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Miele C, Maquigneau A, Joyal CC, Bertsch I, Gangi O, Gonthier H, Rawlinson C, Vigourt-Oudart S, Symphorien E, Heasman A, Letourneau E, Moncany AH, Lacambre M. International guidelines for the prevention of sexual violence: A systematic review and perspective of WHO, UN Women, UNESCO, and UNICEF's publications. CHILD ABUSE & NEGLECT 2023; 146:106497. [PMID: 37832246 DOI: 10.1016/j.chiabu.2023.106497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/25/2023] [Accepted: 10/03/2023] [Indexed: 10/15/2023]
Abstract
BACKGROUND Sexual violence is a major public health issue worldwide, with a high prevalence and extensive human and financial costs. Implementing prevention programs is complex, requiring not only evidence-based practices and high ethical standards, but also close collaboration with local governments and non-governmental organizations. In order to guide and support all stakeholders necessary to achieve large-scale prevention (e.g., politicians, decision-makers, in-field professionals), it is essential to establish international benchmarks for the prevention of sexual violence. OBJECTIVE The main goal of this collaborative study was to conduct a systematic review of the frameworks adopted by WHO, UN Women, UNESCO, and UNICEF to help prevent sexual violence worldwide, according to the PRISMA methodology. A secondary objective was to highlight the levels of prevention and determinants of health targeted by these organizations. RESULTS Overall, 1008 references were identified, of which 50 met the inclusion criteria. All international guidelines were limited to primary or tertiary prevention, and they were not specifically dedicated to sexual violence. In addition, each organization had developed idiosyncratic prevention strategies. Common primary prevention determinants of health were still found across organizations, including education, socio-economic inequalities, and life skills training. Tertiary prevention was poorly developed and polarized between victims and perpetrators. Secondary prevention was never addressed, however, despite the effectiveness of approaches such as helplines for people sexually attracted to children. DISCUSSION Given these results, an international French-speaking consortium of professional teams, all involved in the secondary prevention of sexual violence, was recently formed with a ratified charter presented here.
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Affiliation(s)
- Cécile Miele
- Service de Psychiatrie Général, CMP B, CHU de Clermont-Ferrand, 58 rue Montalembert, 63000 Clermont-Ferrand, France; Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; Laboratoire de Recherche Qualipsy, EE 1901, Université de Tours, 3 rue des Tanneurs, BP 4103, 37041 Tours cedex 1, France.
| | - Aurélie Maquigneau
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIR-AVS PACA, AP-HM, Hôpital Sainte-Marguerite, Pavillon 1 au 1er étage, 270 bd Sainte-Marguerite, 13274 Marseille Cedex 09, France.
| | - Christian C Joyal
- Université du Québec à Trois-Rivières, C.P. 500 Trois-Rivières, Québec, Canada
| | - Ingrid Bertsch
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; Laboratoire de Recherche Qualipsy, EE 1901, Université de Tours, 3 rue des Tanneurs, BP 4103, 37041 Tours cedex 1, France; UC3P, CHRU de Tours, 7 rue de la Dolve, 37000 Tours, France
| | - Océane Gangi
- Faculté de Droit, de Science Politique et de Criminologie, Université de Liège, Bâtiment B31, Quartier Agora, Place des Orateurs 3, 4000 Liège, Belgium; Service du SéOS, Unité de Psychopathologie légale, Rue Despars 92, 7500 Tournai, Belgium
| | - Hakim Gonthier
- Association DIS NO, avenue Saint-Paul 2, 1004 Lausanne, Switzerland
| | - Cloé Rawlinson
- Association DIS NO, avenue Saint-Paul 2, 1004 Lausanne, Switzerland
| | - Sylvie Vigourt-Oudart
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIAVS Champagne-Ardenne, EPSM de la Marne, 1 chemin de Bouy - BP 70555, 51022 Châlons-en-Champagne, France
| | - Emeline Symphorien
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIAVS Champagne-Ardenne, EPSM de la Marne, 1 chemin de Bouy - BP 70555, 51022 Châlons-en-Champagne, France
| | - Ainslie Heasman
- Centre for Addiction & Mental Health (CAMH), Toronto, Ontario, Canada
| | - Elizabeth Letourneau
- Moore Center for the Prevention of Child Sexual Abuse, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA
| | - Anne-Hélène Moncany
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; CRIAVS Midi-Pyrénées, CH Marchant, 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France
| | - Mathieu Lacambre
- Fédération Française des Centres Ressources pour les Intervenants auprès des Auteurs de Violences Sexuelles (FFCRIAVS), 7 rue du Colonel Driant, appt 9, 31400 Toulouse, France; Filière de psychiatrie légale, CHU de Montpellier, 191 Av. du Doyen Gaston Giraud, 34295 Montpellier, France; INSERM Unit 1061, University of Montpellier, Montpellier, France.
