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.


Subjects:
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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
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
Download URL:
https://stacks.cdc.gov/view/cdc/29857/cdc_29857_DS1.pdf
File Type:

Supporting Files

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