Department of Public Health and Primary Care/Health Campus The Hague, Leiden University Medical Center, the Hague, Netherlands.
Dept. Internal Medicine and Endocrinology, Reinier de Graaf Hospital, Delft, Netherlands.
BMC Health Serv Res. 2024 Oct 31;24(1):1321. doi: 10.1186/s12913-024-11831-1.
Working in healthcare often involves stressful situations and a high workload, and many healthcare workers experience burnout complaints or suffer from mental or physical problems. This also affects the overall quality of health care. Many previous workplace interventions focused on knowledge exchange instead of other health cognitions, and were not particularly effective. Multicomponent lifestyle interventions may offer the potential in improving lifestyle and well-being of healthcare professionals. This study aims to evaluate the impact of a multicomponent lifestyle intervention "Healthy and Vital" for healthcare professionals on several health-related outcomes.
A pre- (multiple) post-pilot study has been conducted using data from 2012 to 2018 to evaluate the lifestyle intervention in 126 female healthcare professionals. Measurements were conducted before, directly after the intervention (at 3 months), and 6 months after finishing the intervention (at 9 months). Participants filled out questionnaires and anthropometrics measurements were conducted by a dietitian. The intervention is based on the ASE-model, theory of planned behavior, and motivational interviewing techniques. The intervention included workshops related to stress, eating, sleep, and individual meetings with a dietitian. Multilevel linear mixed models with a random intercept and fixed slope were used to evaluate the impact on lifestyle self-efficacy, eating behavior, anthropometric outcomes and quality of life.
Improvements were observed for lifestyle self-efficacy (total: beta= 1.32 95%CI 0.94;1.48, I know: beta= 1.19 95%CI 0.92;1.46, and I can: beta= 1.46 95%CI 1.19;1.73), eating behavior (emotional eating: beta=-0.33 95%CI-0.44;-0.23, external eating: beta=-0.35 95%CI -0.44;-0.26, and diet/restrictive behavior: beta= 0.41 95%CI 0.30;0.51), anthropometric outcomes (weight: beta=-5.03 95%CI -5.93;-4.12, BMI: beta=-1.873 95%CI -2.06;-1.41, waist circumference: beta=-6.83 95%CI -8.00;-5.65, and body fat percentage: beta=-1.80 95%CI -2.48;-1.17) and multiple outcomes of quality of life (physical functioning: beta= 4.43 95%CI 1.98;6.88, vitality: beta= 7.58 95%CI 4.74;10.42, pain: beta=4.59 95%CI 0.91;1.827, general health perception: beta= 7.43 95%CI 4.79;10.07, and health change: beta= 21.60 95%CI 16.41;28.80) directly after the intervention. The improvements remained after a six-month follow-up.
Multicomponent interventions such as "Healthy and Vital" for healthcare professionals may be useful for improving the health of healthcare workers. More research using other designs with a control group, such as a stepped-wedge or RCT, is needed to verify our findings.
Retrospectively registered on May 1 2024 at the Open Science Framework Registries ( https://doi.org/10.17605/OSF.IO/Z9VU5 ).
在医疗保健领域工作通常涉及紧张的情况和高工作量，许多医疗保健工作者会出现倦怠投诉或患有精神或身体问题。这也会影响整体医疗保健质量。许多以前的工作场所干预措施侧重于知识交流，而不是其他健康认知，并且效果并不特别显著。多成分生活方式干预措施可能有潜力改善医疗保健专业人员的生活方式和幸福感。本研究旨在评估针对医疗保健专业人员的多成分生活方式干预措施“健康与活力”对多项与健康相关的结果的影响。
使用 2012 年至 2018 年的数据进行了一项预（多次）后试点研究，以评估 126 名女性医疗保健专业人员的生活方式干预措施。在干预前（基线）、直接干预后（3 个月）和干预结束后 6 个月（9 个月）进行了测量。参与者填写了问卷，营养师进行了人体测量学测量。该干预措施基于 ASE 模型、计划行为理论和动机访谈技术。干预措施包括与压力、饮食、睡眠相关的研讨会以及与营养师的个人会议。使用具有随机截距和固定斜率的多层次线性混合模型来评估对生活方式自我效能、饮食行为、人体测量学结果和生活质量的影响。
生活方式自我效能感得到了改善（总分：β=1.32，95%CI 0.94-1.48，我知道：β=1.19，95%CI 0.92-1.46，我能：β=1.46，95%CI 1.19-1.73）、饮食行为（情绪性进食：β=-0.33，95%CI-0.44-0.23，外食：β=-0.35，95%CI-0.44-0.26，以及节食/限制行为：β=0.41，95%CI 0.30-0.51）、人体测量学结果（体重：β=-5.03，95%CI-5.93-4.12，BMI：β=-1.873，95%CI-2.06-1.41，腰围：β=-6.83，95%CI-8.00-5.65，以及体脂肪百分比：β=-1.80，95%CI-2.48-1.17）和多个生活质量结果（身体机能：β=4.43，95%CI 1.98-6.88，活力：β=7.58，95%CI 4.74-10.42，疼痛：β=4.59，95%CI 0.91-1.827，一般健康感知：β=7.43，95%CI 4.79-10.07，以及健康变化：β=21.60，95%CI 16.41-28.80）直接干预后。在 6 个月的随访后，这些改善仍然存在。
针对医疗保健专业人员的多成分干预措施，如“健康与活力”，可能有助于改善医疗保健工作者的健康状况。需要使用其他设计（如阶梯式楔形或 RCT）的更多研究来验证我们的发现。
2024 年 5 月 1 日在开放科学框架注册（https://doi.org/10.17605/OSF.IO/Z9VU5）。