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Äikäs A, Absetz P, Hirvensalo M, Pronk N. Eight-Year Health Risks Trend Analysis of a Comprehensive Workplace Health Promotion Program. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E9426. [PMID: 33339189 PMCID: PMC7765570 DOI: 10.3390/ijerph17249426] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Revised: 12/07/2020] [Accepted: 12/11/2020] [Indexed: 12/13/2022]
Abstract
Research has shown that workplace health promotion (WHP) efforts can positively affect employees' health risk accumulation. However, earlier literature has provided insights of health risk changes in the short-term. This prospective longitudinal quasi-experimental study investigated trends in health risks of a comprehensive, eight-year WHP program (n = 523-651). Health risk data were collected from health risk assessments in 2010-2011, 2013-2014, and 2016-2017, applying both a questionnaire and biometric screenings. Health risk changes were investigated for three different time-periods, 2010-2013, 2014-2017, and 2010-2017, using descriptive analyses, t-tests, and the Wilcoxon Signed Rank and McNemar's test, where appropriate. Overall health risk transitions were assessed according to low-, moderate-, and high-risk categories. Trend analyses observed 50-60% prevalence for low-, 30-35% for moderate-, and 9-11% high-risk levels across the eight years. In the overall health risk transitions of the three time-periods, 66-73% of participants stayed at the same risk level, 13-15% of participants improved, and 12-21% had deteriorated risk level across the three intervention periods. Our findings appear to indicate that the multiyear WHP program was effective in maintaining low and moderate risk levels, but fell short of reducing the total number of health risks at the population level.
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Affiliation(s)
- Antti Äikäs
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland;
| | - Pilvikki Absetz
- Faculty of Social Sciences, Tampere University, 33014 Tampere, Finland;
| | - Mirja Hirvensalo
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland;
| | - Nicolaas Pronk
- HealthPartners Institute, HealthPartners, Bloomington, MN 55420, USA;
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Damschroder LJ, Buis LR, McCant FA, Kim HM, Evans R, Oddone EZ, Bastian LA, Hooks G, Kadri R, White-Clark C, Richardson CR, Gierisch JM. Effect of Adding Telephone-Based Brief Coaching to an mHealth App (Stay Strong) for Promoting Physical Activity Among Veterans: Randomized Controlled Trial. J Med Internet Res 2020; 22:e19216. [PMID: 32687474 PMCID: PMC7435619 DOI: 10.2196/19216] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 06/11/2020] [Accepted: 07/07/2020] [Indexed: 02/06/2023] Open
Abstract
Background Though maintaining physical conditioning and a healthy weight are requirements of active military duty, many US veterans lose conditioning and rapidly gain weight after discharge from active duty service. Mobile health (mHealth) interventions using wearable devices are appealing to users and can be effective especially with personalized coaching support. We developed Stay Strong, a mobile app tailored to US veterans, to promote physical activity using a wrist-worn physical activity tracker, a Bluetooth-enabled scale, and an app-based dashboard. We tested whether adding personalized coaching components (Stay Strong+Coaching) would improve physical activity compared to Stay Strong alone. Objective The goal of this study is to compare 12-month outcomes from Stay Strong alone versus Stay Strong+Coaching. Methods Participants (n=357) were recruited from a national random sample of US veterans of recent wars and randomly assigned to the Stay Strong app alone (n=179) or Stay Strong+Coaching (n=178); both programs lasted 12 months. Personalized coaching components for Stay Strong+Coaching comprised of automated in-app motivational messages (3 per week), telephone-based human health coaching (up to 3 calls), and personalized weekly goal setting. All aspects of the enrollment process and program delivery were accomplished virtually for both groups, except for the telephone-based coaching. The primary outcome was change in physical activity at 12 months postbaseline, measured by average weekly Active Minutes, captured by the Fitbit Charge 2 device. Secondary outcomes included changes in step counts, weight, and patient activation. Results The average age of participants was 39.8 (SD 8.7) years, and 25.2% (90/357) were female. Active Minutes decreased from baseline to 12 months for both groups (P<.001) with no between-group differences at 6 months (P=.82) or 12 months (P=.98). However, at 12 months, many participants in both groups did not record Active Minutes, leading to missing data in 67.0% (120/179) for Stay Strong and 61.8% (110/178) for Stay Strong+Coaching. Average baseline weight for participants in Stay Strong and Stay Strong+Coaching was 214 lbs and 198 lbs, respectively, with no difference at baseline (P=.54) or at 6 months (P=.28) or 12 months (P=.18) postbaseline based on administrative weights, which had lower rates of missing data. Changes in the number of steps recorded and patient activation also did not differ by arm. Conclusions Adding personalized health coaching comprised of in-app automated messages, up to 3 coaching calls, plus automated weekly personalized goals, did not improve levels of physical activity compared to using a smartphone app alone. Physical activity in both groups decreased over time. Sustaining long-term adherence and engagement in this mHealth intervention proved difficult; approximately two-thirds of the trial’s 357 participants failed to sync their Fitbit device at 12 months and, thus, were lost to follow-up. Trial Registration ClinicalTrials.gov NCT02360293; https://clinicaltrials.gov/ct2/show/NCT02360293 International Registered Report Identifier (IRRID) RR2-10.2196/12526
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Affiliation(s)
- Laura J Damschroder
- Veterans Affairs Center for Clinical Management Research, Ann Arbor Healthcare System, Ann Arbor, MI, United States
| | - Lorraine R Buis
- University of Michigan, Department of Family Medicine, Ann Arbor, MI, United States
| | - Felicia A McCant
- Veterans Affairs Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, United States
| | - Hyungjin Myra Kim
- Veterans Affairs Center for Clinical Management Research, Ann Arbor Healthcare System, Ann Arbor, MI, United States
| | - Richard Evans
- Veterans Affairs Center for Clinical Management Research, Ann Arbor Healthcare System, Ann Arbor, MI, United States
| | - Eugene Z Oddone
