A Worksite Obesity Intervention: Results From a Group-Randomized Trial

Siegel, Judith M.; Prelip, Michael; Erausquin, Jennifer Toller; Kim, Sonia A.

doi:10.2105/ajph.2008.154153

Cited by 45 publications

(92 citation statements)

References 10 publications

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“…For example, a construction worker must lift heavy objects, while a white-collared employee may spend majority of his or her working hours at a desk. Considering the amount of time and money obesity in the workplace has cost, companies have targeted their focus on developing interventions that are tailored to different occupational settings [33,35,37,39,40]. In turn, employees often know what makes a workplace vibrant.…”

Section: Discussionmentioning

confidence: 99%

“…Implementation of obesity prevention or weight management intervention programs and strategies in the workplace, in a form of health promotion or worker wellness programs aimed at weight, nutrition, stress, and physical activity, taking into consideration the obesity rates of today, may be important for employers to consider [33][34][35][36][37][38][39][40] ( Table 2 [42]. In a recent literature review of the effectiveness of workplace health interventions by Schröer et al, beneficial health effects have been found in interventions aimed at workplace nutrition and multi-component physical activity, both of which, when combined, showed a greater effect on weight loss over solely one or the other; however, this review have not found any evidence of increased efficacy associated with any specific intervention reviewed [43].…”

Section: Obesity and Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Lost-time illness, injury and disability and its relationship with obesity in the workplace: A comprehensive literature review

Nowrouzi

Gohar

Nowrouzi‐Kia

et al. 2016

Int J Occup Med Environ Health

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The objective of this study was to conduct a literature review examining predictors of lost-time injury, illness and disability (IID) in the workplace, with a focus on obesity as a predictor, and to evaluate the relationship between obesity and losttime IID. The study objective was also to analyze workplace disability prevention and interventions aimed at encouraging a healthy lifestyle among employees and reducing obesity and IID, as well as to identify research gaps. The search was conducted in several major online databases. Articles included in the review were published in English in peer-reviewed journals between January 2003 and December 2014, and were found to be of good quality and of relevance to the topic. Each article was critically reviewed for inclusion in this study. Studies that focused on lost-time IID in the workplace were reviewed and summarized. Workers in overweight and obese categories are shown to be at a higher risk of workplace IID, are more likely to suffer from lost-time IID, and experience a slower recovery compared to workers with a healthy body mass index (BMI) score. Lost-time IID is costly to an employer and an employee; therefore, weight reduction may financially benefit both -workers and companies. It was found that some companies have focused on developing interventions that aid reduction of weight and the practice of active lifestyle among their employees. Int J Occup Med Environ Health 2016;29(5):749-766

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Section: Discussionmentioning

confidence: 99%

Section: Obesity and Interventionsmentioning

confidence: 99%

Lost-time illness, injury and disability and its relationship with obesity in the workplace: A comprehensive literature review

Nowrouzi

Gohar

Nowrouzi‐Kia

et al. 2016

Int J Occup Med Environ Health

View full text Add to dashboard Cite

show abstract

“…Our response rates for clients and programs were acceptable (78 to over 90 %), but low to moderate (50 %) for agencies relative to the field. Many studies of quality improvement in specific sites or applying CBPR to health rely on convenience samples, 7,38,[55][56][57][58][59][60][61] and use integrated systems or households or settings in government districts. 39,49,[62][63][64][65][66] The study findings are based on client self-report and may not accurately reflect actual service use due to problems such as client recall.…”

Section: Discussionmentioning

confidence: 99%

Community-Partnered Evaluation of Depression Services for Clients of Community-Based Agencies in Under-Resourced Communities in Los Angeles

