Evidenced-based Firefighter Worksite Health and Safety Intervention

描述（由申请人提供）：工作场所健康促进是改善员工生活方式、提高员工福祉和提高生产力的一种手段，同时降低医疗保健和残疾成本。然而，大多数现有的工作场所健康计划不是以证据为基础的。我们的公司，奥德赛科学创新，有限责任公司，是由经验丰富的健康促进研究人员采取我们的科学为基础的计划服务。 我们有一个独特的经过验证的干预模式，建立在同事关系，问责制和支持的基础上，从而产生积极的持久变化和高投资回报率（ROI）。消防是工作场所健康和安全需求的象征。 消防员的救生工作增加了患癌症、心脏病、与压力有关的疾病和受伤的风险。该项目的内容和干预战略基于PHLAME（促进健康生活方式）方案，这是消防员唯一基于证据的健康和安全方案。虽然最初的PHLAME是有效的，并且有很高的投资回报率，但它的广泛使用受到其基于工作簿的结构和每周会议所需时间的限制。这些都克服了一个创新的基于网络的格式，保持其中介功能与从事电子学习活动，行为跟踪，并在竞争激烈的在线环境中相互问责。我们的第一阶段工作将三个PHLAME会议转换为基于网络的格式，可通过智能手机，平板电脑和电脑访问。它被消防队员使用，他们发现它很有趣，有教育意义和激励作用。负责消防部门建议和采购的个人对这些调查结果和基于网络的版本进行了审查，他们赞同全面开发基于网络的PHLAME，作为消防部门的一个不可或缺的工具。第二阶段的提案将建立完整的基于网络的PHLAME程序，并验证其有效性。与我们的第一阶段合作网页设计公司和电子学习制作公司合作，我们将在提案第一年完成该计划，包括其初始公共页面和实施组件。在第二年，我们将在一项前瞻性随机试验中评估项目的使用以及行为和经济结果，该试验有4个干预部门和4个对照部门，代表不同的规模和地点。俄勒冈州健康与科学大学（OHSU）的研究基础设施和资源，我们在这个STTR的合作机构，提供OSI和OHSU增值。第二年的工作和研究结果也将为商业化提供信息和指导。我们与消防部门合作了十年，并得到了他们全国工会的大力支持。大多数消防部门没有健康和安全计划，广泛的市场等待着一个易于实施的，创新的基于网络的衍生物的唯一消防服务证据为基础的工作场所健康和安全计划。新的形式将是特定于消防服务，但平台，一旦开发，可以修改和应用于健康和安全促进与其他工人团体。

DESCRIPTION (provided by applicant): Worksite health promotion is a means to improve employees' lifestyles, enhance their wellbeing and increase productivity, while reducing healthcare and disability costs. However, most existing worksite health programs are not evidence-based. Our company, Odyssey Science Innovations, LLC, was formed by experienced health promotion researchers to take our science-based programs to service. We have a unique proven intervention paradigm that builds on coworker bonding, accountability and support, resulting in positive durable changes and a high return on investment (ROI). Firefighting is emblematic of workplace health and safety needs. Firefighters' lifesaving work comes with increased risk for cancer, heart disease, stress-related disorders and injuries. This project's content and intervention strategy are based on the PHLAME (Promoting Healthy Lifestyles) program, which is the only evidence-based health and safety program for firefighters. Although the original PHLAME was effective and had a high ROI, its widespread use is limited by its workbook-based structure and the time required for weekly meetings. These are overcome with an innovative web-based format, which maintains its mediating features with engaging eLearning activities, behavior tracking, and mutual accountability in a competitive online environment. Our Phase I work transferred three PHLAME sessions to a web-based format, accessible by smartphone, tablet and computer. It was used by firefighters, who found it fun, educational and motivating. Those findings and the web-based version where reviewed by individuals responsible for fire department recommendations and purchases, and they endorsed full development of web-based PHLAME, as an integral tool for fire departments. This Phase II proposal will build the complete web-based PHLAME program and validate its effectiveness. Working with our Phase I partnering web design firm and eLearning Production Company, we will complete the program, including its initial public pages and implementation components, during proposal year 1. In year 2, we will assess program use and behavioral and economic outcomes in a prospective randomized trial with 4 intervention and 4 control departments, representing different sizes and locations. The research infrastructure and resources of Oregon Health & Science University (OHSU), our partnering institution in this STTR, provide value added for OSI and OHSU. Year 2 work and findings also will inform and guide commercialization. We have a decade of collaborative work with the fire service and strong support from their national union. Most fire departments do not have a health and safety program, and an extensive market awaits an easy-to-implement, innovative web-based derivative of the only fire service evidence-based worksite health and safety program. The novel format will be specific to the fire service, but the platform, once developed, can be modified and applied for health and safety promotion with other worker groups.