Behavioural interventions for CVD risk reduction for blue-collar workers: a systematic review

Crane, Melissa M.; Halloway, Shannon; Walts, Zoe L; Gavin, Kara L.; Moss, Angela; Westrick, Jennifer; Appelhans, Bradley M.

doi:10.1136/jech-2021-216515

Cited by 8 publications

(8 citation statements)

References 55 publications

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“…Thus, tailored interventions, even those conducted using computer-aided methods, are strongly recommended [22,23]. For instance, the acknowledgment of the occupational setting discussed concerning blue-collar workers [24] can be of great importance in Poland, where three-quartes of people in the "Multi-risks" cluster are of professionally active age (below 60) and over half have a basic vocational education.…”

Section: Discussionmentioning

confidence: 99%

Clustering of the Adult Population According to Behavioural Health Risk Factors as the Focus of Community-Based Public Health Interventions in Poland

Poznańska

Lewtak

Wojtyniak

et al. 2023

IJERPH

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Effective lifestyle health promotion interventions require the identification of groups sharing similar behavioural risk factors (BRF) and socio-demographic characteristics. This study aimed to identify these subgroups in the Polish population and check whether local authorities’ health programmes meet their needs. Population data came from a 2018 question survey on a random representative sample of 3000 inhabitants. Four groups were identified with the TwoStep cluster analysis method. One of them (“Multi-risk”) differed from the others and the general population by a high prevalence of numerous BRF: 59% [95% confidence interval: 56–63%] of its members smoke, 35% [32–38%] have alcohol problems, 79% [76–82%] indulge in unhealthy food, 64% [60–67%] do not practice recreational physical activity, and 73% [70–76%] are overweight. This group, with an average age of 50, was characterised by an excess of males (81% [79–84%]) and people with basic vocational education (53% [50–57%]). In 2018, only 40 out of all 228 health programmes in Poland addressed BRF in adults; only 20 referred to more than one habit. Moreover, access to these programmes was limited by formal criteria. There were no programmes dedicated to the reduction of BRF exclusively. The local governments focused on improving access to health services rather than on a pro-health change in individual behaviours.

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Section: Discussionmentioning

confidence: 99%

Clustering of the Adult Population According to Behavioural Health Risk Factors as the Focus of Community-Based Public Health Interventions in Poland

Poznańska

Lewtak

Wojtyniak

et al. 2023

IJERPH

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“…Furthermore, interventions that involve multiple components are likely to be more effective than those that use one or two strategies. A review by Crane et al also showed that individual-tailored interventions are the most effective behavioural interventions ( 97 ) . Thus, tailoring interventions to individual needs and readiness to change involving professionals and practical demonstrations is vital for improving effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Dietary outcomes of community-based CVD preventive interventions: a systematic review and meta-analysis

Hassen

Sisay

Geertruyden

et al. 2023

Public Health Nutr.

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Objective: We aimed to synthesize available evidence on the effects of community-based interventions in improving various dietary outcome measures. Design: Systematic review and meta-analysis Setting: We searched databases including Medline, EMBASE, PSYCINFO, CINAHL, and the Cochrane registry for studies reported between January 2000 and June 2022. The methodological quality of the included studies was evaluated using the Cochrane risk of bias tools for each study type. For some of the outcomes, we pooled the effect size using a random-effects meta-analysis. Participants: A total of 51 studies, 33 randomized and 18 non-randomized, involving 100 746 participants were included. Results: Overall, 37 studies found a statistically significant difference in at least one dietary outcome measure favoring the intervention group, whereas 14 studies found no statistically significant difference. Our meta-analyses indicated that, compared to controls, interventions were effective in decreasing daily energy intake (MJ/day) (MD: -0.25; 95% CI: -0.37, -0.14), fat % of energy (MD: -1.01; 95% CI: -1.76, -0.25), and saturated fat % of energy (MD: -1.54; 95% CI: -2.01, -1.07). Furthermore, the interventions were effective in improving fiber intake (g/day) (MD: 1.08; 95% CI: 0.39, 1.77). Effective interventions use various strategies including tailored individual lifestyle coaching, health education, health promotion activities, community engagement activities and/or structural changes. Conclusion: This review shows the potential of improving dietary patterns through community-based CVD preventive interventions. Thus, development and implementation of context-specific preventive interventions could help to minimize dietary risk factors, which in turn decrease morbidity and mortality due to CVDs and other non-communicable diseases.

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“…Finally, the participants may not realize how strongly their work situation influences their health behaviors and how a tailored program could be more effective than a standard program. Work is an important determinant of health status ( Ahonen et al, 2018 ) and programs tailored to work situations tend to be more effective than non-tailored programs ( Crane et al, 2021 ). Despite this acknowledgment in the scientific community, this may not be common knowledge outside the specialized research community.…”

Section: Discussionmentioning

confidence: 99%

“…Health promotion interventions for men working in blue-collar occupations have been developed and tested in the past. For example, interventions for smoking cessation have been well studied in this population and have reported moderate success (e.g., Feltner et al, 2016 ; Sorensen et al, 2004 ), but other behaviors related to metabolic outcomes have been less well characterized ( Crane et al, 2021 ). There are specific challenges faced by this population that will need to be considered when developing a targeted intervention.…”

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confidence: 99%

Weight Loss Program Preferences of Men Working in Blue-Collar Occupations: A Qualitative Inquiry

et al. 2022

Self Cite

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Men who work in blue-collar occupations (skilled and unskilled trades) experience high rates of obesity and comorbid conditions. This group is underrepresented in behavioral interventions for weight management, which may stem from a mismatch between the features of available programs and these men’s preferences. This qualitative study explored the views of these men, their experiences with weight loss, their preferences for weight loss programs, and messaging related to these programs. We conducted remote interviews with 20 men (age: 43 ± 13 years, M ± SD) currently working in blue-collar occupations (50% construction, 25% transportation, and 25% manufacturing) who had body mass indices (BMIs) in the overweight/obese categories (BMI: 33 ± 6 kg/m2). Deductive codes and summary themes were developed and discussed by the first two authors. A selection of transcripts was reviewed following theme development to confirm accuracy of the themes. Most participants ( n = 16, 80%) reported a prior weight loss attempt. The most common approaches to weight loss reported were increased exercise and following their own approach to changing diet (e.g., “eating less junk food”). For program and message preferences, two major themes emerged: participants wanted accurate and trustworthy information and wanted programs that fit their lifestyle. Results suggest that weight loss programs targeting men working in blue-collar occupations should emphasize the accuracy of information related to the program and the ease of incorporating it into participants’ lifestyles. There is an urgent need to incorporate these preferences into effective programs.

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Behavioural interventions for CVD risk reduction for blue-collar workers: a systematic review

Cited by 8 publications

References 55 publications

Clustering of the Adult Population According to Behavioural Health Risk Factors as the Focus of Community-Based Public Health Interventions in Poland

Clustering of the Adult Population According to Behavioural Health Risk Factors as the Focus of Community-Based Public Health Interventions in Poland

Dietary outcomes of community-based CVD preventive interventions: a systematic review and meta-analysis

Weight Loss Program Preferences of Men Working in Blue-Collar Occupations: A Qualitative Inquiry

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