The effectiveness of dietary workplace interventions: a systematic review of systematic reviews

Schliemann, Désirée; Woodside, Jayne V.

doi:10.1017/s1368980018003750

Cited by 46 publications

(40 citation statements)

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“…The full texts of all 12 RoRs were retrieved and key characteristics examined in greater depth. [23][24][25][26][27][28][29][30][31][32][33][34] The reviews were published between 2009 and 2019, seven of which had been published since 2016. There was variation between the RoRs in terms of focus, interventions and outcomes; therefore, the RoRs have been described individually below.…”

Section: Review Of Reviews: Full-text Scopingmentioning

confidence: 99%

“…Lifestyles Three RoRs addressed lifestyles and lifestyle behaviours but each evaluated different interventions. 26,29,30 None of the RoRs was explicitly set in a health-care sector. The RoRs were published from 2013 to 2019 and included RMAs published from 1994 to 2017.…”

Section: Health Focus Of Reviews Of Reviewsmentioning

confidence: 99%

“…The most recent RoR, 30 published in 2019, included 21 RMAs and evaluated the effectiveness of dietary workplace interventions. However, authors reported that only one component of a workplace intervention had to be dietary and, therefore, RMAs also reported other components that were largely general wellness programmes (e.g.…”

Section: Schliemann and Woodside 30mentioning

confidence: 99%

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Workplace-based interventions to promote healthy lifestyles in the NHS workforce: a rapid scoping and evidence map

Raine

Thomas

Rodgers

et al. 2020

Health Serv Deliv Res

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Background The health and well-being of staff working in the NHS is a significant issue for UK health care. We sought to identify research relevant to the promotion of healthy lifestyles among NHS staff on behalf of NHS England. Objectives To map existing reviews on workplace-based interventions to promote health and well-being, and to assess the scope for further evidence synthesis work. Design Rapid and responsive scoping search and evidence map. Participants Adult employees in any occupational setting and in any role. Interventions Any intervention aimed at promoting or maintaining physical or mental health and well-being. Early intervention initiatives and those addressing violence against staff, workplace bullying or harassment were also included. Main outcome measures Any outcome related to the effectiveness, cost-effectiveness or implementation of interventions. Data sources A scoping search of nine databases was conducted to identify systematic reviews on health and well-being at work. Searches were limited by publication date (2000 to January/February 2019). Review methods The titles and abstracts of over 8241 records were screened and a total of 408 potentially relevant publications were identified. Information on key characteristics were extracted from the titles and abstracts of all potentially relevant publications. Descriptive statistics (counts and percentages) for key characteristics were generated and data from reviews and ‘reviews of reviews’ were used to produce the evidence map. Results Evidence related to a broad range of physical and mental health issues was identified across 12 ‘reviews of reviews’ and 312 other reviews, including 16 Cochrane reviews. There also exists National Institute for Health and Care Excellence guidance addressing multiple issues of potential relevance. A large number of reviews focused on mental health, changing lifestyle behaviour, such as physical activity, or on general workplace health/health promotion. Most of the reviews that focused only on health-care staff addressed mental health issues, and stress/burnout in particular. Limitations The scoping search process was extensive and clearly effective at identifying relevant publications, but the strategy used may not have identified every potentially relevant review. Owing to the large number of potentially relevant reviews identified from the scoping search, it was necessary to produce the evidence map using information from the titles and abstracts of reviews only. Conclusions It is doubtful that further evidence synthesis work at this stage would generate substantial new knowledge, particularly within the context of the NHS Health and Wellbeing Framework[NHS England. Workforce Health and Wellbeing Framework. 2018. URL: www.nhsemployers.org/-/media/Employers/Publications/Health-and-wellbeing/NHS-Workforce-HWB-Framework_updated-July-18.pdf (accessed 10 January 2019)] published in 2018. Additional synthesis work may be useful if it addressed an identifiable need and it was possible to identify one of the following: (1) a specific and focused research question arising from the current evidence map; it may then be appropriate to focus on a smaller number of reviews only, and provide a more thorough and critical assessment of the available evidence; and (2) a specific gap in the literature (i.e. an issue not already addressed by existing reviews or guidance); it may then be possible to undertake further literature searching and conduct a new evidence review. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 18. See the NIHR Journals Library website for further project information.

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Section: Review Of Reviews: Full-text Scopingmentioning

confidence: 99%

Section: Health Focus Of Reviews Of Reviewsmentioning

confidence: 99%

See 1 more Smart Citation

Workplace-based interventions to promote healthy lifestyles in the NHS workforce: a rapid scoping and evidence map

