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谢菲尔德哈勒姆大学员工健康服务:对健康指标影响的四年随访

Sheffield Hallam Staff Wellness service: Four-year follow-up of the impact on health indicators.

作者信息

Flint Stuart W, Scaife Robert, Kesterton Sue, Humphreys Liam, Copeland Robert, Crank Helen, Breckon Jeff, Maynard Ian, Carter Anouska

机构信息

Academy of Sport and Physical Activity, Faculty of Health and Wellbeing, Sheffield Hallam University, UK; The Centre for Sport and Exercise Science, Faculty of Health and Wellbeing, Sheffield Hallam University, UK

The Centre for Sport and Exercise Science, Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, UK.

出版信息

Perspect Public Health. 2016 Sep;136(5):295-301. doi: 10.1177/1757913916630009. Epub 2016 Feb 29.

Abstract

AIMS

Alongside the increasing prevalence of chronic health conditions such as cardiovascular disease and diabetes has been an increase in interventions to reverse these ill-health trends. The aim of this study was to examine the longitudinal impact of the Sheffield Hallam University Staff Wellness Service on health indicators over a five-year period.

METHODS

The Sheffield Hallam Staff Wellness Service was advertised to university employees. Of 2651 employees who have attended the service, 427 respondents (male = 162, female = 265) aged 49.86 ± 12.26 years attended for five years (4 years follow-up). Each year, participants were assessed on a range of health measures (i.e. cardio-respiratory fitness, body mass index, blood pressure, total cholesterol, high-density lipoproteins, lung function and percentage body fat). Participants also received lifestyle advice (based on motivational interviewing) as part of the intervention to either improve, or in some cases maintain, their current health behaviours (e.g. increased physical activity and diet change).

RESULTS

The wellness service improved staff health for those with an 'at risk' health profile from baseline. These improvements were maintained in subsequent follow-up assessments. Improvement from baseline to 1-year follow-up was observed for all health indicators as was the maintenance of this improvement in years 2, 3 and 4.

CONCLUSIONS

The service demonstrates that a university-based wellness service using a combination of motivational interviewing and health screening to elicit behaviour change (and subsequent improvements in health-related outcomes) was successful in improving the health of employees with an 'at risk' profile.

摘要

目的

随着心血管疾病和糖尿病等慢性健康问题的患病率不断上升,旨在扭转这些健康不良趋势的干预措施也在增加。本研究的目的是考察谢菲尔德哈勒姆大学员工健康服务在五年期间对健康指标的纵向影响。

方法

谢菲尔德哈勒姆大学员工健康服务面向大学员工进行宣传。在2651名参加该服务的员工中,427名年龄为49.86±12.26岁的受访者(男性162名,女性265名)参加了五年(随访4年)。每年,对参与者进行一系列健康指标评估(即心肺适能、体重指数、血压、总胆固醇、高密度脂蛋白、肺功能和体脂百分比)。作为干预措施的一部分,参与者还接受了生活方式建议(基于动机访谈),以改善或在某些情况下维持他们当前的健康行为(如增加体育活动和改变饮食)。

结果

对于基线时健康状况“有风险”的员工,健康服务改善了他们的健康。这些改善在随后的随访评估中得以维持。从基线到1年随访,所有健康指标均有改善,并且在第2、3和4年这种改善得以维持。

结论

该服务表明,一项基于大学的健康服务,通过结合动机访谈和健康筛查来促使行为改变(以及随后健康相关结果的改善),成功改善了健康状况“有风险”的员工的健康。

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