The Rural Worksite Weight Management Project

描述（由申请人提供）：当前的肥胖流行对农村人口的影响尤其大。很大一部分成本由农村的小雇主承担。虽然有可能利用这些网站进行有意义的减肥/体重维持活动，但目前很少有证据表明这方面的努力。拟议的项目“农村工地体重管理项目”将改编现有的以证据为基础的NIH项目，用于小型企业工地。健康体重目标（AFHW）是在初级保健机构设计和测试的。这项拟议工作的第一个目标是使AFHW适用于小型企业环境中的员工群体。以前的试点工作表明，这是很容易做到的。第二个目标是在8个随机选择的、按大小分层的干预点测试这种改良的AFHW，并将结果与8个对照点进行比较。感兴趣的结果将包括与运动和饮食改变有关的态度和行为意图的变化以及体重指数的变化。申请机构纽约农业医学与卫生中心（New York Center for Agricultural Medicine and Health）已经与104个农村工作地点合作，其中许多工作地点已经表示愿意参与拟议的研究。证明这种工作场所健康干预的有意义的影响可能导致这种方法在农村和非农村小企业中广泛传播。

DESCRIPTION (provided by applicant): The current obesity epidemic is particularly impacting rural populations. A large portion of the costs are being borne by small rural employers. Although there is potential for using these worksites for meaningful weight loss / weight maintenance initiatives, there is little evidence of such efforts at the current time. The proposed project, "The Rural Worksite Weight Management Project" will adapt an existing evidence-based NIH program for use in small business worksites. Aim for Healthy Weight (AFHW) has been designed and tested in primary care settings. The first aim of this proposed work is to adapt AFHW for use with groups of employees in the small business setting. Previous pilot efforts suggest that this can be readily accomplished. The second aim is the testing of this modified AFHW in eight randomly selected, size-stratified intervention sites and comparing the results with eight control sites. Outcomes of interest will include change in attitudes and behavioral intent relative to exercise and dietary change as well as change in body mass index. The applicant, the New York Center for Agricultural Medicine and Health, is already working with a cohort of 104 rural worksites, many of whom have already indicated a willingness to participate in the proposed study. Demonstration of meaningful impact of this worksite wellness intervention could lead to widespread dissemination of this methodology to both rural and non-rural small businesses. Public Health Relevance: This project will attempt to adapt a weight loss intervention proven to be effective in primary care settings for use with groups of employees in small business worksites. The program will be compared to minimal interventions in matched worksites, looking for improved intention among participants to modify eating and exercise behaviors as well as proof of effective weight loss. If effective, this inexpensive intervention could be used in a number of small workplaces around the country.