Acceptability, Feasibility, and Effectiveness of a Worksite Intervention to Lower Cardiometabolic Risk in South Africa: Protocol

IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS
E. Singh, A. Naicker, Shivneta Singh
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Abstract

As an important way to translate cardiovascular disease prevention efforts, worksite intervention programs can be used to effectively facilitate healthy food choices, health education, and social support among employees, in a targeted approach to improve health outcomes and physical activity levels of employees. In this study, the effectiveness of a canteen and a behavioral intervention on cardiometabolic risk among prediabetic and prehypertensive employees at two multinational worksites in South Africa will be measured. This two-arm randomized controlled trial (RCT) will be structured to provide a six-week intervention at two multinational companies spread across eight worksites and will include a canteen and behavioral arm (CB) and a canteen only (CO) arm. Participants who were either prediabetic or prehypertensive completed the baseline assessments, which included anthropometry, a demographic and lifestyle survey, the global physical activity questionnaire (GPAQ) and the 24 h food recall. Participants were randomized into the CO and the canteen and CB intervention groups. The CO group received six weeks of canteen intervention [changes to enable a healthy food environment], while the CB group received six weeks of canteen intervention along with a behavioral intervention. The behavioral intervention included an intense six-week lifestyle program aligned to the Diabetes Prevention Program (DPP). This study will assess the added benefit of environmental-level changes aimed at lowering cardiometabolic risk in a low–middle-income country (LMIC) and has the potential for scale-up to other worksites in South Africa and globally.
南非降低心脏代谢风险的工作场所干预措施的可接受性、可行性和有效性:方案
作为转化心血管疾病预防工作的一种重要方式,工作场所干预计划可有效促进员工选择健康食品、接受健康教育和获得社会支持,从而有针对性地改善员工的健康状况和体育锻炼水平。在本研究中,将对南非两个跨国公司工作场所的糖尿病前期和高血压前期员工的食堂和行为干预对心脏代谢风险的影响进行测量。这项双臂随机对照试验(RCT)将在两家跨国公司的八个工作场所进行为期六周的干预,包括食堂和行为干预组(CB)和仅食堂干预组(CO)。糖尿病前期或高血压前期的参与者完成基线评估,包括人体测量、人口和生活方式调查、全球体力活动问卷(GPAQ)和 24 小时食物回忆。参与者被随机分为 CO 组和食堂及 CB 干预组。CO 组接受为期六周的食堂干预(改变饮食环境,营造健康饮食环境),CB 组接受为期六周的食堂干预和行为干预。行为干预包括与糖尿病预防计划(DPP)相一致的为期六周的密集生活方式计划。这项研究将评估旨在降低中低收入国家(LMIC)心血管代谢风险的环境变化的额外益处,并有可能推广到南非和全球的其他工作场所。
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来源期刊
Methods and Protocols
Methods and Protocols Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (miscellaneous)
CiteScore
3.60
自引率
0.00%
发文量
85
审稿时长
8 weeks
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