BMC Public Health | |
Change in well-being amongst participants in a four-month pedometer-based workplace health program | |
Anna Peeters2  Evelyn Wong2  Rory Wolfe2  Rosanne LA Freak-Poli1  | |
[1] Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands;Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia | |
关键词: Prevention; Physical activity; Evaluation; Intervention; Workplace; Happiness; Well-being; | |
Others : 1127042 DOI : 10.1186/1471-2458-14-953 |
|
received in 2014-05-15, accepted in 2014-08-05, 发布年份 2014 | |
【 摘 要 】
Background
There is increasing uptake of workplace physical activity programs to prevent chronic disease. While they are frequently evaluated for improvement in biomedical risk factors there has been little evaluation of additional benefits for psychosocial health. We aimed to evaluate whether participation in a four-month, team-based, pedometer-based workplace health program known to improve biomedical risk factors is associated with an improvement in well-being, immediately after the program and eight-months after program completion.
Methods
At baseline (2008), 762 adults (aged 40 ± 10 SD years, 42% male) employed in primarily sedentary occupations and voluntarily enrolled in a physical activity program were recruited from ten Australian worksites. Data was collected at baseline, at the completion of the four-month program and eight-months after program completion. The outcome was the WHO-Five Well-being Index (WHO-5), a self-administered five-item scale that can be dichotomised as ‘poor’ (less than 52%) or ‘positive’ (more than or equal to 52%) well-being.
Results
At baseline, 75% of participants had positive well-being (mean: 60 ± 19 SD WHO-5 units). On average, well-being improved immediately after the health program (+3.5 units, p < 0.001) and was sustained eight-months later (+3.4 units from baseline, p < 0.001). In the 25% with poor well-being at baseline, 49.5% moved into the positive well-being category immediately after program completion, sustained eight-months later (p < 0.001).
Conclusions
Clinically relevant immediate and sustained improvements in well-being were observed after participation in the health program. These results suggest that participation in workplace programs, such as the one evaluated here, also has the potential to improve well-being.
【 授权许可】
2014 Freak-Poli et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150219032016847.pdf | 232KB | download |
【 参考文献 】
- [1]World Health Organization (WHO): Basic documents. Fourty-fifth edition, Supplement October 2006. Geneva: WHO; 2006. Accessed 22nd Oct 2013 [ http://www.who.int/governance/eb/who_constitution_en.pdf webcite]
- [2]Hamer M: Psychosocial stress and cardiovascular disease risk: the role of physical activity. Psychosom Med 2012, 74(9):896-903.
- [3]Guszkowska M: [Effects of exercise on anxiety, depression and mood] Wplyw cwiczen fizycznych na poziom leku i depresji oraz stany nastroju. Psychiatr Pol 2004, 38(4):611-620.
- [4]Brown HE, Gilson ND, Burton NW, Brown WJ: Does physical activity impact on presenteeism and other indicators of workplace well-being? Sports Med 2011, 41(3):249-262.
- [5]Peluso MA, de Andrade LH G: Physical activity and mental health: the association between exercise and mood. Clin (Sao Paulo) 2005, 60(1):61-70.
- [6]Berchtold NC, Castello N, Cotman CW: Exercise and time-dependent benefits to learning and memory. Neuroscience 2010, 167(3):588-597.
- [7]Mitoma M, Yoshimura R, Sugita A, Umene W, Hori H, Nakano H, Ueda N, Nakamura J: Stress at work alters serum brain-derived neurotrophic factor (BDNF) levels and plasma 3-methoxy-4-hydroxyphenylglycol (MHPG) levels in healthy volunteers: BDNF and MHPG as possible biological markers of mental stress? Prog Neuropsychopharmacol Biol Psychiatry 2008, 32(3):679-685.
- [8]Ikenouchi-Sugita A, Yoshimura R, Sugita K, Hori H, Yamada K, Sakaue M, Nakamura J: The effects of a walking intervention on depressive feelings and social adaptation in healthy workers. J Uoeh 2013, 35(1):1-8.
- [9]Penedo FJ, Dahn JR: Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatr 2005, 18(2):189-193.
- [10]Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR: A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act 2013, 10:135.
- [11]Conn VS: Depressive symptom outcomes of physical activity interventions: meta-analysis findings. Ann Behav Med 2010, 39(2):128-138.
- [12]Martin A, Sanderson K, Cocker F: Meta-analysis of the effects of health promotion intervention in the workplace on depression and anxiety symptoms. Scand J Work Environ Health 2009, 35(1):7-18.
- [13]Puig-Ribera A, McKenna J, Gilson N, Brown WJ: Change in work day step counts, wellbeing and job performance in Catalan university employees: a randomised controlled trial. Promot Educ 2008, 15(4):11-16.
- [14]World Health Organization (WHO): The workplace as a setting for interventions to improve diet and promote physical activity. http://www.who.int/dietphysicalactivity/Quintiliani-workplace-as-setting.pdf Accessed 30/05/2014. Edited by Quintiliani L, Sattelmair J, Sorensen G. Geneva: WHO; 2008.
- [15]World Health Organization (WHO): Global strategy on diet, physical activity and health. Edited by the 57th World Health Assembly. Geneva: WHO; 2004.
- [16]Freak-Poli RL, Cumpston M, Peeters A, Clemes SA: Workplace pedometer interventions for increasing physical activity. Cochrane Database Syst Rev 2013., 4CD009209
- [17]Freak-Poli R, Wolfe R, Backholer K, de Courten M, Peeters A: Impact of a pedometer-based workplace health program on cardiovascular and diabetes risk profile. Prev Med 2011, 53(3):162-171.
