Worksite Research Research Articles

A Multicomponent Intervention Reduces Body Weight and Cardiovascular Risk at a GEICO Corporate Site

To determine whether a multicomponent nutrition intervention program at a corporate site reduces body weight and improves other cardiovascular risk factors in overweight individuals. Prospective clinical intervention study. Employees of the Government Employees Insurance Company (GEICO) (N = 113), aged 21 to 65 years, with a body mass index > or =25 kg/m(2) and/or previous diagnosis of type 2 diabetes. A 22-week intervention including a low-fat, vegan diet. Changes in body weight, anthropometric measures, blood pressure, lipid profile, and dietary intake. Multivariate analyses of variance were calculated for clinical and nutrient measures, followed by univariate analyses of variance, to determine the significance of differences between groups in changes over time. Intervention-group participants experienced greater weight changes compared with control-group participants (mean, -5.1 [SE, .6] kg vs. + .1 [SE, .6] kg, p < .0001), as well as greater changes in waist circumference (mean, -4.7 [SE, .6] cm vs. + .8 [SE, .6] cm, p < .0001) and waistratiohip ratio (mean, -.006 [SE, .003] vs. + .014 [SE, .005], p = .0007). Weight loss of 5% of body weight was more frequently observed in the intervention group (48.5%) compared with the control group (11.1%) (chi(2)[1, N = 113] = 16.99, p < .0001). Among individuals volunteering for a 22-week worksite research study, an intervention using a low-fat, vegan diet effectively reduced body weight and waist circumference.

The case for studying multiple contexts simultaneously.

Individuals live in multiple social contexts simultaneously, whether they be family, peer, neighborhood, school or work contexts. In individual lives, it is likely that the forces within any one context that promote healthy human development are correlated with whatever causal forces operate to the same end in other contexts. This paper explores why it is important to consider social contexts, not singly as in traditional neighborhood or school or work-site research, but in combination.

How do workers learn in their work?

It is often assumed by management in different workplaces that the people who work there acquire their training before they take up a job or that they are trained in their job. Learning is a lifelong process that should be embraced by all workers. Increasing interest is being placed on companies as learning organisations in which the employees collectively contribute to the improvement of the workplace enterprise. However, modest attention has been paid to the ways by which people learn in their work. This article indicates, based on considerable worksite research, that how people learn in their work is a complex process characterised by a range of variations. Management in different worksites needs to understand the diversity of approaches by workers to learning in their jobs and offer opportunities for such activities to be continuous, reflective, individualised and/or collective. A more effective workforce will result if the workers can maximise learning in their work.

Clinical and cost outcomes of multifactorial, cardiovascular risk management interventions in worksites: a comprehensive review and analysis.

This paper is a critical review of the clinical and cost outcome evaluation studies of multifactorial, comprehensive, cardiovascular risk management programs in worksites. A comprehensive international literature search conducted under the auspices of the National Heart, Lung and Blood Institute identified 17 articles based on 12 studies that examined the clinical outcomes of multifactorial, comprehensive programs. These articles were identified through MEDLINE, manual searches of recent journals, and through direct inquiries to worksite health promotion researchers. All studies were conducted between 1978 and 1995, with 1978 being the date of the first citation of a methodologically rigorous evaluation. Of the 12 research studies, only 8 utilized the worksite as both the unit of assignment and as the unit of analysis. None of the studies analyzed adequately for cost effectiveness. Given this limitation, this review briefly considers the relevant worksite research that has demonstrated cost outcomes. Worksite-based, multifactorial cardiovascular intervention programs reviewed for this article varied widely in the comprehensiveness, intensity, and duration of both the interventions and evaluations. Results from randomized trials suggest that providing opportunities for individualized, cardiovascular risk reduction counseling for high-risk employees within the context of comprehensive programming may be the critical component of an effective worksite intervention. Despite the many limitations of the current methodologies of the 12 studies, the majority of the research to date indicates the following: (1) favorable clinical and cost outcomes; (2) that more recent and more rigorously designed research tends to support rather than refute earlier and less rigorously designed studies; and (3) that rather than interpreting the methodological flaws and diversity as inherently negative, one may consider it as indicative of a robust phenomena evident in many types of worksites, with diverse employees, differing interventions, and varying degrees of methodological sophistication. Results of these studies reviewed provide both cautious optimism about the effectiveness of these worksite programs and insights regarding the essential components and characteristics of successful programs.

Adherence to Worksite Exercise Programs

1. Improving worker physical fitness through worksite exercise programs offers many benefits to the employee and the employer. Unfortunately, a small percentage of workers who begin an exercise program adhere to it. 2. It is essential to design program strategies to promote exercise adherence among persons who do not currently exercise at levels that achieve health benefits. 3. The results of this review of worksite research suggest a number of strategies that were successful in increasing at least short term exercise adherence. 4. Carefully controlled studies are needed to identify specific worksite exercise interventions or combination of interventions that maximize the initiation of exercise as well as short and long term adherence. A combination of strategies improves exercise adherence for at least 6 months, but more research is needed to determine long term maintenance of an exercise program.

Using incentives to promote workers' participation in worksite research.

We designed this study to examine the effects of two types of incentives on the participation rate of workers from two plants in worksite research. There were 186 workers in the study, some of whom received chances for savings bonds. Given reductions in funding and concerns of management, no comparison could be made between the incentives; however, the study provided valuable information regarding planning for incentives in worksite research.

Conducting Worksite Research

1. With increasing national concern about adult health and reducing health care costs, more research about these issues is being carried out in the worksite. 2. The worksite generates a variety of complications that may not be present in many other research settings; these include management policies, plant regulations, and management/labor relations. 3. The researchers review issues related to conducting research at the worksite and, based on their experience in this setting, make recommendations for resolving these issues.

Database Programs as a Literature Research Tool for the 1990s Scientist: Surveillance of Neurotoxicology Data

As the mass of data and literature in any scientific field grows, it becomes increasingly difficult to recall details of early experiments and to relate findings in different studies. Simple database programs are available for the individual scientist to record and manipulate information, to provide a reliable and flexibly updatable memory aid, and to reveal new relationships through (re)organizations of information. Such programs can increase the efficiency of the literature research process and increase writing productivity by orders of magnitude. The use of database programs for literature research is exemplified with a behavioral neurotoxicology database revealing previously unappreciated consistencies in the human worksite research literature.