Rivera L Omar, Ford Jessica Danielle, Hartzell Meredith Marie, Hoover Todd Allan
1 Army Public Health Center, Health Promotion and Wellness Directorate, Public Health Assessment Division, Aberdeen Proving Ground-Edgewood Area, MD, USA.
2 Oak Ridge Institute for Science and Education (ORISE), Oak Ridge Associated Universities (ORAU), Belcamp, MD, USA.
Am J Health Promot. 2018 Sep;32(7):1526-1536. doi: 10.1177/0890117117753184. Epub 2018 Feb 5.
To examine whether Army community members participating in a best-practice based workplace health promotion program (WHPP) experience goal-moderated improvements in health-related outcomes.
Pretest/posttest outcome evaluation examining an autonomously participating client cohort over 1 year.
Army Wellness Center facilities on 19 Army installations.
Army community members sample (N = 5703), mostly Active Duty Soldiers (64%).
Assessment of health risks with feedback, health assessments, health education classes, and health coaching sessions conducted by health educators at a recommended frequency of once a month for 3 to 12 months.
Initial and follow-up outcome assessments of body mass index (BMI), body fat, cardiorespiratory fitness, blood pressure, and perceived stress.
Mixed model linear regression testing for goal-moderated improvements in outcomes.
Clients experienced significant improvements in body fat (-2% change), perceived stress (-6% to -12% change), cardiorespiratory fitness (+6% change), and blood pressure (-1% change) regardless of health-related goal. Only clients with a weight loss goal experienced BMI improvement (-1% change). Follow-up outcome assessment rates ranged from 44% (N = 2509) for BMI to 6% (N = 342) for perceived stress.
Army Wellness Center clients with at least 1 follow-up outcome assessment experienced improvements in military readiness correlates and chronic disease risk factors. Evaluation design and follow-up-related limitations notwithstanding results suggest that best practices in WHPPs can effectively serve a globally distributed military force.
研究参与基于最佳实践的工作场所健康促进计划（WHPP）的陆军社区成员在与健康相关的结果方面是否经历了目标调节的改善。
对一个自主参与的客户队列进行为期1年的前测/后测结果评估。
19个陆军设施上的陆军健康中心设施。
陆军社区成员样本（N = 5703），大多数为现役士兵（64%）。
通过健康教育工作者以每月一次的推荐频率进行3至12个月的健康风险评估及反馈、健康评估、健康教育课程和健康指导课程。
身体质量指数（BMI）、体脂、心肺适能、血压和感知压力的初始和随访结果评估。
采用混合模型线性回归测试结果中目标调节的改善情况。
无论与健康相关的目标如何，客户在体脂（-2%变化）、感知压力（-6%至-12%变化）、心肺适能（+6%变化）和血压（-1%变化）方面都有显著改善。只有设定了减肥目标的客户BMI有所改善（-1%变化）。随访结果评估率从BMI的44%（N = 2509）到感知压力的6%（N = 342）不等。
至少进行了1次随访结果评估的陆军健康中心客户在军事准备相关指标和慢性病风险因素方面有所改善。尽管评估设计和与随访相关的局限性存在，但结果表明工作场所健康促进计划中的最佳实践可以有效地服务于全球分布的军事力量。
