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IntroductionTraditional role in occupational nursing had been for many years to assist occupational physicians and provide primary health care services. Worksite health promotion field requires a different role for occupational nurses. Our team was trained in health coaching and started offering a new service for workers. Workers can have their personal coach for lifestyle risk management. In this poster we selected two experiences to communicate the impact of this kind of recourse for worksite health promotion programs.MethodsIn an Company a 1000 employees from the oil and gas industry with 98% of workers screened for lifestyle risks annually, we define as target of the intervention 2 major risks: Hypertension and weight issues. Two wellness programs were offered: Blood pressure initiative and Wise. Occupational Nurses were the health promotion agents in charge of the program implementation. We measure each risk at the beginning and we measure impart of the intervention. Core intervention were health coaching interactions.ResultWise program 219 enrolled employees, 182 participating, Initial measures: overweight: 36.3%, obese type 1: 33.0%, obese type 2: 16.5%, obese type 3: 4.9%, healthy weight: 9.3%. Final measures: overweight: 37.9%, obese type 1: 34.6%, obese type 2: 12.6%, obese type 3: 4.9%, healthy weight: 9.9%.: 71%. Total weight loss: 484.90 kg. Blood pressure program: 935 enrolled and screened employees, 184 employees didn´t knew they had hypertension measurements and of them 98 were diagnosed. Healthy habits modification: 71%.ConclusionHealth coaching is a powerful intervention for healthy habits modification in order to reduce lifestyle related risks. Occupational nurses are a strategic group of health professionals for worksite health promotion programs. All this aspects may contribute to develop new roles for occupational health nurses to contribute to build a healthy culture in the workplace.

Introduction: Overweight and obesity are frequently found risk factors in oil industry workers in Argentinian Patagonia with limited access to health care system. Objective: Implement an intervention program based on lifestyle changes for weight reduction among oil industry workers of Patagonia; coordinated by telemedicine from the City of Buenos Aires and carried out by local nurses. Materials and Methods: Nurses in 10 different oil fields, were trained in motivational interviewing, nutrition and physical activity fundamentals. Employees were invited to a 3 months structured program, including workshops on healthy nutrition habits, and weekly consultations to infirmaries for weight control and brief motivational interviews. Participants received a health notebook for self-record of: food intake, physical activity, weight progress and therapeutic objectives. Coordinators monitored the program through video and teleconferences, plus 3 on-site visits. Results: Of 220 participants, 178 (94% males) were included for data analysis, excluding those with BMI<25 kg/m2. Initial data showed 41% overweight, 59% obesity (36.5% grade I, 17.4% grade II and 5.1% grade III) and 93,3% of dyslipidemia among participants. Adherence, measured by assistance to consultations, was 48,9 % high, 37,6% satisfactory and 13,5% low. Median weight loss was 2.5 kg (IQR 1.2 - 4.8) and 2.7% of initial weight (IQR 1.4 - 4.8). High adherence group had an average weight reduction of 4,8kg (95% CI 4.1 - 5.6). Overall, 24% of population lost more than 5% of initial weight, and 7 participants weight loss was greater than 10%. Conclusions: A structured intervention program in remote areas, coordinated by telemedicine can be a successful tool for weight loss and reduction of cardiometabolic risk factors. Disclosure J. Mociulsky: None. P. Ruiz: None. P.C. Zarate: None. L. Cura: None. M.M. Ganduglia Cazaban: Consultant; Self; AstraZeneca. Speaker’s Bureau; Self; Merck & Co., Inc.