Wilson Mark G, Goetzel Ron Z, Ozminkowski Ronald J, DeJoy Dave M, Della Lindsay, Roemer Enid Chung, Schneider Jennifer, Tully Karen J, White John M, Baase Catherine M
Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA 30602-6522, USA.
Obesity (Silver Spring). 2007 Nov;15 Suppl 1(Suppl 1):37S-47S. doi: 10.1038/oby.2007.386.
This paper presents the formative research phase of a large multi-site intervention study conducted to inform the feasibility of introducing environmental and ecological interventions.
Using mixed methods that included an environmental assessment, climate survey, leadership focus groups and interviews, and archival data, information was collected on employee health and job factors, the physical environment, social-organizational environment, and current health programs.
Results show that 83% of employees at the study sites were overweight or obese. Leadership was very supportive of health initiatives and felt integrating the strategies into organizational operations would increase their likelihood of success. Environmental assessment scores ranged from 47 to 19 on a 100-point scale. Health services personnel tended to view the organizational climate for health more positively than site leadership (mean of 3.6 vs. 3.0, respectively).
Intervention strategies chosen included increasing healthy food choices in vending, cafeterias, and company meetings, providing a walking path, targeting messages, developing site goals, training leaders, and establishing leaders at the work group level.
本文介绍了一项大型多地点干预研究的形成性研究阶段，该研究旨在为引入环境与生态干预措施的可行性提供依据。
采用混合方法，包括环境评估、气候调查、领导力焦点小组和访谈以及档案数据，收集了关于员工健康与工作因素、物理环境、社会-组织环境以及当前健康项目的信息。
结果显示，研究地点83%的员工超重或肥胖。领导层非常支持健康倡议，并认为将这些策略融入组织运营会增加其成功的可能性。环境评估得分在100分制中从47分到19分不等。健康服务人员倾向于比现场领导更积极地看待组织的健康氛围（平均分分别为3.6和3.0）。
所选择的干预策略包括在自动售货机、食堂和公司会议上增加健康食品选择、提供一条步行道、设定目标信息、制定地点目标、培训领导以及在工作小组层面设立领导。
