Workplace Wellness for the Web: Nutrition

描述（由申请人提供）：WorkingOnHealth.com/Nutrition （whoh - n）将是一个基于网络的健康风险降低项目，重点关注营养、饮食管理和身体活动在支持健康风险降低中的作用。不良饮食习惯和久坐不动的生活方式对健康和社会的负面影响在成年人中有充分的记录，特别是与某些类型的癌症、心血管疾病和糖尿病有关。《2010年健康人》为增加雇主提供的健康促进活动以及增加75%的雇员参与率设定了具体的工作场所目标。工作场所是向大量人群快速有效地提供减少健康风险规划的绝佳场所。随着医疗保健成本以惊人的速度增长，公司正在寻找帮助降低成本的解决方案，工作场所计划正在成为整体企业战略的核心部分。支持雇员减少健康风险的雇主，在减少缺勤、降低保险费用、减少致残伤害和疾病的发生率、提高生产力和提高士气方面受益。利用理论驱动的基于网络的资源是解决成年人中日益严重的营养不良问题的一种有希望的方法，特别是在工作场所提供这种资源时，可以促进和加强健康生活方式的改变。这种创新资源提高了信息的可获得性，保持了匿名性，使个人更容易获得知识，并在营养和饮食习惯方面开始促进健康的改变。鉴于肥胖的流行和医疗保健成本的上升，开发和测试雇主可用的保密在线资源是及时的。财务现实是，如果与肥胖相关的成本继续以目前不可持续的速度增长，在不久的将来，它们将严重影响美国的医疗体系。世界卫生组织将提供一个量身定制的互动项目，该项目将在媒体丰富的互动环境中提供有效的营养信息和针对个人风险因素的量身定制的反馈。世界卫生组织将把有关定制健康促进战略的最新知识与互动技术的进步结合起来。它将为特定的购买者定制，并处理工作场所环境中普遍存在的促进健康行为的障碍。第一阶段的结果强烈表明，这样的计划不仅是可行的，而且对员工来说可能非常有效，对雇主来说也具有成本效益。通过结合：(1)针对个人用户量身定制的科学推导和验证的内容；(2)对工作场所情境的认知和整合作为干预策略的一部分；(3)使用最先进的数字媒体格式和IVR技术，提供丰富、引人入胜和灵活的用户体验，WOH-N将成为员工健康风险管理领域独特且具有成本效益的产品。我们计划在一个大型雇主群体中进行第二阶段的实地试验，以检验接触卫生保健- n的参与者将表现出1)显著健康的饮食和运动行为，2)较低的BMI和血压，以及3)显著改善的营养知识。慢性疾病现在是全世界死亡和残疾的主要原因。心血管疾病、糖尿病、肥胖、癌症和呼吸系统疾病等疾病目前占每年5700万死亡人数的59%，占全球疾病负担的46%，预计到2020年将分别上升到73%和60%（世卫组织，2002年）。一些基本上可以预防的风险因素，如高胆固醇、高血压和肥胖，是造成慢性病负担的主要原因。改变饮食习惯和体育活动可对降低这些慢性病的发病率产生重大影响（世卫组织，2004年）。

DESCRIPTION (provided by applicant): WorkingOnHealth.com/Nutrition (WOH-N) will be a Web-based health risk reduction program focused on nutrition, dietary management, and the role of physical activity in supporting health risk reduction. The negative health and social consequences of poor eating habits and sedentary lifestyles are well documented in the adult population, particularly in relation to certain types of cancer, cardiovascular disease, and diabetes. Healthy People 2010 sets worksite-specific objectives for increasing employers' offerings of health promotion activities, and employee participation by 75%. The workplace is an outstanding venue for delivering health risk reduction programs to large populations, quickly and efficiently. With the cost of healthcare rising at an alarming rate, companies are looking for solutions to help lower costs and workplace programs are becoming a central part of an overall corporate strategy. Employers who support employees' to reduce health risks, benefit in terms of reduced absenteeism, reduced insurance costs, fewer incidences of disabling injuries and illnesses, increased productivity and improved morale. The use of a theory driven Web-based resource is a promising way to address the growing problem of poor nutrition among adults, especially when offered in the workplace where healthy lifestyle changes can be promoted and reinforced. Such innovative resources improve availability of information, preserve anonymity, and make it easy for individuals to acquire knowledge and initiate health promoting changes about their nutrition and dietary habits. The development and testing of confidential, online resources available to employers is timely given the obesity epidemic and rising costs of health care. The financial reality is that if obesity-related costs continue to rise at the current unsustainable rates, they will severely strain the US health care system in the not-too-distant future. WOH-N will provide a tailored, interactive, program that will provide validated nutrition information and tailored feedback about personal risk factors in a media rich, interactive environment. WOH-N will combine state-of-the-art knowledge about tailoring health promotion strategies with advances in interactive technology. It will be customizable for specific purchasers and deal with the barriers to health enhancing behavior that are endemic to workplace settings. Phase I results strongly suggest that such a program is not only feasible, but potentially highly effective for employees and cost-effective for employers. By combining: (1) scientifically derived and validated content which is tailored to the individual user; (2) recognition and integration of the workplace context as part of the intervention strategy; and (3) use of state-of-the-art digital media formats and IVR technology to provide a rich, engaging, and flexible users experience, WOH-N will be a unique and cost-effective offering in the field of employee health risk management. A Phase II field trial is planned with a large employer group to test the hypothesis that participants exposed to WOH-N will demonstrate 1) significantly healthier eating and exercise behaviors, 2) lower BMI and blood pressure, and 3)significantly improved nutrition knowledge. Chronic diseases are now the major cause of death and disability worldwide. Conditions such as cardiovascular diseases, diabetes, obesity, cancer and respiratory diseases, now account for 59% of the 57 million deaths annually and 46% of the global burden of disease, and are expected to rise to 73% and 60%, respectively, by 2020 (WHO, 2002). A few, largely preventable, risk factors, such as high cholesterol, high blood pressure, and obesity account for the majority of the chronic disease burden. Changes in dietary habits and physical activity can have a major impact in reducing the rates of these chronic diseases (WHO, 2004).