Tarride J E, Harrington K, Balfour R, Simpson P, Foord L, Anderson L, Lakey W
Programs for Assessment of Technology in Health Research Institute, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada.
Work. 2011;40(4):459-71. doi: 10.3233/WOR-2011-1257.
To evaluate the My Health Matters! (MHM) program, a multifaceted workplace intervention relying on education and awareness, early detection and disease management with a focus on risk factors for metabolic syndrome.
The MHM program was offered to 2,000 public servants working in more than 30 worksites in British Columbia, Canada.
The MHM program included a health risk assessment combined with an opportunity to attend an on-site screening and face-to-face call back visits and related on-site educational programs. Clinical and economic outcomes were collected over time in this one-year prospective study coupled with administrative and survey data.
Forty three per cent of employees (N=857) completed the online HRA and 23 per cent (N=447) attended the initial clinical visit with the nurse. Risk factors for metabolic syndrome were identified in more than half of those attending the clinical visit. The number of risk factors significantly decreased by 15 per cent over six months (N=141). The cost per employee completing the HRA was $205 while the cost per employee attending the initial clinical visit was $394. Eighty-two per cent of employees would recommend the program to other employers.
This study supports that workplace interventions are feasible, sustainable and valued by employees. As such, this study provides a new framework for implementing and evaluating workplace interventions focussing on metabolic disorders.
评估“我的健康很重要!”(MHM)项目,这是一项多方面的工作场所干预措施,依靠教育与宣传、早期检测及疾病管理,重点关注代谢综合征的风险因素。
MHM项目面向加拿大不列颠哥伦比亚省30多个工作场所的2000名公务员开展。
MHM项目包括一项健康风险评估,以及参加现场筛查、面对面回访和相关现场教育项目的机会。在这项为期一年的前瞻性研究中,随着时间的推移收集临床和经济结果,并结合行政和调查数据。
43%的员工(N = 857)完成了在线健康风险评估,23%的员工(N = 447)参加了与护士的首次临床问诊。参加临床问诊的人员中,超过一半被查出存在代谢综合征的风险因素。在六个月内,风险因素的数量显著减少了15%(N = 141)。完成健康风险评估的每位员工的成本为205美元,而参加首次临床问诊的每位员工的成本为394美元。82%的员工会向其他雇主推荐该项目。
本研究支持工作场所干预措施是可行的、可持续的且受到员工重视。因此,本研究为实施和评估关注代谢紊乱的工作场所干预措施提供了一个新框架。