- Veterans Affairs Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, United States.,Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, Durham, NC, United States
| | - Lori A Bastian
- Veterans Affairs Pain Research, Informatics, Multimorbidities, and Education Center, Veterans Affairs Connecticut, West Haven, CT, United States.,Division of General Internal Medicine, Department of Medicine, Yale University, West Haven, CT, United States
| | - Gwendolyn Hooks
- Veterans Affairs Center for Clinical Management Research, Ann Arbor Healthcare System, Ann Arbor, MI, United States
| | - Reema Kadri
- University of Michigan, Department of Family Medicine, Ann Arbor, MI, United States
| | - Courtney White-Clark
- Veterans Affairs Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, United States
| | | | - Jennifer M Gierisch
- Veterans Affairs Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, United States.,Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, Durham, NC, United States.,Department of Population Health Sciences, Duke University Medical Center, Durham, NC, United States
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Turning Intention Into Participation in Occupational Health Promotion Courses? The Moderating Role of Organizational, Intrapersonal, and Interpersonal Factors. J Occup Environ Med 2019; 61:779-799. [DOI: 10.1097/jom.0000000000001670] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Emerson ND, Merrill DA, Shedd K, Bilder RM, Siddarth P. Effects of an employee exercise programme on mental health. Occup Med (Lond) 2017; 67:128-134. [PMID: 27552821 DOI: 10.1093/occmed/kqw120] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Prior research indicates that workplace wellness programmes (WWPs) are generally associated with lowered healthcare costs and improved employee health. Despite the importance of mental well-being in workplace productivity and attendance, few WWP studies have focused on improvements in psychological well-being. Aims To examine the effects of the Bruin Health Improvement Program (BHIP), a 3-month exercise and nutrition WWP, on seven domains of health: physical and mental health, stress, energy level, social satisfaction, self-efficacy and quality of life. Methods Using data from BHIP completers, we conducted multiple one-way multivariate analyses of variance and follow-up univariate t-tests to examine changes in physical and mental health, stress, energy level, social satisfaction, self-efficacy and quality of life. Effect sizes were also calculated post hoc to determine the magnitude of each effect. Results Results for the 281 participants reveal significant improvements across all seven domains (P < 0.001). Effect sizes ranged from 0.19 to 0.67. Conclusions This study is unique in revealing the effects of a WWP on multiple domains of psychological well-being. Given rising healthcare costs associated with mental health, targeting mental health through WWP may be an effective strategy for reducing indirect healthcare costs associated with absenteeism and presenteeism.
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Affiliation(s)
- N D Emerson
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA.,United States and Department of Psychology, Loma Linda University, Loma Linda, CA, USA
| | - D A Merrill
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA
| | - K Shedd
- Department of Recreation, UCLA, Los Angeles, CA, USA
| | - R M Bilder
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA
| | - P Siddarth
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA
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Damschroder LJ, Reardon CM, Sperber N, Robinson CH, Fickel JJ, Oddone EZ. Implementation evaluation of the Telephone Lifestyle Coaching (TLC) program: organizational factors associated with successful implementation. Transl Behav Med 2017; 7:233-241. [PMID: 27688249 PMCID: PMC5526796 DOI: 10.1007/s13142-016-0424-6] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation. Context assessments were conducted using interview transcripts. The Consolidated Framework for Implementation Research (CFIR) was used to guide qualitative data collection and analysis. Factors most strongly correlated with referral rates included having a skilled implementation leader who used effective multi-component strategies to engage primary care clinicians as well as general clinic structures that supported implementation. Evaluation findings pointed to recommendations for local and national leaders to help anticipate and mitigate potential barriers to successful implementation.
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Affiliation(s)
- Laura J Damschroder
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48105, USA.
| | - Caitlin M Reardon
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48105, USA
| | - Nina Sperber
- VA Center for Health Services Research in Primary Care, VA Durham Healthcare System and Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA
| | - Claire H Robinson
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48105, USA
| | - Jacqueline J Fickel
- VA Center for Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
| | - Eugene Z Oddone
- VA Center for Health Services Research in Primary Care, VA Durham Healthcare System and Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA
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Chapman LS, Lesch N, Baun MP. The Role of Health and Wellness Coaching in Worksite Health Promotion. Am J Health Promot 2016; 21:suppl 1-10, iii. [PMID: 17674643 DOI: 10.4278/0890-1171-21.6.tahp-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Health and wellness coaching has rapidly become a best practice element of worksite health promotion programs. Coaching as a process is a very old technology, but its use in the field of health promotion is relatively new. Coaching can be provided in different forms or modalities yet currently lacks a rigorous science base or a defined set of standards or common elements. In larger worksite settings several variants or forms of coaching are usually provided to employee populations. The need for more proactive and direct forms of intervention in health promotion is contributing to the rapid growth of coaching programs. There are currently an assortment of coaching strategies or techniques that are in common use in most coaching interventions. A main contention of current coaching practice is that coaching that uses facilitation strategies rather than prescriptive advice is more effective at producing long term behavior change. The congruence and size of wellness incentives with the coaching process are likely to be of significant importance. From a long term perspective, coaching is likely to become a staple of worksite health promotion practice.
