisms to measure changes. Six organizations (with 27 main and satellite offices) have agreed to participate in the pilot study. The CHEW will be administered at each of 27 sites, and 33 managers of 27 sites will be interviewed using the MPS. Ten focus groups will be conducted across 5 islands to solicit preferences for programs, policies, and research measures (with questioning guided by a framework for research on environmental and policy interventions developed by Sallis et al.). The 6 agencies employ about 1,000 individuals (about 50% of whom are Native Hawaiian). All employees will be asked to complete an online survey based on Sallis and focus group data, with data collection continuing until we have 50% response from each agency. Investigators will describe the worksite intervention program and research measures that the findings indicate may work. Feedback on both the program and the measures will be solicited from the participants, and these comments will be incorporated into a research proposal to test the effectiveness of the recommended worksite intervention program.