Gomel M, Oldenburg B
Aust Health Rev. 1990;13(2):133-43.
A variety of approaches have been used to reduce Cardiovascular Disease (CVD) risk in the community, including programs based in the workplace. To date, it has been difficult to draw accurate conclusions on the effectiveness of worksite CVD risk reduction programs. Typically, such programs suffer from poor participation and high attrition rates and most lack physical and biochemical validation of self-reported lifestyle changes. The present paper describes an evaluation of four health promotion worksite interventions (screening, education, incentive and lifestyle change) conducted in the NSW Ambulance Service. The study achieved very high participation and low attrition rates. Self-reported changes in lifestyle were validated with physical and biochemical measures. The results suggest greater change in some risk factors for those individuals receiving the incentive and lifestyle change programs compared to screening alone or education.
为降低社区心血管疾病（CVD）风险，人们采用了多种方法，包括在工作场所开展的项目。迄今为止，要就工作场所心血管疾病风险降低项目的有效性得出准确结论一直很困难。通常，此类项目参与度低、流失率高，而且大多数缺乏对自我报告的生活方式改变进行的身体和生化验证。本文描述了对新南威尔士州救护车服务部门开展的四项健康促进工作场所干预措施（筛查、教育、激励和生活方式改变）的评估。该研究实现了很高的参与度和低流失率。通过身体和生化指标对自我报告的生活方式改变进行了验证。结果表明，与仅进行筛查或教育相比，接受激励和生活方式改变项目的个体在某些风险因素方面的变化更大。
