Heart Healthy Online: an Innovative Approach to Risk Reduction in the Workplace

Overview

Journal J Occup Environ Med

Specialty Environmental Health

Date 2014 May 9

PMID 24806568

Citations 10

Authors

Diane Deitz

Royer F Cook

Rebekah K Hersch

Samantha Leaf

Affiliations

Soon will be listed here.

Abstract

Objectives: To examine whether a Web-based cardiovascular health promotion program was associated with changes in self-reported behaviors, attitudes, and biometric indicators in a population of working adults.

Methods: Employees (n = 210) were recruited and randomized into either an Internet-based or control condition. Participants completed pre- and postintervention self-report assessments on diet, exercise, smoking, and mental health. Pre- and postintervention biometric screenings were also obtained on blood pressure, heart rate, weight, and hip/waist circumference.

Results: The intervention was associated with significant improvements in dietary attitudes (P = 0.003; F = 8.83), dietary intentions (P = 0.031; F = 4.72), dietary self-efficacy (P = 0.015; F = 5.97), exercise self-efficacy (P = 0.002; F = 9.51), exercise habits (P = 0.016; F = 5.94), and coping with stress (P = 0.003; F = 8.85) and depression (P = 0.036; F = 4.46).

Conclusions: The program showed promise for promoting cardiovascular risk reduction behaviors. These results are consistent with similar Web-based interventions.

Citing Articles

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Effectiveness of eHealth Interventions Targeting Employee Health Behaviors: Systematic Review.

Sevic A, Hashemi N, Thorrisen M, Stromstad K, Skarpaas L, Storm M J Med Internet Res. 2023; 25:e38307.

PMID: 37079369 PMC: 10160931. DOI: 10.2196/38307.

Trends in Effectiveness of Organizational eHealth Interventions in Addressing Employee Mental Health: Systematic Review and Meta-analysis.

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Asberg K, Blomqvist J, Lundgren O, Henriksson H, Henriksson P, Bendtsen P BMJ Open. 2022; 12(7):e061024.

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Development and Fidelity Testing of the Test@Work Digital Toolkit for Employers on Workplace Health Checks and Opt-In HIV Testing.

Blake H, Somerset S, Evans C Int J Environ Res Public Health. 2020; 17(1).

PMID: 31935985 PMC: 6982120. DOI: 10.3390/ijerph17010379.

References

Winett R, Anderson E, Wojcik J, Winett S, Bowden T . Guide to health: nutrition and physical activity outcomes of a group-randomized trial of an Internet-based intervention in churches. Ann Behav Med. 2007; 33(3):251-61. DOI: 10.1007/BF02879907. View

Webb T, Joseph J, Yardley L, Michie S . Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010; 12(1):e4. PMC: 2836773. DOI: 10.2196/jmir.1376. View

Stout P, Villegas J, Kim H . Enhancing learning through use of interactive tools on health-related websites. Health Educ Res. 2002; 16(6):721-33. DOI: 10.1093/her/16.6.721. View

Ozminkowski R, Goetzel R, Smith M, Cantor R, Shaughnessy A, Harrison M . The impact of the Citibank, NA, health management program on changes in employee health risks over time. J Occup Environ Med. 2000; 42(5):502-11. DOI: 10.1097/00043764-200005000-00008. View

Wantland D, Portillo C, Holzemer W, Slaughter R, McGhee E . The effectiveness of Web-based vs. non-Web-based interventions: a meta-analysis of behavioral change outcomes. J Med Internet Res. 2005; 6(4):e40. PMC: 1550624. DOI: 10.2196/jmir.6.4.e40. View

Block G, Hartman A, Dresser C, CARROLL M, Gannon J, Gardner L . A data-based approach to diet questionnaire design and testing. Am J Epidemiol. 1986; 124(3):453-69. DOI: 10.1093/oxfordjournals.aje.a114416. View

Cook R, Hersch R, Schlossberg D, Leaf S . A Web-based health promotion program for older workers: randomized controlled trial. J Med Internet Res. 2015; 17(3):e82. PMC: 4390614. DOI: 10.2196/jmir.3399. View

Myers J . Cardiology patient pages. Exercise and cardiovascular health. Circulation. 2003; 107(1):e2-5. DOI: 10.1161/01.cir.0000048890.59383.8d. View

Fletcher G, Balady G, Amsterdam E, Chaitman B, Eckel R, Fleg J . Exercise standards for testing and training: a statement for healthcare professionals from the American Heart Association. Circulation. 2001; 104(14):1694-740. DOI: 10.1161/hc3901.095960. View

10.

Kahn E, Ramsey L, Brownson R, Heath G, Howze E, Powell K . The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med. 2002; 22(4 Suppl):73-107. DOI: 10.1016/s0749-3797(02)00434-8. View

11.

Sattelmair J, Pertman J, Ding E, Kohl 3rd H, Haskell W, Lee I . Dose response between physical activity and risk of coronary heart disease: a meta-analysis. Circulation. 2011; 124(7):789-95. PMC: 3158733. DOI: 10.1161/CIRCULATIONAHA.110.010710. View

12.

Bowles H, Morrow Jr J, Leonard B, Hawkins M, Couzelis P . The association between physical activity behavior and commonly reported barriers in a worksite population. Res Q Exerc Sport. 2002; 73(4):464-70. DOI: 10.1080/02701367.2002.10609047. View

13.

Anderson-Bill E, Winett R, Wojcik J, Winett S . Web-based guide to health: relationship of theoretical variables to change in physical activity, nutrition and weight at 16-months. J Med Internet Res. 2011; 13(1):e27. PMC: 3221349. DOI: 10.2196/jmir.1614. View

14.

Deitz D, Cook R, Billings D, Hendrickson A . A web-based mental health program: reaching parents at work. J Pediatr Psychol. 2008; 34(5):488-94. PMC: 2722138. DOI: 10.1093/jpepsy/jsn108. View

15.

Godin G, Shephard R . A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985; 10(3):141-6. View

16.

Schwarzer R, Renner B . Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy. Health Psychol. 2000; 19(5):487-95. View

17.

Andersen L, Sundstrup E, Boysen M, Jakobsen M, Mortensen O, Persson R . Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: randomized controlled trial. J Med Internet Res. 2013; 15(6):e127. PMC: 3713894. DOI: 10.2196/jmir.2340. View

18.

Jaffee L, Lutter J, Rex J, Hawkes C, Bucaccio P . Incentives and barriers to physical activity for working women. Am J Health Promot. 1999; 13(4):215-8, iii. DOI: 10.4278/0890-1171-13.4.215. View

19.

Eckel R, Krauss R . American Heart Association call to action: obesity as a major risk factor for coronary heart disease. AHA Nutrition Committee. Circulation. 1998; 97(21):2099-100. DOI: 10.1161/01.cir.97.21.2099. View

20.

Galuska D, Will J, Serdula M, Ford E . Are health care professionals advising obese patients to lose weight?. JAMA. 1999; 282(16):1576-8. DOI: 10.1001/jama.282.16.1576. View