Reducing Health Risk Factors in Workplaces of Low and Middle‐Income Countries

Anthony, Denis; Dyson, Pamela; Lv, Jun; Thankappan, Kavumpurathu Raman; Fernández, María Teresa Cabezas

doi:10.1111/phn.12189

Cited by 13 publications

(28 citation statements)

References 44 publications

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“…Furthermore, community-based studies from Kerala reported a comparatively higher NCD risk factor prevalence [10]. Interventions among working population were found to be effective in modifying the NCD risk factors in the state [11] and other parts of India [12]. In a study from rural Kerala, 24.4% of hypertensives were aware of their condition, 19.7% were treated, and only 6.4% had their blood pressure under control [13].…”

Section: Introductionmentioning

confidence: 99%

Cluster randomised controlled trial of behavioural intervention program: a study protocol for control of hypertension among teachers in schools in Kerala (CHATS-K), India

2019

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BackgroundControl of blood pressure among hypertensives is a major challenge around the world. Interventions for improving hypertension control in India are very limited. This paper describes the protocol for a cluster randomized controlled trial of efficacy of behavioural intervention on control of hypertension among school teachers in Kerala.MethodsA total of 92 schools are randomised to intervention and control group in Kerala. A baseline survey was conducted in all schools to assess the prevalence of hypertension and its risk factors among school teachers in Thiruvananthapuram district of Kerala state, India. Teachers in both sets of schools will receive a leaflet containing details on the importance of controlling hypertension. With the objective of improving control of hypertension, the intervention schools will additionally receive self-management education and behavioural intervention programs delivered by trained intervention managers along with measurement of weight, waist circumference and blood pressure. This intervention program will be developed based on the findings of the baseline survey and selected components of successful models of hypertension control from previous research done in similar settings. The intervention will be given for 3 months after which a post-survey will be conducted among teachers of both control and intervention schools. The primary outcome is change in control of hypertension and secondary outcome is the change in behavioural risk factors of hypertension both in the control and intervention groups.DiscussionThis is the first comprehensive study looking at the efficacy of behavioural intervention on hypertension control among school teachers in Kerala, India. This study is likely to provide an upper estimate of behavioural intervention on hypertension control since teachers are reported to have one of the highest compliance rates of behavioural intervention.Trial registrationThis trial was prospectively registered with the Clinical Trials Registry of India [CTRI/2018/01/011402] on 18 January 2018.

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Section: Introductionmentioning

confidence: 99%

Cluster randomised controlled trial of behavioural intervention program: a study protocol for control of hypertension among teachers in schools in Kerala (CHATS-K), India

2019

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“…These interventions should affect physical activity, although similar interventions in workplaces in the CIH sites showed no significant changes (Anthony et al . ).…”

Section: Discussionmentioning

confidence: 97%

“…Previous studies have shown community‐based interventions had an impact on risk factors in the workplace (Anthony et al . ) and community (Dyson et al . ) and this study shows further evidence for its effectiveness in clinical areas.…”

Section: Discussionmentioning

confidence: 99%

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Community Interventions for Health can support clinicians in advising patients to reduce tobacco use, improve dietary intake and increase physical activity

Anthony

Dyson

et al. 2016

Journal of Clinical Nursing

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Aims and objectives To increase clinical interventions to reduce modifiable risk factors for noncommunicable disease in low‐ and middle‐income countries. Background Noncommunicable disease is the leading cause of death in the world and is common in low‐ and middle‐income countries. Risk factors for noncommunicable disease are modifiable and health professionals are in an unique position to intervene and influence them. Design Clinical interventions were used as part of the Community Interventions for Health programme, a nonrandomised, controlled study undertaken in three communities – one each in China, India and Mexico. Methods All clinicians in intervention and control areas of the study were invited to complete surveys. A total of 2280 completed surveys at baseline and 2501 at follow‐up. Culturally appropriate interventions to reduce tobacco use, improve dietary intake and increase physical activity were delivered in the intervention areas. Results Clinicians in the intervention group felt more prepared to advise smoking cessation and improvement of diet. They were more likely to test serum cholesterol and blood pressure, but less likely to take measurements of height, hip, waist and skin‐fold thickness. There were more resources available to clinicians in the intervention group and they used counselling more and complementary medicine less than those in the control group. Conclusions Community interventions which have been shown to have a positive effect in the community and workplace also change clinical practice. Relevance to clinical practice Community interventions make clinicians, including nurses, more likely to feel prepared to offer advice and more likely to use counselling. This would be expected to reduce risk factors in patients.

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“…Most of the studies on the health management of workers by the occupational health nurses have been conducted, however, they only dealt with the management of hypertension, antialcoholism, and cardiovascular diseases (Anthony, 2015;K. S. Kim, 2009;Kwon et al, 2011;Osondu et al, 2016;Rebold et al, 2015).…”

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confidence: 99%

Effects of Obesity Management Program Provided by Occupational Health Nurse in Worksite

2018

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This study was conducted on 60 male adult technicians in the worksite to examine the impact of the obesity management program on their eating habits, exercise self-efficacy, quality of life, and body components. This was a nonrandomized pretest and posttest intervention study. The obesity management program was applied for 16 weeks on diet education, exercise, and counseling provided by the occupational health nurse in the worksite. The questionnaire for measure included the general characteristics, eating habits, exercise self-efficacy, and quality of life. Body components were measured by using the InBody 720 device. The participants who received the obesity management program showed better eating habits, a higher level of exercise self-efficacy, a higher level of quality of life, lower levels of body weight and body mass index (BMI), a smaller waist and hip circumference, and a higher level of muscle mass as compared with the preapplication.

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Reducing Health Risk Factors in Workplaces of Low and Middle‐Income Countries

Cited by 13 publications

References 44 publications

Cluster randomised controlled trial of behavioural intervention program: a study protocol for control of hypertension among teachers in schools in Kerala (CHATS-K), India

Cluster randomised controlled trial of behavioural intervention program: a study protocol for control of hypertension among teachers in schools in Kerala (CHATS-K), India

Community Interventions for Health can support clinicians in advising patients to reduce tobacco use, improve dietary intake and increase physical activity

Effects of Obesity Management Program Provided by Occupational Health Nurse in Worksite

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