Preventing Diabetes in the Workplace: Effects of Coaching and Monetary Incentives.

Autor:	Raymond LW; HEALTHWORKS Division, Atrium Health, Charlotte (Dr Raymond, Ms Roy, Ms Mullinax, Ms Yanni, Ms Pentek, Ms Isaacs); and University of North Carolina at Chapel Hill (Dr Raymond), North Carolina., Roy DM, Mullinax SL, Yanni A, Pentek KC, Isaacs SE
Jazyk:	angličtina
Zdroj:	Journal of occupational and environmental medicine [J Occup Environ Med] 2019 Jul; Vol. 61 (7), pp. e308-e311.
DOI:	10.1097/JOM.0000000000001611
Abstrakt:	Objective: Prevention of diabetes demonstrated in the diabetes prevention program has not been thoroughly evaluated in workplace settings. Methods: Glycemic control was assessed by glycated hemoglobin (HbA1c) and its impact on 5-year incidence of diabetes and prediabetes prevalence, in wellness program participants (WPP) of (Group A, with) or (Group B, without) health coaching and monetary incentives. Results: HbA1c fell in Group A WPP (5.52 ± 0.60 vs 5.58 ± 0.36 SD, P = 0.04) as did prediabetes. Incident diabetes was less than expected (24 vs 74, P < 0.001). HbA1c increased in Group B WPP (5.37 ± 0.40 SD vs 5.58 ± 0.54, P < 0.001) and prediabetes increased from 28 to 36 (P < 0.001). Conclusions: Health coaching and monetary incentives improved glycemic control over 5 years, an improvement not observed in WPP without these interventions.
Databáze:	MEDLINE
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