Cost Effective Health Promotion Intervention for Older Workers

描述（由申请人提供）：国家的劳动力正在老龄化，增长率最高的将是55至64岁的人，预计从2002年到2012年，劳动力参与率将增加51%。鉴于老年工人的保健费用较高，公司部门有很大的动力制定成功的减少风险干预措施，这些措施有可能既减少老年工人的保健费用，又提高他们的生产力（美国政府问责局，2001年）。第1阶段SBIR应用将确定独特的风险降低干预措施的可行性、可接受性和短期有效性，该干预措施整合了健康、员工援助和工作生活策略，以最好地满足55至64岁老年工人的全方位健康和社会需求。具体研究目标是：1）修改健康风险评估（HRA），并为55-64岁的老年工人提供量身定制的反馈; 2）在两个工作场所的随机对照试验中实施综合风险降低干预措施; 3）使用RE-AIM概念模型评估该计划; 4）根据第一阶段评估结果制定并提交第二阶段申请。环境与健康集团正在与全球最大的工作-生活员工福利提供商Workplace Options（WPO）和应用软件提供商ConvergenceHealth合作，该公司目前为1100万健康计划订户提供HRA。环境与健康和WPO将与ConvergenceHealth合作，修改WPO目前的优势网络HRA，沿着其个性化报告软件和自我管理软件，特别是针对55至64岁的个人。综合风险降低干预措施将在两个工作场所实施，工作场所选项提供健康辅导，员工援助和工作生活服务。方案评估将侧重于方案覆盖范围（包括参与者的代表性和参与者对方案的接受程度）;实施的忠实性;方案在减少行为风险方面的短期有效性;以及维持，特别是参与者是否在两个月的干预期内留在方案中。将使用比较处理组和对照组行为变化获得的数据预测II期申请的样本量。将获得干预实施成本的初步预测，以便对第2阶段应用进行稳健的成本效益分析。第一阶段研究和随后的第二阶段应用产生的产品将是一种创新的新产品，有可能向美国和国外的数千家公司销售。 公共卫生相关性：该项目的目的是为55-64岁的老年工人制定一个基于工作场所的成本效益高的健康促进/减少风险方案。

DESCRIPTION (provided by applicant): The nation's workforce is aging, and the highest growth rate will be among persons aged 55 to 64 years old, with a projected 51% increase in labor force participation from 2002 to 2012. Given that older workers incur higher health care costs, the corporate sector has a strong incentive to develop successful risk reduction interventions that have the potential to both reduce older workers health care costs as well as enhance their productivity (USGAO, 2001). This Phase 1 SBIR application will establish the feasibility, acceptability, and short term effectiveness of a unique risk reduction intervention that integrates strategies for wellness, employee assistance, and work life, in order to best address the full spectrum of health and social needs of older workers, aged 55 to 64 years old. Specific study aims are to: 1) Modify Health Risk Appraisal (HRA) and tailored feedback for older workers aged 55-64 years old; 2) Implement the integrated risk reduction intervention in a randomized controlled trial at two worksites; 3) Evaluate the program using the RE-AIM conceptual model; and, 4) Develop and submit Phase II application, based on the Phase I evaluation results. Environment and Health Group is collaborating with Workplace Options (WPO), the world's largest provider of work-life employee benefits and ConvergenceHealth, an application software provider that currently delivers HRAs to 11 million health plan subscribers. Environment and Health and WPO will work with ConvergenceHealth to modify WPO's current Advantage Web HRA, along with its individualized report software and self-management software, specifically for individuals aged 55 to 64 years old. The integrated risk reduction intervention will be implemented in two worksites, with Workplace Options providing wellness coaching, employee assistance, and work-life services. Program evaluation will focus on program reach (including representativeness of participants and acceptability of program by participants); implementation fidelity; short-term effectiveness of the program in reducing behavioral risks; and, maintenance, specifically whether participants are retained in the program over the two month intervention period. The data obtained for the comparisons of behavioral change across treatment and control groups will be used to predict sample size for the Phase 2 application. Initial projections of intervention delivery costs will be obtained for a robust cost effectiveness analysis for the Phase 2 application. The product resulting from the Phase 1 study, and the subsequent Phase 2 application, will be an innovative new product that has the potential to be marketed to literally thousands of companies in the United States and abroad. PUBLIC HEALTH RELEVANCE: The purpose of this project is to develop a cost-effective worksite based health promotion/risk reduction program for older workers aged 55-64.