The George Institute for Global Health, Beijing, China.
The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
BMJ Open. 2023 Apr 25;13(4):e072405. doi: 10.1136/bmjopen-2023-072405.
Cancer is the second leading cause of death across the globe with the majority of deaths occurring in low-income and middle-income countries. Evidence has shown that the cancer burden can be substantially reduced by avoiding behavioural risk factors through comprehensive intervention strategies, including workplace health promotion, which has shown to be cost-effective in developed countries while rarely conducted in developing countries. This study aims to explore a feasible and sustainable approach to the prevention and control of cancer in China by developing an evidence-based comprehensive workplace health model equipped with a smartphone application for implementation.
This study is designed as a stepped-wedge, cluster-randomised controlled trial. We will recruit 15 workplaces from three cities in China. A total of 750 employees will be randomly selected for evaluation that includes five rounds of survey conducted every 6 months. After the second evaluation, workplaces will be randomly allocated to start the intervention sequentially every 6 months in three steps with five workplaces per step. A mobile application 'Healthy Workplace' will be developed to support the intervention. On-line and off-line health-related activities will be carried out among employees. Employers will provide supportive policies, environment and benefits to facilitate the adoption of healthy behaviours. The primary outcome is the change of Healthy Lifestyle Index Score, which consists of five components including smoking, alcohol drinking, physical activity, diet and body mass index.
The study has been approved by Queen Mary University of London Ethics of Research Committee (QMERC22.257) and Chinese Centre for Disease Control and Prevention Institutional Review Board (202210). Written informed consent is required from all participants. Results will be disseminated through presentations, publications and social media.
ChiCTR2200058680.
癌症是全球第二大死亡原因，大多数死亡发生在低收入和中等收入国家。有证据表明，通过综合干预策略，包括工作场所健康促进，可以显著降低癌症负担，而综合干预策略已被证明在发达国家是具有成本效益的，而在发展中国家却很少实施。本研究旨在通过开发一种基于证据的综合工作场所健康模型，并配备智能手机应用程序来实施，探索在中国预防和控制癌症的可行和可持续方法。
本研究设计为一项阶梯式、整群随机对照试验。我们将从中国三个城市招募 15 个工作场所。总共将随机选择 750 名员工进行评估，评估包括每 6 个月进行 5 轮调查。在第二次评估后，工作场所将随机分配，每隔 6 个月分三个步骤依次开始干预，每个步骤有 5 个工作场所。将开发一个名为“健康工作场所”的移动应用程序来支持干预。将在员工中开展在线和离线与健康相关的活动。雇主将提供支持性政策、环境和福利，以促进健康行为的采用。主要结果是健康生活方式指数得分的变化，该得分由五个组成部分组成，包括吸烟、饮酒、身体活动、饮食和体重指数。
该研究已获得伦敦玛丽女王大学伦理研究委员会（QMERC22.257）和中国疾病预防控制中心伦理审查委员会（202210）的批准。所有参与者均需签署书面知情同意书。研究结果将通过演讲、出版物和社交媒体进行传播。
ChiCTR2200058680。