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Chapman LS. Do We Need a “Virtual” Program Infrastructure for Worksite and Population Health Promotion Efforts? Am J Health Promot 2016; 21:1-7, iii. [PMID: 17152254 DOI: 10.4278/0890-1171-21.2.tahp-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
As the demand for Worksite Health Promotion heats up, it is becoming clear that the traditional models of programming that work well in worksites with large number of employees will not meet the needs of small and medium size employer organizations. Additionally, the large number of individuals who are served by health plans are also likely to require different types of Health Promotion interventions. In presenting the concept of a "virtual" set of interventions that form a "program infrastructure" this article seeks to bridge the gap between large employer programming strategies and small employer and health plan settings. A set of eleven interventions are described and recommended technical specifications are presented.
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Messias DKH, Moneyham L, Murdaugh C, Phillips KD. HIV/AIDS Peer Counselors’ Perspectives on Intervention Delivery Formats. Clin Nurs Res 2016; 15:177-96. [PMID: 16801358 DOI: 10.1177/1054773806288568] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This research sought to elicit HIV/AIDS peer counselors’ perspectives about delivery formats for a counseling intervention. Peer counselors identified personal contact as the major advantage of the face-to-face format. Personal contact afforded counselors better opportunities to understand and assess clients’ physical, emotional, and environmental status and allowed them to connect with peers in more concrete and personal ways. Being physically present was also a very direct and effective way to role model for other HIV-positive women. Peer counselors identified a number of inherent barriers and challenges to telephone interventions but also recognized potential logistic and personal advantages. Despite the overwhelming preference for the face-to-face intervention format, counselors acknowledged the potential for conducting successful peer counseling over the telephone. A significant finding was that the value and meaning of HIV/AIDS peer counselors’ work transcended the limitations of either delivery format.
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Krebs S, Baaken A, Hofmeier A, Göhner W, Fuchs R. Soziale Unterstützung als Baustein eines betrieblichen Programms zur Sport- und Bewegungsförderung. ACTA ACUST UNITED AC 2015. [DOI: 10.1026/0943-8149/a000148] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Untersucht wurde die spezifische Wirkung der Interventionstechnik „Planung sportbezogener sozialer Unterstützung“ (PssU) im Rahmen eines betrieblichen Programms zur Sportförderung („MoVo-work“). Die Mitarbeitenden (N = 69) wurden cluster-randomisiert 2 Gruppen zugeordnet: die Interventionsgruppe (IG) erhielt MoVo-work mit dem Modul PssU, die Kontrollgruppe (KG) MoVo-work ohne dieses Modul. Sportaktivität und soziale Unterstützung wurden vor (T1) und nach der Intervention (T2) erhoben, sowie nach 6 Wochen (T3) und 6 Monaten (T4). In der IG nahm der Anteil der sportlich aktiven Personen beim Vergleich T1 – T3 um 24 % zu (p < .05); in der KG dagegen nur um 9 %. Auch beim Vergleich T1 – T4 war in der IG noch ein Zuwachs an sportlich aktiven Personen von 8 % festzustellen, wohingegen in der KG deren Anteil sogar um 3 % abnahm. Es fanden sich keine Gruppenunterschiede hinsichtlich der wahrgenommenen sozialen Unterstützung. Die Resultate zeigen, dass betriebliche Bewegungsförderungsprogramme substanziell davon profitieren können, wenn sie auch die Ebene der sozialen Unterstützung berücksichtigen.
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Association Between Corporate Wellness Program Participation and Changes in Health Risks. J Occup Environ Med 2015; 57:1119-26. [DOI: 10.1097/jom.0000000000000531] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Malik SH, Blake H, Suggs LS. A systematic review of workplace health promotion interventions for increasing physical activity. Br J Health Psychol 2013; 19:149-80. [PMID: 23827053 DOI: 10.1111/bjhp.12052] [Citation(s) in RCA: 193] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2012] [Revised: 04/12/2013] [Indexed: 01/28/2023]
Abstract
PURPOSE The benefits of an active lifestyle are widely documented, yet studies show that only a small proportion of adults engage in sufficient levels of physical activity. The workplace presents an ideal avenue for delivering initiatives to promote physical activity, overcoming commonly cited barriers such as a 'lack of time' and providing access to a large intersection of society. The purpose of this study was to (1) explore the types of interventions workplaces implement to promote physical activity among staff, (2) describe the characteristics of those interventions, (3) understand whether these interventions positively impact on activity levels, and (4) assess the methodological quality of studies. METHODS A systematic review of workplace physical activity interventions published up to April 2011 was conducted to identify types of interventions and their outcomes. RESULTS Of the 58 studies included, the majority utilized health promotion initiatives. There were six physical activity/exercise interventions, 13 counselling/support interventions, and 39 health promotion messages/information interventions. Thirty-two of these studies showed a statistically significant increase in a measure of physical activity against a control group at follow-up. CONCLUSIONS While the studies included in this review show some evidence that workplace physical activity interventions can be efficacious, overall the results are inconclusive. Despite the proliferation of research in this area, there is still a need for more well-designed studies to fully determine the effectiveness of workplace interventions for increasing physical activity and to identify the types of interventions that show the most promise.
