Participant engagement and outcomes in a SMS-text based workplace health behavior change intervention: the Working for You study.

Details

• Personal Author:
  Aung WY ; Biver S ; Colvin R ; Dale, Ann M. ; Evanoff BA ; Kirk BH ; Nicol G ; Strickland JR
• Description:
  Objective: We developed an SMS text based interactive Obesity Treatment Approach (iOTA) to promote healthy eating and physical activity among low-income health care workers. We evaluated predictors of intervention engagement and success rates of behavior goals. Methods: Obese workers (BMI ≥ 30 kg/m2) selected up to three behavior change goals during coaching sessions, then received weekly interactive texts to report their weight and progress toward behavioral goals. Engagement was defined as the percentage of weeks participants responded to goal or weight messages. Multivariable linear regressions examined factors associated with engagement. Behavior goal success was self-reported through weekly text responses. Results: 12 month follow-up of 193 subjects showed 41 weeks mean duration of iOTA participation. Mean engagement was 60% (one or more responses) and 41% (all goal prompts). Age, female sex, and higher income predicted higher engagement. Degree of engagement was positively associated with achievement of at least 1 goal (r=0.23, p=0.002) and all goals (r = 0.19, p = 0.007). Goals with high success included limiting free (87%) and purchased (75%) food at work. Goals with low success included self-monitoring of diet (38.7%) and limiting total calories (36.1%). We are analyzing changes in weight and other health behaviors associated with engagement. Conclusion: Participants maintained a high level of engagement with iOTA over the 12-month period. Higher engagement was associated with behavioral goal attainment. Success varied considerably across goals. Interactive SMS text systems are a potentially useful tool for scalable and sustainable interventions to change health and safety behaviors in workplaces. [Description provided by NIOSH]
• Subjects:
  Diet Health Personnel Health Promotion Occupational Health Safety
• Keywords:
  Author Keywords: Obesity; Telehealth TWH; Total Worker Health; Obesity; Health Care Workers; Health Promotion; Diet; Cell Phones; Intervention Effectiveness;
• Publisher:
  American Public Health Association
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  Iowa ; Missouri ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• NIOSHTIC Number:
  nn:20065893
• Citation:
  Creating the Healthiest Nation: Preventing Violence. APHA 148th Annual Meeting and Exposition, October 24-28, 2020, virtual event. Washington, DC: American Public Health Association, 2020 Oct; :476053
• Federal Fiscal Year:
  2021
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  False
• Start Date:
  20060901
• Source Full Name:
  Creating the Healthiest Nation: Preventing Violence. APHA 148th Annual Meeting and Exposition, October 24-28, 2020, virtual event
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f568bdde1f63f8bb4855aa6a11b1a346d05d06b9358648dea4d8e1d642632e867871c75c43272fec49f5263dd459a4b50f3b86e61392fa311a2cb394c98400e9
• Download URL:
  https://stacks.cdc.gov/view/cdc/249590/cdc_249590_DS1.pdf
• File Type:
  [PDF - 88.33 KB ]