The effects of a health promotion-health protection intervention on behavior change: the WellWorks Study

Autor:	Anne M. Stoddard, Jill Spitz Avrunin, Jay S. Himmelstein, James R. Hébert, Mary Kay Hunt, S. K. Hammond, Glorian Sorensen, Judith K. Ockene
Rok vydání:	1998
Předmět:	Male Program evaluation medicine.medical_specialty Calorie Health Behavior Occupational Health Services Smoking Prevention Health Promotion law.invention Randomized controlled trial law Surveys and Questionnaires Intervention (counseling) Environmental health Humans Medicine Workplace Health Education business.industry Public health Behavior change Public Health Environmental and Occupational Health Diet Health promotion Massachusetts Female Health education business Research Article Program Evaluation
Zdroj:	American Journal of Public Health. 88:1685-1690
ISSN:	1541-0048 0090-0036
DOI:	10.2105/ajph.88.11.1685
Popis:	OBJECTIVES: This study assessed the effects of a 2-year integrated health promotion-health protection work-site intervention on changes in dietary habits and cigarette smoking. METHODS: A randomized, controlled intervention study used the work site as the unit of intervention and analysis; it included 24 predominantly manufacturing work sites in Massachusetts (250-2500 workers per site). Behaviors were assessed in self-administered surveys (n = 2386; completion rates = 61% at baseline, 62% at final). Three key intervention elements targeted health behavior change: (1) joint worker-management participation in program planning and implementation, (2) consultation with management on work-site environmental changes, and (3) health education programs. RESULTS: Significant differences between intervention and control work sites included reductions in the percentage of calories consumed as fat (2.3% vs 1.5% kcal) and increases in servings of fruit and vegetables (10% vs 4% increase). The intervention had a significant effect on fiber consumption among skilled and unskilled laborers. No significant effects were observed for smoking cessation. CONCLUSIONS: Although the size of the effects of this intervention are modest, on a populationwide basis effects of this size could have a large impact on cancer-related and coronary heart disease end points.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::65d663b637a908e64a386afbb5f2a41a https://doi.org/10.2105/ajph.88.11.1685 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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