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Sargent GM, Forrest LE, Parker RM. Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review. Obes Rev 2012; 13:1148-71. [PMID: 22973970 PMCID: PMC3533768 DOI: 10.1111/j.1467-789x.2012.01029.x] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Accepted: 07/30/2012] [Indexed: 11/29/2022]
Abstract
Nurses in primary health care (PHC) provide an increasing proportion of chronic disease management and preventive lifestyle advice. The databases MEDLINE, CINAHL, EMBASE and PsychINFO were searched and the articles were systematically reviewed for articles describing controlled adult lifestyle intervention studies delivered by a PHC nurse, in a PHC setting. Thirty-one articles describing 28 studies were analysed by comparison group which revealed: (i) no difference of effect when the same intervention was delivered by a PHC nurse compared to other health professionals in PHC (n = 2); (ii) the provision of counselling delivered by a PHC nurse was more effective than health screening (n = 10); (iii) counselling based on behaviour change theory was more effective than the same dose of non-behavioural counselling when at least three counselling sessions were delivered (n = 3). The evidence supports the effectiveness of lifestyle interventions delivered by nurses in PHC to affect positive changes on outcomes associated with the prevention of chronic disease including: weight, blood pressure, cholesterol, dietary and physical activity behaviours, patient satisfaction, readiness for change and quality of life. The strength of recommendations is limited by the small number of studies within each comparison group and the high risk of bias of the majority of studies.
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Affiliation(s)
- G M Sargent
- The Australian Primary Health Care Research Institute (APHCRI), The Australian National University (ANU), Australian Capital Territory, Canberra, Australia.
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Terry PE, Fowles JB, Xi M, Harvey L. The ACTIVATE Study: Results from a Group-Randomized Controlled Trial Comparing a Traditional Worksite Health Promotion Program with an Activated Consumer Program. Am J Health Promot 2011; 26:e64-73. [DOI: 10.4278/ajhp.091029-quan-348] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose. This study compares a traditional worksite-based health promotion program with an activated consumer program and a control program Design. Group randomized controlled trial with 18-month intervention. Setting. Two large Midwestern companies. Subjects. Three hundred and twenty employees (51% response). Intervention. The traditional health promotion intervention offered population-level campaigns on physical activity, nutrition, and stress management. The activated consumer intervention included population-level campaigns for evaluating health information, choosing a health benefits plan, and understanding the risks of not taking medications as prescribed. The personal development intervention (control group) offered information on hobbies. The interventions also offered individual-level coaching for high risk individuals in both active intervention groups. Measures. Health risk status, general health status, consumer activation, productivity, and the ability to evaluate health information. Analysis. Multivariate analyses controlled for baseline differences among the study groups. Results. At the population level, compared with baseline performance, the traditional health promotion intervention improved health risk status, consumer activation, and the ability to recognize reliable health websites. Compared with baseline performance, the activated consumer intervention improved consumer activation, productivity, and the ability to recognize reliable health websites. At the population level, however, only the activated consumer intervention improved any outcome more than the control group did; that outcome was consumer activation. At the individual level for high risk individuals, both traditional health coaching and activated consumer coaching positively affected health risk status and consumer activation. In addition, both coaching interventions improved participant ability to recognize a reliable health website. Consumer activation coaching also significantly improved self-reported productivity. Conclusion. An effective intervention can change employee health risk status and activation both at the population level and at the individual high risk level. However, program engagement at the population level was low, indicating that additional promotional strategies, such as greater use of incentives, need to be examined. Less intensive coaching can be as effective as more intensive, albeit both interventions produced modest behavior change and retention in the consumer activation arm was most difficult. Further research is needed concerning recruitment and retention methods that will enable populations to realize the full potential of activated consumerism.
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Affiliation(s)
- Paul E. Terry
- Paul E. Terry, PhD, was with the Park Nicollet Institute, Minneapolis, Minnesota, at the time of the study. Jinnet Briggs Fowles, PhD, and Min Xi, PhD, MS, are with the Health Research Center, and Lisa Harvey, RD, MPH, is with Health Education, Park Nicollet Institute, Minneapolis, Minnesota
| | - Jinnet Briggs Fowles
- Paul E. Terry, PhD, was with the Park Nicollet Institute, Minneapolis, Minnesota, at the time of the study. Jinnet Briggs Fowles, PhD, and Min Xi, PhD, MS, are with the Health Research Center, and Lisa Harvey, RD, MPH, is with Health Education, Park Nicollet Institute, Minneapolis, Minnesota
| | - Min Xi
- Paul E. Terry, PhD, was with the Park Nicollet Institute, Minneapolis, Minnesota, at the time of the study. Jinnet Briggs Fowles, PhD, and Min Xi, PhD, MS, are with the Health Research Center, and Lisa Harvey, RD, MPH, is with Health Education, Park Nicollet Institute, Minneapolis, Minnesota
| | - Lisa Harvey
- Paul E. Terry, PhD, was with the Park Nicollet Institute, Minneapolis, Minnesota, at the time of the study. Jinnet Briggs Fowles, PhD, and Min Xi, PhD, MS, are with the Health Research Center, and Lisa Harvey, RD, MPH, is with Health Education, Park Nicollet Institute, Minneapolis, Minnesota
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Terry PE, Seaverson ELD, Grossmeier J, Anderson DR. Effectiveness of a worksite telephone-based weight management program. Am J Health Promot 2011; 25:186-9. [PMID: 21192748 DOI: 10.4278/ajhp.081112-quan-281] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Examine the long-term impact of a telephone-based weight management program among participants recruited from worksite settings. DESIGN Pre/post quasi-experimental design comparing weight loss and related behaviors between program completers and noncompleters. SETTING Ten large private-sector and public-sector employers. SUBJECTS Overweight or obese participants (n = 1298) enrolled in a telephone-based weight management program. INTERVENTION Individually tailored telephone-based weight management coaching program that included up to five calls over a median of 250 days. MEASURES Weight, body mass index, and lifestyle behaviors assessed via health risk assessment at baseline and 1-year follow-up. ANALYSIS Chi-square and one-way analysis of variance procedures were used to assess between-group differences in weight and associated behaviors, with criterion for significance set at p < .05. RESULTS Among weight management program participants, 48% of program completers and 47% of noncompleters lost weight, but program completers averaged 2.6 times more weight loss than noncompleters. Improvements in physical activity, eating habits, and overall health status were reported for completers. CONCLUSION The weight loss attained among participants who lost weight, along with the improvements in physical activity and nutrition practices, suggests that a telephone-based weight management program of modest intensity can have a positive impact on the health of obese or overweight worksite participants.
