预防职场糖尿病：教练辅导和金钱激励的效果。
Preventing Diabetes in the Workplace: Effects of Coaching and Monetary Incentives.
机构信息
HEALTHWORKS Division, Atrium Health, Charlotte (Dr Raymond, Ms Roy, Ms Mullinax, Ms Yanni, Ms Pentek, Ms Isaacs); and University of North Carolina at Chapel Hill (Dr Raymond), North Carolina.
出版信息
J Occup Environ Med. 2019 Jul;61(7):e308-e311. doi: 10.1097/JOM.0000000000001611.
OBJECTIVE
Prevention of diabetes demonstrated in the diabetes prevention program has not been thoroughly evaluated in workplace settings.
METHODS
Glycemic control was assessed by glycated hemoglobin (HbA1c) and its impact on 5-year incidence of diabetes and prediabetes prevalence, in wellness program participants (WPP) of (Group A, with) or (Group B, without) health coaching and monetary incentives.
RESULTS
HbA1c fell in Group A WPP (5.52 ± 0.60 vs 5.58 ± 0.36 SD, P = 0.04) as did prediabetes. Incident diabetes was less than expected (24 vs 74, P < 0.001). HbA1c increased in Group B WPP (5.37 ± 0.40 SD vs 5.58 ± 0.54, P < 0.001) and prediabetes increased from 28 to 36 (P < 0.001).
CONCLUSIONS
Health coaching and monetary incentives improved glycemic control over 5 years, an improvement not observed in WPP without these interventions.
目的
糖尿病预防计划中预防糖尿病的效果尚未在工作场所环境中得到充分评估。
方法
通过糖化血红蛋白（HbA1c）评估血糖控制情况，并评估其对 5 年内糖尿病和糖尿病前期患病率的影响，纳入健康计划参与者（WPP）（A 组，有）或（B 组，无）健康指导和经济激励措施。
结果
A 组 WPP 的 HbA1c 下降（5.52±0.60 与 5.58±0.36，P=0.04），糖尿病前期也有所下降。糖尿病发病率低于预期（24 例与 74 例，P<0.001）。B 组 WPP 的 HbA1c 升高（5.37±0.40 与 5.58±0.54，P<0.001），糖尿病前期从 28 例增加到 36 例（P<0.001）。
结论
健康指导和经济激励措施改善了 5 年内的血糖控制，而在没有这些干预措施的 WPP 中则没有观察到这种改善。
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