University of Georgia, Athens, GA, USA.
Health Promot Pract. 2021 May;22(3):415-422. doi: 10.1177/1524839919869921. Epub 2019 Aug 24.
. FUEL Your Life (FYL) is a worksite translation of the Diabetes Prevention Program (DPP). In a randomized controlled trial, participants in a phone coaching condition demonstrated greater weight loss compared to participants in a group coaching or self-study condition. The purpose of this article is to describe the differences in participant reach, intervention uptake, and participant satisfaction for each delivery mode. . Employees who were overweight, obese, or at high risk for diabetes were recruited from city-county governments. Process evaluation data were collected from health coach records, participant surveys, and research team records. Differences between groups were tested using Pearson chi-square test and one-way analysis of variance. . Employee reach of targeted enrollment was highest for the self-study condition. Overall, intervention uptake was highest in the phone coaching condition. Participants who received phone coaching had increased uptake of the participant manual and self-monitoring of food compared to participants who received group coaching or self-study. . FYL demonstrated that DPP could be effectively delivered in the worksite by three different modalities. When implemented in a self-study mode, reach is greater but intervention uptake is lower. Phone health coaching was associated with greater intervention exposure.
. FYL 是对糖尿病预防计划(DPP)的工作场所翻译。在一项随机对照试验中,与参加小组指导或自学条件的参与者相比,参加电话指导条件的参与者体重减轻更多。本文的目的是描述每种交付模式在参与者覆盖范围、干预参与度和参与者满意度方面的差异。. 从市县级政府招聘超重、肥胖或糖尿病高危的员工。从健康教练记录、参与者调查和研究团队记录中收集过程评估数据。使用 Pearson 卡方检验和单向方差分析测试组间差异。. 目标入组的员工覆盖率最高的是自学条件。总体而言,电话指导条件下的干预参与度最高。与接受小组指导或自学的参与者相比,接受电话指导的参与者增加了参与者手册的使用和食物自我监测。. FYL 表明,DPP 可以通过三种不同的方式在工作场所有效实施。在自学模式下实施时,覆盖范围更大,但干预参与度较低。电话健康指导与更大的干预接触相关。