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Affiliation(s)
- Paul E Terry
- StayWell Health Management, Saint Paul, Minnesota 55121, USA
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Terry PE, Seaverson ELD, Staufacker MJ, Gingerich SB. A Comparison of the Effectiveness of a Telephone Coaching Program and a Mail-Based Program. HEALTH EDUCATION & BEHAVIOR 2010; 37:895-912. [DOI: 10.1177/1090198110367876] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Many health promotion interventions have been developed and tested in recent years. Practitioners and researchers must continue to explore how various program delivery modalities can be used effectively and efficiently to optimize program outcomes. A sample of 6,055 participants was drawn from 10 large employers. Participants self-selected into a mail or telephone intervention. This study compared the demographics of those who selected each modality and assessed differences in program success relative to the modalities chosen. Telephone participants were more likely to be older, female, and salaried. Telephone participants were also more ready, confident, and motivated to make a behavior change, when compared to those in the mail program. Researchers found both the telephone and mail programs to be effective in reducing participants’ health risk status, though the telephone program was slightly more effective. These findings demonstrate the importance of offering a variety of interventions when promoting healthy changes. More research is needed to investigate the role of participant choice and the combinations of learning experiences that best facilitate sustainable behavior change.
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Conn VS, Hafdahl AR, Cooper PS, Brown LM, Lusk SL. Meta-analysis of workplace physical activity interventions. Am J Prev Med 2009; 37:330-9. [PMID: 19765506 PMCID: PMC2758638 DOI: 10.1016/j.amepre.2009.06.008] [Citation(s) in RCA: 387] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2008] [Revised: 04/28/2009] [Accepted: 06/08/2009] [Indexed: 02/03/2023]
Abstract
CONTEXT Most adults do not achieve adequate physical activity levels. Despite the potential benefits of worksite health promotion, no previous comprehensive meta-analysis has summarized health and physical activity behavior outcomes from such programs. This comprehensive meta-analysis integrated the extant wide range of worksite physical activity intervention research. EVIDENCE ACQUISITION Extensive searching located published and unpublished intervention studies reported from 1969 through 2007. Results were coded from primary studies. Random-effects meta-analytic procedures, including moderator analyses, were completed in 2008. EVIDENCE SYNTHESIS Effects on most variables were substantially heterogeneous because diverse studies were included. Standardized mean difference (d) effect sizes were synthesized across approximately 38,231 subjects. Significantly positive effects were observed for physical activity behavior (0.21); fitness (0.57); lipids (0.13); anthropometric measures (0.08); work attendance (0.19); and job stress (0.33). The significant effect size for diabetes risk (0.98) is less robust given small sample sizes. The mean effect size for fitness corresponds to a difference between treatment minus control subjects' means on VO2max of 3.5 mL/kg/min; for lipids, -0.2 on the ratio of total cholesterol to high-density lipoprotein; and for diabetes risk, -12.6 mg/dL on fasting glucose. CONCLUSIONS These findings document that some workplace physical activity interventions can improve both health and important worksite outcomes. Effects were variable for most outcomes, reflecting the diversity of primary studies. Future primary research should compare interventions to confirm causal relationships and further explore heterogeneity.
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Affiliation(s)
- Vicki S Conn
- School of Nursing, University of Missouri, Columbia, Missouri 65211, USA.
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Rothstein MA, Harrell HL. Health risk reduction programs in employer-sponsored health plans: Part I-efficacy. J Occup Environ Med 2009; 51:943-50. [PMID: 19625972 PMCID: PMC3034441 DOI: 10.1097/jom.0b013e3181b05421] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE We sought to determine whether workplace health risk reduction programs (HRRPs) using health risk assessments (HRAs), individually focused risk reduction, and financial incentives succeeded in improving employee health and reducing employer health benefit costs. METHODS We reviewed the proprietary HRA available to us and conducted a literature review to determine the efficacy of HRRPs using HRAs, individualized employee interventions, and financial incentives for employee participation. RESULTS There is some evidence that HRRPs in employer-sponsored programs improve measures of employee health, but the results of these studies are somewhat equivocal. CONCLUSION Employer-sponsored HRRPs may have some benefits, but problems in plan design and in the studies assessing their efficacy complicate drawing conclusions.
