Department of Public and Occupational Health and the EMGO Institute for Health and Care Research, VU University Medical Center, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
BMC Public Health. 2009 Nov 10;9:408. doi: 10.1186/1471-2458-9-408.
A major contributor of early exit from work is a decline in health with increasing age. As healthy lifestyle choices contribute to better health outcomes, an intervention aimed at an improved lifestyle is considered a potentially effective tool to keep older workers healthy and vital, and thereby to prolong labour participation.
Using the Intervention Mapping (IM) protocol, a lifestyle intervention was developed based on information obtained from 1) literature, 2) a short lifestyle questionnaire aimed at identifying the lifestyle behaviours among the target group, and 3) focusgroup (FG) interviews among 36 older workers (aged 45+ years) aimed at identifying: a) key determinants of lifestyle behaviour, b) a definition of vitality, and c) ideas about how vitality can be improved by lifestyle.The main lifestyle problems identified were: insufficient levels of physical activity and insufficient intake of fruit and vegetables. Using information from both literature and FG interviews, vitality consists of a mental and a physical component. The interviewees suggested to improve the mental component of vitality by means of relaxation exercises (e.g. yoga); physical vitality could be improved by aerobic endurance exercise and strength training.The lifestyle intervention (6 months) consists of three visits to a Personal Vitality Coach (PVC) combined with a Vitality Exercise Programme (VEP). The VEP consists of: 1) once a week a guided yoga group session aimed at relaxation exercises, 2) once a week a guided aerobic workout group session aimed at improving aerobic fitness and increasing muscle strength, and 3) older workers will be asked to perform once a week for at least 45 minutes vigorous physical activity without face-to-face instructions (e.g. fitness). Moreover, free fruit will be offered at the group sessions of the VEP. The lifestyle intervention will be evaluated in a RCT among older workers of two major academic hospitals in the Netherlands. At baseline, after 6 and 12 months, measurements (primary: lifestyle and vitality, and secondary: work-engagement and productivity) will take place.
The lifestyle programme is developed specifically tailored to the needs of the older workers and which is aimed at improving their vitality.
NTR1240.
随着年龄的增长，健康状况的下降是导致早期离职的一个主要因素。由于健康的生活方式选择有助于改善健康结果，因此，旨在改善生活方式的干预措施被认为是一种保持老年工人健康和充满活力的有效工具，从而延长他们的工作参与时间。
使用干预映射（IM）协议，根据以下信息制定了生活方式干预措施：1）文献；2）旨在确定目标群体生活方式行为的简短生活方式问卷；3）36 名老年工人（年龄在 45 岁以上）的焦点小组（FG）访谈，旨在确定：a）生活方式行为的主要决定因素，b）活力的定义，以及 c）通过生活方式提高活力的想法。确定的主要生活方式问题是：体力活动水平不足和水果及蔬菜摄入不足。利用文献和 FG 访谈中的信息，活力由心理和生理两个部分组成。受访者建议通过放松练习（例如瑜伽）来改善活力的心理组成部分；通过有氧运动耐力练习和力量训练来提高身体活力。生活方式干预（6 个月）包括三次与个人活力教练（PVC）的会面，并结合活力运动计划（VEP）。VEP 包括：1）每周一次的瑜伽团体课程，旨在进行放松练习；2）每周一次的有氧锻炼团体课程，旨在提高有氧健身水平和增加肌肉力量；3）要求老年工人每周至少进行一次 45 分钟的剧烈身体活动，无需面对面指导（例如健身）。此外，将在 VEP 的团体课程中提供免费水果。这项生活方式干预将在荷兰两所主要学术医院的老年工人中进行 RCT 评估。在基线、6 个月和 12 个月时，将进行测量（主要：生活方式和活力，以及次要：工作投入和生产力）。
该生活方式计划是根据老年工人的需求专门制定的，旨在提高他们的活力。
NTR1240。
