Bogale Sitotaw Kerie, Sarma Haribondhu, Alamnia Tilahun Tewabe, Kelly Matthew
The National Centre for Epidemiology & Population Health The Australian National University Canberra Australian Capital Territory Australia.
College of Medicine and Health Sciences Bahir Dar University Bahir Dar Ethiopia.
Public Health Chall. 2024 Jul 23;3(3):e224. doi: 10.1002/puh2.224. eCollection 2024 Sep.
Sedentary office work and work-related stress increase the risk of metabolic syndrome. Workplace-based education interventions for promoting prevention are gaining popularity due to their positive impact on managing metabolic syndrome. We conducted this realist review to understand the contextual factors and mechanisms that contribute to the effectiveness of these interventions and how they interact to produce outcomes.
We conducted a comprehensive search of five main databases (PubMed, Web of Science, ProQuest, Scopus and PsycINFO) and Google Scholar, as well as references of included articles. We included all studies published until 12 January 2023, reporting the effects of workplace lifestyle education interventions on metabolic syndrome. Using a realist review approach, we identified and evaluated middle-range theories to develop a context-mechanism-outcome configuration.
We identified 6883 titles for screening, of which 15 studies were included in this realist review. This realist review has identified strong social support networks, workplace influence, involvement of worksite managers and cultural relevance as contextual factors that contribute to the effectiveness of workplace-based education interventions for managing metabolic syndrome in low- and middle-income countries, which may not be as prominent in developed countries.
The review concludes that while developing and implementing healthy lifestyle policies in the workplace, policymakers and researchers should consider social support, workplace influences, manager participation and cultural relevance.
久坐的办公室工作和与工作相关的压力会增加患代谢综合征的风险。基于工作场所的促进预防的教育干预措施因其对代谢综合征管理的积极影响而越来越受欢迎。我们进行了这项现实主义综述，以了解有助于这些干预措施有效性的背景因素和机制，以及它们如何相互作用以产生结果。
我们对五个主要数据库（PubMed、科学网、ProQuest、Scopus和PsycINFO）以及谷歌学术进行了全面搜索，并查阅了纳入文章的参考文献。我们纳入了截至2023年1月12日发表的所有研究，这些研究报告了工作场所生活方式教育干预对代谢综合征的影响。采用现实主义综述方法，我们确定并评估了中程理论，以构建背景-机制-结果配置。
我们确定了6883个标题进行筛选，其中15项研究被纳入本现实主义综述。该现实主义综述确定了强大的社会支持网络、工作场所影响、工作场所管理者的参与和文化相关性等背景因素，这些因素有助于在低收入和中等收入国家实施基于工作场所的教育干预措施来管理代谢综合征，而在发达国家这些因素可能不那么突出。
该综述得出结论，在制定和实施工作场所健康生活方式政策时，政策制定者和研究人员应考虑社会支持、工作场所影响、管理者参与和文化相关性。
