Details:

Alternative Title:
Prev Med
Publisher's site:
http://dx.doi.org/10.1016/j.ypmed.2013.12.010
Personal Author:
Lemon, Stephenie C. ; Wang, Monica L. ; Wedick, Nicole M. ; Estabrook, Barbara ; Druker, Susan ; ... More +
Lemon, Stephenie C. ; Wang, Monica L. ; Wedick, Nicole M. ; Estabrook, Barbara ; Druker, Susan ; Schneider, Kristin L. ; Li, Wenjun ; Pbert, Lori ; Less -
Description:
Objective To describe the effectiveness, reach and implementation of a weight gain prevention intervention among public school employees. Method A multi-level intervention was tested in a cluster randomized trial among 782 employees in 12 central Massachusetts public high schools from 2009 to 2012. The intervention targeted the nutrition and physical activity environment and policies, the social environment and individual knowledge, attitudes and skills. The intervention was compared to a materials only condition. The primary outcome measures were change in weight and body mass index (BMI) at 24-month follow-up. Implementation of physical environment, policy and social environment strategies at the school and interpersonal levels, and intervention participation at the individual level were assessed. Results At 24-month follow-up, there was a net change (difference of the difference) of −3.03 pounds (p=.04) and of −.48 BMI units (p=.05) between intervention and comparison conditions. The majority of intervention strategies were successfully implemented by all intervention schools, although establishing formal policies was challenging. Employee participation in programs targeting the physical and social environment was maintained over time. Conclusion This study supports that a multi-level intervention integrated within the organizational culture can be successfully implemented and prevent weight gain in public high school employees.
Subject:
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Adult
Article
Body Mass Index
Cluster Analysis
Ecological Model
Environmental Interventions
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
Humans
Interpersonal Relations
Male
Middle Aged
Multilevel Analysis
Obesity Prevention
Occupational Diseases
Occupational Health Services
Organizational Culture
Organizational Policy
Overweight
Program Evaluation
Schools
Social Environment
Weight Gain
Workforce
Workplace
Worksite Health Promotion
Young Adult
Program Evaluation

Source:
Prev Med. 2013; 60:41-47
Pubmed ID:
24345602
Pubmed Central ID:
PMC3933312
Document Type:
Journal Article ;
Funding:
R01 CA132941/CA/NCI NIH HHS/United States ; U48 DP001933/DP/NCCDPHP CDC HHS/United States ;
R01 CA132941/CA/NCI NIH HHS/United States ; U48 DP001933/DP/NCCDPHP CDC HHS/United States ; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:20c8bb043b7428e8bb9b53a59d8d1a43d22f0c938e7d5af3989bd0f10325f262
File Type:

Supporting Files

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