Fallowfield Joanne L, Carins J
Institute of Naval Medicine, Alverstoke, Hampshire, UK
Griffith University, Brisbane, Queensland, Australia.
BMJ Mil Health. 2025 Jan 9. doi: 10.1136/military-2024-002861.
Many employers-including the military-are experiencing systemic workforce capacity and capability challenges. This coincides with a time of declining workforce health, especially among military service entrants, where many performance-limiting health conditions are preventable if healthier behaviours are practised. Effectively tackling complex, interconnected health problems demands a multilevel, multicomponent Whole System Approach (WSA). However, despite recognition of the issues impacting international militaries, current policies and practices supporting healthy, performing workforces have failed. To arrest ill-health trends in personnel, military employers must develop transformational ways to support good health. This paper presents a military workplace WSA model, operationalised through COM-B to specifically target diet behaviour, supporting individual good health, promoting human performance and realising organisational benefits. The challenges of a military occupational setting to individual nutrition practices across the career are discussed. Finally, Impact Value Chain analysis is proposed to monitor system delivery and measure the effectiveness of an integrated, organisation-wide WSA.
包括军队在内的许多雇主都在经历系统性的劳动力能力和素质挑战。这恰逢劳动力健康状况下降的时期，尤其是在军事服役新兵中，如果践行更健康的行为，许多限制表现的健康问题是可以预防的。有效应对复杂、相互关联的健康问题需要一种多层次、多组成部分的全系统方法（WSA）。然而，尽管认识到影响国际军队的问题，但目前支持健康、高效劳动力的政策和做法却失败了。为了遏制人员健康不佳的趋势，军事雇主必须制定变革性方法来支持良好健康。本文提出了一种军事工作场所WSA模型，通过COM-B实施，专门针对饮食行为，支持个人良好健康，促进人员表现并实现组织效益。讨论了军事职业环境对整个职业生涯中个人营养实践的挑战。最后，提出了影响价值链分析，以监测系统交付并衡量全组织综合WSA的有效性。
