Improving Employee Health

Kramer, M. Kaye; Molenaar, Donald M.; Arena, Vincent C.; Venditti, Elizabeth M.; Meehan, Rebecca J.; Miller, Rachel G.; Vanderwood, Karl K.; Eaglehouse, Yvonne L; Kriska, Andrea M.

doi:10.1097/jom.0000000000000350

Cited by 62 publications

(68 citation statements)

References 41 publications

(31 reference statements)

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“…Of these, 11 papers describing 10 studies (i.e., one study provided a 2-year follow-up analysis, which was published separately) translated the DPP to the workplace [38–44, 45•, 46, 47•, 48], while 3 studies utilized alternative strategies to prevent T2DM among their employee population [49–51]. Most studies ( n = 11) were offered by US employers; one was offered by a German employer [48] and one was offered by a Finnish employer [51].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies ( n = 11) were offered by US employers; one was offered by a German employer [48] and one was offered by a Finnish employer [51]. Among these studies were two randomized controlled trials with individual-level randomization [40, 45•], one non-randomized controlled trial [41], one cluster randomized controlled trial [43], three single group time series studies [38, 42, 49], two single-group pre-post studies [44, 47•], one multi-group pre-post study [46], and three longitudinal cohort studies [48, 50, 51]. …”

Section: Resultsmentioning

confidence: 99%

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Workplace Interventions to Prevent Type 2 Diabetes Mellitus: a Narrative Review

et al. 2017

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Purpose of review This study aims to summarize the recent peer-reviewed literature on workplace interventions for prevention of type 2 diabetes mellitus (T2DM), including studies that translate the Diabetes Prevention Program (DPP) curriculum to workplace settings (n = 10) and those that use different intervention approaches to achieve the specific objective of T2DM prevention among employees (n = 3). Recent findings Weight reduction was achieved through workplace interventions to prevent T2DM, though such interventions varied substantially in their effectiveness. The greatest weight loss was reported among intensive lifestyle interventions (i.e., at least 4 months in duration) that implemented the structured DPP curriculum (n = 3). Weight reduction was minimal among less intensive interventions, including those that substantially modified the DPP curriculum (n = 2) and those that used non-DPP intervention approaches to prevent T2DM (n = 3). Most studies (n = 12) reported increased levels of physical activity following the intervention. Summary Implementation of the DPP in workplaces may be an effective strategy to prevent T2DM among employees.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Workplace Interventions to Prevent Type 2 Diabetes Mellitus: a Narrative Review

et al. 2017

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“…Successful changes in weight and PA levels have been documented across all intervention sites [24,47,23], allowing the combination of participants from the four intervention sites for these analyses. In total, 93.7% of participants were non-Hispanic Whites, 62.3% of participants were female, 65.9% reported working full- or part-time, and 63.2% of participants reported obtaining at least a college degree.…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, it tested the secondary hypothesis that participants in the lifestyle intervention experience beneficial changes in HRQoL after 6 months compared to wait-control counterparts. Further analysis examined whether beneficial changes in HRQoL occurred after 12 months of intervention, complementary to observed changes in the primary outcome of weight and other secondary outcomes of physical activity and risk factors for type 2 diabetes and CVD that have been previously reported [23,24]. …”

Section: Introductionmentioning

confidence: 99%

Impact of a community-based lifestyle intervention program on health-related quality of life

et al. 2016

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Background The presence of risk factors for type 2 diabetes and cardiovascular disease, or the conditions themselves, contributes to lower health-related quality of life (HRQoL) among adults. Although community-based lifestyle intervention programs have been shown to be effective for improving risk factors for these diseases, the impact of these interventions on HRQoL has rarely been described. Purpose To examine changes in HRQoL following participation in the Group Lifestyle Balance program, a community translation of the Diabetes Prevention Program lifestyle intervention for adults with pre-diabetes and/or the metabolic syndrome. Methods Participants enrolled in the 12-month, 22-session intervention program (N=223) completed the EuroQol Health Questionnaire (EQ-5D-3L) at baseline, 6, and 12 months. Linear mixed effects regression models determined change in EQ-5D-Visual Analog Scale (VAS) and Index scores post-intervention. Results Mean EQ-5D-VAS improved by +7.38 (SE=1.03) at 6 months and by +6.73 (SE=1.06) at 12 months post-intervention (both; p<0.0001). Mean changes in EQ-5D Index values were +0.00 (SE=0.01; NS) and +0.01 (SE=0.01; p<0.05), respectively. Adjusted for age, baseline score, and achieving intervention goals, mean change in EQ-5D-VAS was +11.83 (SE=1.61) at 6 months and +11.23 (SE=1.54) at 12 months (both; p<0.0001). Adjusted mean change in EQ-5D Index value was +0.04 (SE=0.01) at 6 months and +0.05 (SE=0.01) at 12 months (both; p<0.01). Conclusions Participation in a community lifestyle intervention program resulted in improved HRQoL among adults with pre-diabetes and/or the metabolic syndrome. These benefits to HRQoL, together with improved clinical and behavioral outcomes, should increase the appeal of such programs for improving health.

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“…This overall weight loss was comparable to other worksite studies adapting DPP both of which had higher levels of intensity (12 sessions vs 8). 7,20 …”

Section: Discussionmentioning

confidence: 99%

Effect of Intensity and Program Delivery on the Translation of Diabetes Prevention Program to Worksites

Wilson

DeJoy

Vandenberg

et al. 2016

Journal of Occupational &Amp; Environmental Medicine

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Objective To evaluate the effectiveness of the Fuel Your Life program, an adaptation of the Diabetes Prevention Program, utilizing implementation strategies commonly used in worksite programs – telephone coaching, small group coaching and self-study. Methods The primary outcomes of BMI and weight were examined in a randomized control trial conducted with city/county employees. Results Although the majority of participants in all three groups lost some weight, the phone group lost significantly more weight (4.9 lbs.), followed by the small groups (3.4 lbs.) and the self-study (2.7 lbs.). Of the total participants, 28.3% of the phone group, 20.6% of the small group and 15.7 of the self-study group lost 5% or more of their body weight. Conclusions Fuel Your Life (DPP) can be effectively disseminated using different implementation strategies that are tailored to the workplace.

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Improving Employee Health

Cited by 62 publications

References 41 publications

Workplace Interventions to Prevent Type 2 Diabetes Mellitus: a Narrative Review

Workplace Interventions to Prevent Type 2 Diabetes Mellitus: a Narrative Review

Impact of a community-based lifestyle intervention program on health-related quality of life

Effect of Intensity and Program Delivery on the Translation of Diabetes Prevention Program to Worksites

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