一项为期九个月的基于网络和应用程序的工作场所干预措施对社会福利和医疗保健部门员工促进健康生活方式及减肥的效果：一项随机对照试验
Effect of a Nine-Month Web- and App-Based Workplace Intervention to Promote Healthy Lifestyle and Weight Loss for Employees in the Social Welfare and Health Care Sector: A Randomized Controlled Trial.
作者信息
Balk-Møller Nina Charlotte, Poulsen Sanne Kellebjerg, Larsen Thomas Meinert
机构信息
Department of Nutrition, Exercise and Sports, Faculty of Science, Copenhagen University, Frederiksberg C, Denmark.
出版信息
J Med Internet Res. 2017 Apr 10;19(4):e108. doi: 10.2196/jmir.6196.
BACKGROUND
General health promoting campaigns are often not targeted at the people who need them the most. Web- and app-based tools are a new way to reach, motivate, and help people with poor health status.
OBJECTIVE
The aim of our study was to test a Web- and mobile app-based tool ("SoSu-life") on employees in the social welfare and health care sector in Denmark.
METHODS
A randomized controlled trial was carried out as a workplace intervention. The tool was designed to help users make healthy lifestyle changes such as losing weight, exercise more, and quit smoking. A team competition between the participating workplaces took place during the first 16 weeks of the intervention. Twenty nursing homes for elderly people in 6 municipalities in Denmark participated in the study. The employees at the nursing homes were randomized either 1:1 or 2:1 on a municipality level to use the SoSu-life tool or to serve as a control group with no intervention. All participants underwent baseline measurements including body weight, waist circumference, body fat percentage, blood pressure, and blood cholesterol level and they filled in a questionnaire covering various aspects of health. The participants were measured again after 16 and 38 weeks.
RESULTS
A total of 566 (SoSu-life: n=355, control: n=211) participants were included in the study. At 16 weeks there were 369 participants still in the study (SoSu-life: n=227, control: n=142) and 269 participants completed the 38 week intervention (SoSu-life: n=152, control: n=117). At 38 weeks, the SoSu-life group had a larger decrease in body weight (-1.01 kg, P=.03), body fat percentage (-0.8%, P=.03), and waist circumference (-1.8 cm, P=.007) compared with the control group.
CONCLUSIONS
The SoSu-life Web- and app-based tool had a modest yet beneficial effect on body weight and body fat percentage in the health care sector staff.
TRIAL REGISTRATION
Clinicaltrials.gov NCT02438059; http://clinicaltrials.gov/ct2/show/NCT02438059 (Archived by WebCite at http://www.webcitation.org/6i6y4p2AS).
背景
一般的健康促进活动往往没有针对最需要它们的人群。基于网络和应用程序的工具是一种接触、激励和帮助健康状况不佳人群的新方式。
目的
我们研究的目的是在丹麦社会福利和医疗保健部门的员工中测试一种基于网络和移动应用程序的工具（“SoSu-life”）。
方法
作为一项工作场所干预措施，开展了一项随机对照试验。该工具旨在帮助用户做出健康的生活方式改变，如减肥、增加锻炼和戒烟。在干预的前16周，参与的工作场所之间进行了团队竞赛。丹麦6个市的20家养老院参与了该研究。养老院的员工在市一级以1:1或2:1的比例随机分组，使用SoSu-life工具或作为无干预的对照组。所有参与者都进行了基线测量，包括体重、腰围、体脂百分比、血压和血液胆固醇水平，并填写了一份涵盖健康各个方面的问卷。在16周和38周后再次对参与者进行测量。
结果
共有566名（SoSu-life组：n = 355，对照组：n = 211）参与者纳入研究。16周时，仍有369名参与者留在研究中（SoSu-life组：n = 227，对照组：n = 142），269名参与者完成了38周的干预（SoSu-life组：n = 152，对照组：n = 117）。在38周时，与对照组相比，SoSu-life组的体重（-1.01 kg，P = 0.03）、体脂百分比（-0.8%，P = 0.03）和腰围（-1.8 cm，P = 0.007）下降幅度更大。
结论
基于网络和应用程序的SoSu-life工具对医疗保健部门员工的体重和体脂百分比有适度但有益的影响。
试验注册
Clinicaltrials.gov NCT02438059；http://clinicaltrials.gov/ct2/show/NCT02438059（由WebCite存档于http://www.webcitation.org/6i6y4p2AS）。
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