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Affiliation(s)
- Mark A Rothstein
- Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, KY 40202, USA.
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19
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Resnick EA, Bishop M, O’Connell A, Hugo B, Isern G, Timm A, Ozonoff A, Geller AC. The CHEER Study to Reduce BMI in Elementary School Students: A School-Based, Parent-Directed Study in Framingham, Massachusetts. J Sch Nurs 2009; 25:361-72. [DOI: 10.1177/1059840509339194] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Childhood obesity may be lessened by parent-focused interventions. A pilot parent-directed trial with 46 parents of overweight and obese elementary school students was conducted at two ethnically diverse public schools in Framingham, Massachusetts. Parents were randomly assigned to either the Materials Group, which received mailed educational materials, or the Materials plus Personal Encounters Group, which received educational materials through interactions with community health workers (CHWs). Parents completed baseline and post-intervention surveys; children’s body mass index (BMI) percentiles were measured at baseline and post-intervention. There were no differences in the reduction of children’s BMI between groups. However, the mean BMI percentile for all children dropped from 94.1 to 90.6 ( p = .005), while there was no change in BMI among a nonrandomized contemporaneous control group. Findings are limited by the lack of a true control group and small sample size. Results from this school nurse and CHW outreach program to parents are encouraging.
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Robroek SJ, van Lenthe FJ, van Empelen P, Burdorf A. Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Act 2009; 6:26. [PMID: 19457246 PMCID: PMC2698926 DOI: 10.1186/1479-5868-6-26] [Citation(s) in RCA: 284] [Impact Index Per Article: 18.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2008] [Accepted: 05/20/2009] [Indexed: 11/10/2022] Open
Abstract
Background The workplace has been identified as a promising setting for health promotion, and many worksite health promotion programmes have been implemented in the past years. Research has mainly focused on the effectiveness of these interventions. For implementation of interventions at a large scale however, information about (determinants of) participation in these programmes is essential. This systematic review investigates initial participation in worksite health promotion programmes, the underlying determinants of participation, and programme characteristics influencing participation levels. Methods Studies on characteristics of participants and non-participants in worksite health promotion programmes aimed at physical activity and/or nutrition published from 1988 to 2007 were identified through a structured search in PubMed and Web of Science. Studies were included if a primary preventive worksite health promotion programme on PA and/or nutrition was described, and if quantitative information was present on determinants of participation. Results In total, 23 studies were included with 10 studies on educational or counselling programmes, 6 fitness centre interventions, and 7 studies examining determinants of participation in multi-component programmes. Participation levels varied from 10% to 64%, with a median of 33% (95% CI 25–42%). In general, female workers had a higher participation than men (OR = 1.67; 95% CI 1.25–2.27]), but this difference was not observed for interventions consisting of access to fitness centre programmes. For the other demographic, health- and work-related characteristics no consistent effect on participation was found. Pooling of studies showed a higher participation level when an incentive was offered, when the programme consisted of multiple components, or when the programme was aimed at multiple behaviours. Conclusion In this systematic review, participation levels in health promotion interventions at the workplace were typically below 50%. Few studies evaluated the influence of health, lifestyle and work-related factors on participation, which hampers the insight in the underlying determinants of initial participation in worksite health promotion. Nevertheless, the present review does provide some strategies that can be adopted in order to increase participation levels. In addition, the review highlights that further insight is essential to develop intervention programmes with the ability to reach many employees, including those who need it most and to increase the generalizability across all workers.
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Affiliation(s)
- Suzan Jw Robroek
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, the Netherlands.
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21
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Association Between Nine Quality Components and Superior Worksite Health Management Program Results. J Occup Environ Med 2008; 50:633-41. [DOI: 10.1097/jom.0b013e31817e7c1c] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Butterworth SW, Linden A, McClay W. Health Coaching as an Intervention in Health Management Programs. ACTA ACUST UNITED AC 2007. [DOI: 10.2165/00115677-200715050-00004] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Spencer L, Adams TB, Malone S, Roy L, Yost E. Applying the transtheoretical model to exercise: a systematic and comprehensive review of the literature. Health Promot Pract 2006; 7:428-43. [PMID: 16840769 DOI: 10.1177/1524839905278900] [Citation(s) in RCA: 130] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Three questions guided a literature review of the transtheoretical model (TTM) as applied to exercise to address the evidence for stage-matched interventions, the description of priority populations, and the identification of valid TTM measurement tools. One-hundredand-fifty studies were reviewed. Results indicate preliminary support for the use of stage-matched exercise interventions. Most studies have focused on White, middle-class, female populations, limiting the generalizability of their findings. Valid and reliable measures exist for stage of change, decisional balance, processes of change, self-efficacy, and temptations to not exercise; however, more research is needed to refine these measures. Evidence for the construct validity of the TTM as applied to exercise is mixed. When designing and implementing TTM-based exercise interventions, practitioners and policy makers are encouraged to clearly define the term exercise, choose a valid and reliable staging tool, and employ all TTM constructs and not just stage membership.
