The worksite heart health improvement project’s impact on behavioral risk factors for cardiovascular disease in long-term care: A randomized control trial

Doran, Kelly; Resnick, Barbara; Alghzawi, Hamzah; Zhu, Shijun

doi:10.1016/j.ijnurstu.2018.06.011

Cited by 8 publications

(9 citation statements)

References 55 publications

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“…This may reflect a number of possibilities. Findings in the 6–9-month range intervention follow ups (Bennett et al, 2011; Doran et al, 2018) had consistently better outcomes than those that were longer (12 months) or shorter (6 weeks, 12 weeks), which may indicate that there is a certain minimum length of time for an intervention to yield positive results, but after an initial improvement conditions or attitudes may revert to previous levels. This was further endorsed in the Doran et al RCT, for which measurements were taken at baseline, 6 months, 9 months, and 12 months, but significant results were not seen until 9 months, with food choice reverting at 12 months.…”

Section: Discussionmentioning

confidence: 92%

“…Length of intervention ranged from six weeks (Edries et al, 2013) to 12 months (Schopp et al, 2017). Types of intervention included a web-based program lifestyle habit management and health promotion (Bennett et al, 2011; Cook et al, 2007, 2015), exercise programs (Choi et al, 2017; Edries et al, 2013; Kao et al, 2017), and educational workshops (Doran et al, 2018; Michishita et al, 2017; Schopp et al, 2017; Sforzo et al, 2012). Six (Choi et al, 2017; Cook et al, 2007, 2015; Doran et al, 2018; Edries et al, 2013; Schopp et al, 2017) of the studies sought to intervene on non-communicable chronic disease risk, with two (Bennett et al, 2011; Doran et al, 2018) specifically targeting cardiovascular disease or “heart health.” The other four studies were designed to improve quality of life (Kao et al, 2017; Michishita et al, 2017), stress (Cook et al, 2007), and the psychosocial environment (Sforzo et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Overall, the RCTs varied in both their report and results of how workplace wellness interventions reduced psychological stress and improved food choice or weight management. Only 3 (Bennett et al, 2011; Cook et al, 2015; Doran et al, 2018) of the 10 studies reported intervention effects based on between group pre-test, post-test analysis. Three studies did not report between group differences at all (Kao et al, 2017; Michishita et al, 2017; Sforzo et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…This was further endorsed in the Doran et al RCT, for which measurements were taken at baseline, 6 months, 9 months, and 12 months, but significant results were not seen until 9 months, with food choice reverting at 12 months. Moreover, it has been reported that within one year after implementation of a health-promoting intervention program, anywhere from 40% to 80% of participants will return to their prior unhealthy behaviors (Doran et al, 2018; Marcus et al, 2006; Middleton et al, 2013). It would be interesting to examine the impact of rotating workplace wellness interventions on a 6–9-month basis in order to sustain participant engagement and potentially result in maintained positive outcomes for employee overall wellness.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of randomized controlled trials examining workplace wellness interventions

et al. 2021

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Background: One of the influencing factors associated with weight gain is overeating as a maladaptive coping strategy to process or avoid the emotional impact of psychological stress. Psychological stress is chronically and pervasively associated with stress stemming from the workplace environment. Workplace wellness interventions have a unique opportunity to change environmental factors impacting psychological stress, which can improve individual food choice and weight management efforts. Aim: To synthesize evidence from randomized controlled trials on workplace wellness interventions that impact employee psychological stress and food choice or weight management. Methods: A systematic review was completed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Selected studies were limited to English-language articles exploring randomized interventions at workplaces among adult employees and included measurements of psychometric stress and food choice (qualitative or quantitative) or biometric weight management. From the search, 10 studies were included in the final review. Results: Results were inconsistent across studies. There was no observable association between psychological stress reduction and food choice or weight management. Mid-length interventions (ranging from 6 to 9 months) had more consistent associations between intervention program implementation, reduced psychological stress, and improved food choice or weight management. Conclusions: The studies examining employee food choices and weight management efforts remained very heterogeneous, indicating that more research is needed in this specific area of employee wellness program planning and measurement. Consistent research methodology and assessment tools are needed to measure dietary intake.

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Section: Discussionmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A systematic review of randomized controlled trials examining workplace wellness interventions

et al. 2021

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“…It is thus imperative to provide appropriate treatments for these workers by investigating their perceived CVD risks, risk-reduction behaviors, and knowledge of CVD. However, little is currently known about either risk perception or risk-reduction behaviors among blue-collar employees ( Doran et al, 2018 ; Hwang and Kim, 2019 ). There is also a lack of evidence related to the environmental, psychosocial, organizational, and individual factors that influence risk perceptions and risk-reduction behaviors in this context.…”

Section: Introductionmentioning

confidence: 99%

Risk Perception & Risk-Reduction Behavior Model for Blue-Collar Workers: Adapted From the Health Promotion Model

Hwang

Kim

2020

Front. Psychol.

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This study examined the health promotion model (HPM) as a framework for assessing perceptions and health-related behaviors related to cardiovascular disease (CVD) risk among blue-collar workers. This was done with the aim of providing time-sensitive educational and training materials for workers while on the job or functioning in their communities. The revised HPM was evaluated in the above context using specific criteria developed by Chinn and Kramer (2008) and scoping literature review. Specifically, we assessed the model based on five criteria such as its clarity, simplicity, generality, accessibility, and importance. The revised HPM showed strengths in both accessibility and generality. That is, it applied to all populations and chronic illnesses through clearly defined and specified major concepts. However, there were several weaknesses in areas of clarity and consistency; the model included three new concepts (i.e., activity-related affect, commitment to a plan of action, and immediate competing demands and preference) that actually decreased these elements. In this context, situational influences require adequately reflected external variables. Nevertheless, the revised HPM showed predictive power among this study’s target population. The HPM was modified to address deficiencies in regard to the concept of risk perception. Work-related situational influences were also restructured based on individual and environmental characteristics. The modified framework can be used to clarify health-related behaviors among blue-collar workers.

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Individual-level interventions for reducing occupational stress in healthcare workers

Tamminga

Emal

Boschman

et al. 2023

Cochrane Database of Systematic Reviews

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The worksite heart health improvement project’s impact on behavioral risk factors for cardiovascular disease in long-term care: A randomized control trial

Cited by 8 publications

References 55 publications

A systematic review of randomized controlled trials examining workplace wellness interventions

A systematic review of randomized controlled trials examining workplace wellness interventions

Risk Perception & Risk-Reduction Behavior Model for Blue-Collar Workers: Adapted From the Health Promotion Model

Individual-level interventions for reducing occupational stress in healthcare workers

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