et al. 2013

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BACKGROUND:As medical homes are developing under health reform, little is known regarding depression services need and use by diverse safety-net populations in under-resourced communities. For chronic conditions like depression, primary care services may face new opportunities to partner with diverse community service providers, such as those in social service and substance abuse centers, to support a collaborative care model of treating depression. OBJECTIVE: To understand the distribution of need and current burden of services for depression in underresourced, diverse communities in Los Angeles. DESIGN: Baseline phase of a participatory trial to improve depression services with data from client screening and follow-up surveys. PARTICIPANTS: Of 4,440 clients screened from 93 programs (primary care, mental health, substance abuse, homeless, social and other community services) in 50 agencies, 1,322 were depressed according to an eight-item Patient Health Questionnaire (PHQ-8) and gave contact information; 1,246 enrolled and 981 completed surveys. Ninety-three programs, including 17 primary care/public health, 18 mental health, 20 substance abuse, ten homeless services, and 28 social/other community services, participated. MAIN MEASURES:Comparisons by setting in 6-month retrospective recall of depression services use. KEY RESULTS: Depression prevalence ranged from 51.9 % in mental health to 17.2 % in social-community programs. Depressed clients used two settings on average to receive depression services; 82 % used any setting. More clients preferred counseling over medication for depression treatment. CONCLUSIONS: Need for depression care was high, and a broad range of agencies provide depression care. Although most participants had contact with primary care, most depression services occurred outside of primary care settings, emphasizing the need to coordinate and support the quality of community-based services across diverse community settings.KEY WORDS: depression services; community-partnered; participatory research; CPPR; CBPR; community-based; under-resourced. J Gen Intern Med 28(10):1279-87 DOI: 10.1007/s11606-013-2480-7 © Society of General Internal Medicine 2013 BACKGROUND Current healthcare reforms call for expansions of primary care and integrated medical homes for safety-net populations. 1,2 Primary care is a "de facto" mental health setting, 3 where rates of recognition and treatment for depression are lower than in specialty mental health settings. 4 While collaborative care is effective for primary care depressed patients, [5][6][7] little is known about how to conceptualize depression management in neighborhoods with high rates of poverty and ethnic minority representation. 8 Neighborhood poverty is predictive of depression onset, 9 and while prevalence of depressive disorders is similar for Latinos and African Americans relative to non-Hispanic whites, 10,11 African Americans may have greater severity when depressed. 12 Ethnic and socioeconomic disparities in access to and quality of mental health...

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“…Similar studies typically lack detailed rationale for sampling procedures or rely on convenience samples of sites with individual randomization. Sites, when matched, are selected by convenience, or within integrated health care systems or government districts (Blumenthal, Smith, Majett, & Alema-Mensah, 2010;Corbie-Smith et al, 2003;Cordasco et al, 2009;Perry, Stigler, Arora, & Reddy, 2008;Siegel, Prelip, Erausquin, & Kim, 2010;Wilson et al, 2008). Few published manuscripts provide guidance on how to maintain the scientific goals of feasibility, validity (internal and external), and methodological integrity alongside partnership principles of transparency, equity, and trust.…”

Section: Building Coalitions and Partnerships For Health Promotionmentioning

confidence: 99%

Sampling and Recruiting Community-Based Programs Using Community-Partnered Participation Research

Stockdale

Tang

Pudilo³

et al. 2015

Health Promotion Practice

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The inclusion of community partners in participatory leadership roles around statistical design issues like sampling and randomization has raised concerns about scientific integrity. This article presents a case study of a community-partnered, participatory research (CPPR) cluster-randomized, comparative effectiveness trial to examine implications for study validity and community relevance. Using study administrative data, we describe a CPPR-based design and implementation process for agency/program sampling, recruitment, and randomization for depression interventions. We calculated participation rates and used cross-tabulation to examine balance by intervention status on service sector, location, and program size and assessed differences in potential populations served. We achieved 51.5% agency and 89.6% program participation rates. Programs in different intervention arms were not significantly different on service sector, location, or program size. Participating programs were not significantly different from eligible, nonparticipating programs on community characteristics. We reject claims that including community members in research design decisions compromises scientific integrity. This case study suggests that a CPPR process can improve implementation of a community-grounded, rigorous randomized comparative effectiveness trial.

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A Worksite Obesity Intervention: Results From a Group-Randomized Trial

Abstract: The participatory process appeared to be an effective means for stimulating change. The intervention may have slowed and perhaps reversed the tendency of adults to gain weight progressively with age.

Cited by 45 publications

References 10 publications

Lost-time illness, injury and disability and its relationship with obesity in the workplace: A comprehensive literature review

Lost-time illness, injury and disability and its relationship with obesity in the workplace: A comprehensive literature review

Community-Partnered Evaluation of Depression Services for Clients of Community-Based Agencies in Under-Resourced Communities in Los Angeles

Sampling and Recruiting Community-Based Programs Using Community-Partnered Participation Research

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