Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Programs for the Assessment of Technology in Health, Research Institute at St Joes, St Joseph Healthcare Hamilton, Hamilton, Canada; Center for Health Economics and Policy Analysis, McMaster University, Hamilton, Ontario, Canada.
Smofsky Strategic Planning, Oakville, Ontario, Canada.
Can J Diabetes. 2018 Oct;42(5):493-499.e1. doi: 10.1016/j.jcjd.2017.12.008. Epub 2017 Dec 18.
There is a lack of Canadian data concerning the effectiveness of diabetes interventions in the workplace. The objective of this study was to evaluate the effectiveness of Motivaction, a diabetes screening and education pilot program, in the workplace.
The Motivaction program involves a voluntary web-based diabetes health-risk assessment, the Canadian Diabetes Risk Questionnaire (CANRISK), combined with an opportunity for those eligible (i.e. having diabetes or having a CANRISK score ≥21) to attend 2 on-site biometric screening meetings with a registered nurse and 4 educational sessions by telephone with a certified diabetes educator. Biometric data, as well as information about self-efficacy, lifestyle changes, productivity, well-being, mental health and program satisfaction, were collected at baseline and at 6 months.
Attendance at the initial and 6-month clinical visits included 293 people. At baseline, 21% were identified as having prediabetes (13%) or having diabetes (8%). Statistically significant reductions in glycated hemoglobin levels from baseline to the study's end were observed in those with prediabetes or diabetes. No statistically significant changes in glycated hemoglobin levels were observed in individuals with normal levels or in those at risk for diabetes at baseline. No statistical differences were observed in terms of productivity or mental health for the full population or across diabetes-risk categories. More than 90% of employees would recommend the Motivaction program to other employers.
This study provides a framework for future diabetes interventions in the workplace and demonstrates that workplace interventions may reduce employees' diabetes risk levels and are valued by employees.
加拿大缺乏有关工作场所糖尿病干预措施有效性的相关数据。本研究的目的是评估 Motivaction（糖尿病筛查和教育试点计划）在工作场所的有效性。
Motivaction 计划包括自愿参与基于网络的糖尿病健康风险评估，即加拿大糖尿病风险问卷（CANRISK），以及为有资格（即患有糖尿病或 CANRISK 评分≥21）的人提供参加 2 次现场生物特征筛查会议和 4 次电话教育会议的机会，会议与注册护士和认证糖尿病教育者进行。在基线和 6 个月时收集生物计量数据，以及关于自我效能、生活方式改变、生产力、幸福感、心理健康和计划满意度的信息。
参加初始和 6 个月临床访问的人数为 293 人。基线时，21%的人被确定为患有前期糖尿病（13%）或患有糖尿病（8%）。患有前期糖尿病或糖尿病的患者，其糖化血红蛋白水平从基线到研究结束时均有显著下降。在基线时血糖水平正常或有糖尿病风险的个体中，糖化血红蛋白水平没有显著变化。在全人群或糖尿病风险类别中，生产力或心理健康方面没有观察到统计学差异。超过 90%的员工会向其他雇主推荐 Motivaction 计划。
本研究为未来工作场所的糖尿病干预措施提供了框架，并证明工作场所干预措施可以降低员工的糖尿病风险水平，并受到员工的重视。