Raine

Thomas

Rodgers

et al. 2020

Health Serv Deliv Res

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“…To increase the probability of success of an intervention program, proper planning and priority-setting according to the target group's needs assessment is recommended (16)(17)(18)(19)(20). Considering that habits are based on interactions between an individual and its environment (21,22), and that these behaviours are formed by biological, psychological and social elements (23), the Social Cognitive Theory (SCT) provides a suitable framework to understand these aspects.…”

mentioning

confidence: 99%

“…In Mexico, there is a lack of qualitative studies about people's knowledge and perception of healthy habits (20). However, qualitative information on these topics is relevant as it seeks to understand phenomena and behaviours in uncontrolled environments (25), and it helps to identify critical elements to favour long-term behavioural modifications (26).…”

mentioning

confidence: 99%

Eating habits and physical activity in working adults: a formative research

Badillo-Camacho

Torres-Castro

Bernal-Orozco

et al. 2020

Preprint

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Background: Eating habits and physical activity are important factors for the development and prevention of non-communicable diseases. Therefore, the objective of this study was to analyse the beliefs, behaviours, and experiences of dietary and physical activity habits based on the constructs of the Social Cognitive Theory (SCT). Methods: An exploratory study with a qualitative methodology and a phenomenological study design was conducted using focus groups, in-depth interviews, and indirect non-participatory observation. The sessions were audio-recorded and transcribed with prior written informed consent. Data analysis was performed using a hybrid approach.Results: Workers reported that they do not eat vegetables or fruits daily; however, the consumption of fast food and sugary drinks was frequent. Participants’ behaviour is influenced by environmental factors such as reinforcements (economic bonus and company meetups & events), barriers (workplace policies) and facilitators (availability of drinking water, free tortillas , dining rooms, and recreational areas); and personal factors, such as low self-control when when choosing foods from the grains group (e.g. Mexican pastries, noodles and breads), and emotional confrontation (e.g. few workers try to use strategies to confront their emotions and avoid them from affecting their eating and physical activity). On the other hand, participants indicated not feeling capable of eating specific foods due to their taste, for example vegetables, and doing physical activity due to factors such as time. Finally, other key elements influencing workers’ behaviours were observational learning (participants eating behaviour and physical activity are influenced by their coworkers and family’s behaviours), social support (coworkers and family) and outcome expectations (participants’ hoping to improve their health by eating healthy and physical activity behaviours).Conclusions: Workers’s eating behaviour and physical activity could be modified if different influencing factors are simultaneously addressed. These findings will contribute to the development of worksite health programs, based on the SCT, to address the key factors that could improve workers’ eating behaviours and physical activity. Keywords: Eating habits, physical activity, adults, workers, workplace programs, qualitative research, Social Cognitive Theory.

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Effect of a Nutritional and Behavioral Intervention on Energy-Reduced Mediterranean Diet Adherence Among Patients With Metabolic Syndrome

Sayón-Orea¹,

Razquín²,

Bulló³

et al. 2019

JAMA

118

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IMPORTANCE High-quality dietary patterns may help prevent chronic disease, but limited data exist from randomized trials about the effects of nutritional and behavioral interventions on dietary changes. OBJECTIVE To assess the effect of a nutritional and physical activity education program on dietary quality. DESIGN, SETTING, AND PARTICIPANTS Preliminary exploratory interim analysis of an ongoing randomized trial. In 23 research centers in Spain, 6874 men and women aged 55 to 75 years with metabolic syndrome and no cardiovascular disease were enrolled in the trial between September 2013 and December 2016, with final data collection in March 2019. INTERVENTIONS Participants were randomized to an intervention group that encouraged an energy-reduced Mediterranean diet, promoted physical activity, and provided behavioral support (n = 3406) or to a control group that encouraged an energy-unrestricted Mediterranean diet (n = 3468). All participants received allotments of extra-virgin olive oil (1 L/mo) and nuts (125 g/mo) for free. MAIN OUTCOMES AND MEASURES The primary outcome was 12-month change in adherence based on the energy-reduced Mediterranean diet (er-MedDiet) score (range, 0-17; higher scores indicate greater adherence; minimal clinically important difference, 1 point). RESULTS Among 6874 randomized participants (mean [SD] age, 65.0 [4.9] years; 3406 [52%] men), 6583 (96%) completed the 12-month follow-up and were included in the main analysis. The mean (SD) er-MedDiet score was 8.5 (2.6) at baseline and 13.2 (2.7) at 12 months in the intervention group (increase, 4.7 [95% CI, 4.6-4.8]) and 8.6 (2.7) at baseline and 11.1 (2.8) at 12 months in the control group (increase, 2.5 [95% CI, 2.3-2.6]) (between-group difference, 2.2 [95% CI, 2.1-2.4]; P < .001). CONCLUSIONS AND RELEVANCE In this preliminary analysis of an ongoing trial, an intervention that encouraged an energy-reduced Mediterranean diet and physical activity, compared with advice to follow an energy-unrestricted Mediterranean diet, resulted in a significantly greater increase in diet adherence after 12 months. Further evaluation of long-term cardiovascular effects is needed.

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The effectiveness of dietary workplace interventions: a systematic review of systematic reviews

Cited by 46 publications

References 47 publications

Workplace-based interventions to promote healthy lifestyles in the NHS workforce: a rapid scoping and evidence map

Workplace-based interventions to promote healthy lifestyles in the NHS workforce: a rapid scoping and evidence map

Eating habits and physical activity in working adults: a formative research

Effect of a Nutritional and Behavioral Intervention on Energy-Reduced Mediterranean Diet Adherence Among Patients With Metabolic Syndrome

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