Health Behavior Change at the Worksite: Cardiovascular Risk Reduction

Sallis, James F.; Hill, Robert D.; Fortmann, Stephen P.; Flora, June A.

doi:10.1016/b978-0-12-535620-6.50009-3

Cited by 8 publications

(4 citation statements)

References 89 publications

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“…5 The current study provides evidence that interventions making use of behavioral counseling strategies produced larger changes in some cardiovascular disease risk factor measures when compared with risk factor education or health risk screening alone. A higher proportion of those in the two behavioral counseling conditions than of those in the health risk assessment and health education conditions had quit smoking by 3 months (18% vs 3%).…”

Section: Discusionmentioning

confidence: 75%

“…Furthermore, most of the research used for evaluating program effectiveness has involved quasi-experimental or case study designs. 5,8 There are a number of arguments in favor of multiple risk factor approaches,9 but mostwork-site intervention trials have addressed single risk factors, such as smoking or hypertension. To date, only two large work-site multiple risk factor interventions have been evaluated in a randomized controlled design.10,11 Both evaluated the effectiveness of brief counseling and follow-up contact with a health professional.…”

Section: Inrodwtionmentioning

confidence: 99%

See 1 more Smart Citation

Work-site cardiovascular risk reduction: a randomized trial of health risk assessment, education, counseling, and incentives.

Gomel

Oldenburg²,

Simpson³

et al. 1993

Am J Public Health

135

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InrodwtionCardiovascular disease remains a major cause of premature mortality and morbidity in most industrialized countries.1 A major aim of cardiovascular disease prevention has been to modify those factors, such as cigarette smoking, serum cholesterol, elevated blood pressure, physical inactivity, and overweight, that are associated with an increased risk of developing cardiovascular disease.2,3It has been argued that work-site health promotion is an important component of a communitywide approach to the prevention of cardiovascular disease.4'5Because such a large proportion of the community is employed and individuals spend over a third of their waking hours at work,5 the potential public health benefits of work-site health promotion are far reaching. However, to make a significant public health impact, it is important to identify those interventions that are most effective in achieving health behavior change at the work site. There are a number of arguments in favor of multiple risk factor approaches,9 but mostwork-site intervention trials have addressed single risk factors, such as smoking or hypertension. To date, only two large work-site multiple risk factor interventions have been evaluated in a randomized controlled design.10,11 Both evaluated the effectiveness of brief counseling and follow-up contact with a health professional. Only the World Health Organization trial"i demonstrated a significant effect of the intervention on risk factor change.We conducted an efficacy trial offour work site-based cardiovascular disease risk factor interventions: health risk assessment, risk factor education, behavioral counseling, and behavioral counseling plus incentives. Work sites were randomly allocated to the intervention conditions, and biochemical and physical measures were used to validate self-reported behavioral changes. It was predicted that the behavioral counseling interventions would produce greater changes in cardiovascular disease risk factors than would the health risk assessment and the risk factor education interventions.

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Section: Discusionmentioning

confidence: 75%

Section: Inrodwtionmentioning

confidence: 99%

Work-site cardiovascular risk reduction: a randomized trial of health risk assessment, education, counseling, and incentives.

Gomel

Oldenburg²,

Simpson³

et al. 1993

Am J Public Health

135

View full text Add to dashboard Cite

show abstract

“…The community-wide program, alternatively, must employ other modalities, e.g., media, work based, church based or community housing center based programs, to foster readiness for activity and minimize difficulties in program attendance. 28 …”

Section: Discussionmentioning

confidence: 99%

A Center-Based Program for Exercise Change among Black-American Families

Baranowski

Simons-Morton

Hooks

et al. 1990

Health Education Quarterly

103

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A center-based program was designed and implemented to promote aerobic physical activity among healthy Black-American families with children in the fifth through seventh grades. Ninety-four Black-American families were actively recruited and randomly assigned to an experimental or control group. Families in the experimental group were encouraged to participate in a program with the following features: one education and two fitness sessions per week for 14 weeks; educational sessions that included individual counseling, small group education, aerobic activity, and snack components; located in a convenient building cherished by the community; aerobic activity sessions in a fitness center outfitted and staffed according to modern characteristics; a variety of incentives including free transportation and babysitting and reminders to promote attendance. Percent participation was low, with about 20% participating in the desired fitness center sessions by the end of the program. As a result of low participation, no differences were detected between experimental and control groups on indicators of cardiovascular fitness. In postprogram interviews, conflicts with work and school events were the most commonly reported reasons for nonattendance. We concluded that because of difficulties in attendance, center-based programs appear to have limited value as the sole modality for intervention in public health programs for promoting physical activity among healthy, low income Black-American families with young children. More comprehensive community-based programs are likely to be needed.

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“…Yet compelling arguments have been made for developing effective worksite interventions, since such interventions, if widely applied, would reach most people (Sallis et al, 1986). The workplace provides a unique setting for ready access to populations and easy dissemination of behaviour-change programs.…”

Section: Setting Variablesmentioning

confidence: 99%

Behavioural Medicine: Research and Development in Disease Prevention

Taylor

Owen

1989

Behav. change

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Behavioural medicine has become a popular, important and distinct field of research and clinical practice. One of the more exciting areas of behavioural medicine has been in the application of behavioural techniques to reduce cardiovascular risk-factors on a community-wide basis. Work conducted in this area highlights a key issue for the development and support of behaviour analysis and modification activities in Australia: to what extent should behavioural practitioners and their interest groups pursue a specialised, behaviour-analytic approach to the areas in which they are involved, as opposed to adopting interdisciplinary frameworks and approaches. We describe some of the activities of the Stanford Center for Research in Disease Prevention, which has been able to operate as a large, interdisciplinary organisation, guided by behavioural approaches. We also discuss some setting, provider, program and client variables relevant to research and development on health promotion and disease prevention in Australia and elsewhere.

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Health Behavior Change at the Worksite: Cardiovascular Risk Reduction

Cited by 8 publications

References 89 publications

Work-site cardiovascular risk reduction: a randomized trial of health risk assessment, education, counseling, and incentives.

Work-site cardiovascular risk reduction: a randomized trial of health risk assessment, education, counseling, and incentives.

A Center-Based Program for Exercise Change among Black-American Families

Behavioural Medicine: Research and Development in Disease Prevention

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