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Everett KD, Bullock L, Gage JD, Longo DR, Geden E, Madsen R. Health Risk Behavior of Rural Low-Income Expectant Fathers. Public Health Nurs 2006; 23:297-306. [PMID: 16817800 DOI: 10.1111/j.1525-1446.2006.00565.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To assess expectant fathers' health risk behaviors and attitudes about pregnancy-related health issues. Pregnancy may be viewed as a teachable moment: a time when women are receptive to health advice and take action to improve their health and the health of their babies. Pregnancy may also be a teachable moment for expectant fathers, although men's behaviors are rarely considered as part of prenatal care or in associated research. DESIGN Cross-sectional prevalence study. SAMPLE Rural low-income expectant fathers (N=138) whose pregnant partners had enrolled in a Medicaid managed care health plan. MEASUREMENT A telephone survey measuring five health risk behaviors, sociodemographic variables, and pregnancy- and behavior change-related attitudes. RESULTS Analyses found the following: 49.3% smoked cigarettes; 30.4% engaged in hazardous drinking in the past month; 27.5% had very low physical activity levels; 94.9% had at-risk fruit/vegetable intake; and 42% had weight-related health risk (25.4% met body mass index [BMI] criteria for obesity). Further, 47.9% of the men engaged in three or more of five assessed health risk behaviors. CONCLUSIONS This sample of expectant fathers engages in high rates of health risk behaviors. Failure to address the health risk behavior of men during prenatal care represents a missed opportunity to improve paternal, maternal, and family health.
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Affiliation(s)
- Kevin D Everett
- Department of Family and Community Medicine, University of Missouri-Columbia, Columbia, Missouri 65212, USA.
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25
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Jamison JR. Prescribing Wellness: A Case Study Exploring the Use of Health Information Brochures. J Manipulative Physiol Ther 2004; 27:262-6. [PMID: 15148465 DOI: 10.1016/j.jmpt.2004.02.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE A case study was undertaken to ascertain the potential usefulness of brochures as a strategy for encouraging short-term and longer-term acquisition of healthy behaviors at the consumer-health care system interface. METHOD Purposive sampling of chiropractic clinics and convenience sampling of patients attending these primary contact practitioners were undertaken. Patients were asked to complete a questionnaire. Interested patients were given a health information brochure on topics of their choice. Patients who had requested health information brochures were phoned at 3 weeks, 3 months, and 1 year after completing the initial questionnaire and asked if they had implemented any of the suggestions for health promotion or risk prevention. A minimum of 4 attempts were made to contact each participant by telephone. Data were analyzed using descriptive statistics. RESULTS Twenty-one chiropractic clinics and 781 patients participated. Although every third patient requested one or more health information brochures, fewer than 1 in 4 of those receiving brochures implemented some health-promoting behavior. Although some patients persisted with their newly initiated health-promoting behaviors, compliance diminished over time. Exercise and dietary change were the behaviors most likely to be modified. CONCLUSION Implementation of even one healthy behavior can have a ubiquitous health benefit. Despite dwindling compliance, it is therefore suggested that suitably formulated health information brochures that inform and encourage adoption of healthy behaviors by motivated patients deserve consideration by all health professionals working at the consumer-health care system interface.
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Affiliation(s)
- Jennifer R Jamison
- Department of Chiropractic, Murdoch University, South Street, Murdoch, Western Australia 6150.
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Database: Research and Evaluation Results. Am J Health Promot 2002. [DOI: 10.4278/0890-1171-16.5.307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Goetzel RZ, Ozminkowski RJ, Bruno JA, Rutter KR, Isaac F, Wang S. The long-term impact of Johnson & Johnson's Health & Wellness Program on employee health risks. J Occup Environ Med 2002; 44:417-24. [PMID: 12024687 DOI: 10.1097/00043764-200205000-00010] [Citation(s) in RCA: 79] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
To be viewed as successful, corporate health promotion and disease prevention programs must demonstrate that they can improve the risk profile of employees as a whole, and, in particular, those employees at highest risk. This study reports the effectiveness of Johnson & Johnson's newly configured Health & Wellness Program in reducing the health risks of 4586 employees who participated in two serial health screening programs, with a minimum of 1 year between screenings. The study also examines the impact of participation in a high-risk intervention program called Pathways to Change on health risk factors. McNemar chi-squared and z-test statistics were used to evaluate changes in health risks over time. Results indicate significant risk reduction in 8 of 13 risk categories examined for all employees who participated in two health risk assessments over an average of 2 3/4 years. When comparing Pathways to Change participants with non-participants, participants outperformed their non-participant counterparts in six categories but performed worse in five other categories that were not specifically targeted by the high-risk program. In two categories, no differences were found. The study underscores the ability of large-scale, well-attended, and comprehensive corporate health and productivity management programs to positively impact the health and well-being of workers.
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Affiliation(s)
- Ron Z Goetzel
- Research and Policy Division, MEDSTAT Group, Inc, 777 East Eisenhower Parkway, 803R, Ann Arbor, MI 48108, USA
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DataBase: Research and Evaluation Results. Am J Health Promot 2002. [DOI: 10.4278/0890-1171-16.4.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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DataBase: Research and Evaluation Results. Am J Health Promot 2002. [DOI: 10.4278/0890-1171-16.3.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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30
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DataBase: Research and Evaluation Results. Am J Health Promot 2001. [DOI: 10.4278/0890-1171-16.2.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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