《“生存与繁荣”健康生活方式应用程序的β测试和试点测试：应对消防员职业健康风险的一项对策》

Beta and Pilot Testing of the Surviving & Thriving Healthy Lifestyle App: A Countermeasure to Firefighters' Occupational Health Risks.

作者信息

Lidoriki Irene, Anđelic Bogdan, Lan Fan-Yun, Hershey Maria Soledad, Georgakopoulos Spyridon, Hadkhale Kishor, Speros Eleni, Sotos-Prieto Mercedes, Christophi Costas A, Kales Stefanos N

机构信息

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.

Department of Occupational Medicine, Cambridge Health Alliance, Cambridge, MA 02145, USA.

出版信息

Toxics. 2025 Feb 25;13(3):159. doi: 10.3390/toxics13030159.

DOI:10.3390/toxics13030159

PMID:40137486

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11945949/

Abstract

BACKGROUND

Firefighters face elevated chronic disease risks, and interventions promoting healthier lifestyles are essential for improving their well-being. This study aimed to beta test and further evaluate a healthy lifestyle app (HLS app) for firefighters.

METHODS

Beta usability testing was conducted with new firefighters after using the app. Pilot testing was conducted in two cohorts, (1) the Connecticut Fire Academy Class A-CCA after graduation and (2) the Connecticut Class B-CCB and Miami-Dade Fire Rescue Academy, during academy training to evaluate the potential efficacy of the HLS app in improving healthy lifestyle behaviors, mental health, and physical fitness over three months of use.

RESULTS

Beta testing (n = 93) revealed positive usability feedback, with 62% finding it useful for their health. Pilot testing after graduation (n = 28) was associated with increased push-up capacity (35.6 ± 11.7 vs. 42.9 ± 16.1, = 0.006) and improved mental health scores. Pilot testing during academy training (n = 90) was associated with improvements in push-up capacity (33.8 ± 10.8 vs. 41 ± 10.6, < 0.001), pull-ups (7 [4-11] vs. 10.5 [6-14], < 0.001), 1.5-mile run time (11.96 ± 1.43 vs. 11.26 ± 1.1, < 0.001), BMI (26.7 [24.3-29.7] vs. 25.95 [24.0-28.8], < 0.001), and mental health scores.

CONCLUSIONS

The app was well received and showed potential for improving firefighter health. A randomized controlled trial is needed to rigorously evaluate the effectiveness of the HLS app.

摘要

背景

消防员面临更高的慢性病风险，推广更健康生活方式的干预措施对于改善他们的健康状况至关重要。本研究旨在对一款面向消防员的健康生活方式应用程序（HLS应用程序）进行测试和进一步评估。

方法

在新入职消防员使用该应用程序后进行测试可用性测试。在两个队列中进行试点测试，（1）康涅狄格州消防学院A类-CCA毕业后，（2）康涅狄格州B类-CCB和迈阿密-戴德消防救援学院，在学院培训期间评估HLS应用程序在三个月的使用期内改善健康生活方式行为、心理健康和身体素质的潜在效果。

结果

测试可用性测试（n = 93）显示了积极的可用性反馈，62%的人认为它对他们的健康有用。毕业后的试点测试（n = 28）与俯卧撑能力的提高（35.6±11.7对42.9±16.1，P = 0.006）和心理健康得分的改善有关。学院培训期间的试点测试（n = 90）与俯卧撑能力的提高（33.8±10.8对41±10.6，P < 0.001）、引体向上（7[4 - 11]对10.5[6 - 14]，P < 0.001）、1.5英里跑步时间（11.96±1.43对11.26±1.1，P < 0.001）、体重指数（26.7[24.3 - 29.7]对25.95[24.0 - 28.8]，P < 0.001）和心理健康得分的改善有关。