- [18]Bravata D, Smith-Spangler C, Sundaram V, Gienger A, Lin N, Lewis R, Stave C, Olkin I, Sirard J: Using pedometers to increase physical activity and improve health: a systematic review. JAMA 2007, 298(19):2296-2304.
- [19]Speck BJ, Looney SW: Effects of a minimal intervention to increase physical activity in women: daily activity records. Nurs Res 2001, 50(6):374-378.
- [20]Croteau KA: Strategies used to increase lifestyle physical activity in a pedometer-based intervention. J Allied Health 2004, 33(4):278-281.
- [21]Murphy MH, Murtagh EM, Boreham CA, Hare LG, Nevill AM: The effect of a worksite based walking programme on cardiovascular risk in previously sedentary civil servants [NCT00284479]. BMC Public Health 2006, 6:136.
- [22]Thomas L, Williams M: Promoting physical activity in the workplace: using pedometers to increase daily activity levels. Health Promot J Austr 2006, 17(2):97-102.
- [23]Gilson N, McKenna J, Cooke C, Brown W: Walking towards health in a university community: a feasibility study. Prev Med 2007, 44(2):167-169.
- [24]Haines DJ, Davis L, Rancour P, Robinson M, Neel-Wilson T, Wagner S: A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff. J Am Coll Health 2007, 55(4):219-225.
- [25]Low D, Gramlich M, Engram BW: Self-paced exercise program for office workers: impact on productivity and health outcomes. Aaohn J 2007, 55(3):99-105.
- [26]Faghri PD, Omokaro C, Parker C, Nichols E, Gustavesen S, Blozie E: E-technology and pedometer walking program to increase physical activity at work. J Prim Prev 2008, 29(1):73-91.
- [27]Gemson DH, Commisso R, Fuente J, Newman J, Benson S: Promoting weight loss and blood pressure control at work: impact of an education and intervention program. J Occup Environ Med 2008, 50(3):272-281.
- [28]Naito M, Nakayama T, Okamura T, Miura K, Yanagita M, Fujieda Y, Kinoshita F, Naito Y, Nakagawa H, Tanaka T, Ueshima H: Effect of a 4-year workplace-based physical activity intervention program on the blood lipid profiles of participating employees: the high-risk and population strategy for occupational health promotion (HIPOP-OHP) study. Atherosclerosis 2008, 197(2):784-790.
- [29]Dishman RK, Vandenberg RJ, Motl RW, Wilson MG, Dejoy DM: Dose relations between goal setting, theory-based correlates of goal setting and increases in physical activity during a workplace trial. Health Educ Res 2009, 25(4):620-631.
- [30]Gilson ND, Puig-Ribera A, McKenna J, Brown WJ, Burton NW, Cooke CB: Do walking strategies to increase physical activity reduce reported sitting in workplaces: a randomized control trial. Int J Behav Nutr Phys Act 2009, 6:43.
- [31]Racette SB, Deusinger SS, Inman CL, Burlis TL, Highstein GR, Buskirk TD, Steger-May K, Peterson LR: Worksite Opportunities for Wellness (WOW): effects on cardiovascular disease risk factors after 1 year. Prev Med 2009, 49(2–3):108-114.
- [32]Farag NH, Moore WE, Thompson DE, Kobza CE, Abbott K, Eichner JE: Evaluation of a community-based participatory physical activity promotion project: effect on cardiovascular disease risk profiles of school employees. BMC Public Health 2010, 10(1):313.
- [33]Kwak L, Kremers SP, Candel MJ, Visscher TL, Brug J, van Baak MA: Changes in skinfold thickness and waist circumference after 12 and 24 months resulting from the NHF-NRG In Balance-project. Int J Behav Nutr Phys Act 2010, 7:26.
- [34]Warren BS, Maley M, Sugarwala LJ, Wells MT, Devine CM: Small steps are easier together: a goal-based ecological intervention to increase walking by women in rural worksites. Prev Med 2010, 50(5–6):230-234.
- [35]Aittasalo M, Miilunpalo S, Suni J: The effectiveness of physical activity counseling in a work-site setting. A randomized, controlled trial. Patient Educ Couns 2004, 55(2):193-202.
- [36]Behrens TK, Domina L, Fletcher GM: Evaluation of an employer-sponsored pedometer-based physical activity program. Percept Mot Skills 2007, 105(3 Pt 1):968-976.
- [37]De Cocker KA, De Bourdeaudhuij IM, Cardon GM: The effect of a multi-strategy workplace physical activity intervention promoting pedometer use and step count increase. Health Educ Res 2009, 25(4):608-619.
- [38]Speck RM, Hill RK, Pronk NP, Becker MP, Schmitz KH: Assessment and outcomes of healthpartners 10,000 steps(R) program in an academic work site. Health Promot Pract 2009, 11(5):741-750.
- [39]Maruyama C, Kimura M, Okumura H, Hayashi K, Arao T: Effect of a worksite-based intervention program on metabolic parameters in middle-aged male white-collar workers: a randomized controlled trial. Prev Med 2010, 51(1):11-17.
- [40]Bauman A, Bellew B, Vita P, Brown W, Owen N: Getting Australia active: towards better practice for the promotion of physical activity. Melbourne, Australia: National Public Health Partnership. In; 2002.
- [41]Culos-Reed C, Gyurcsik N, Brawley L: Using theories of motivated behaviour to understand physical activity. In Handbook of Sport Psychology. Edited by Singer RN HH, Janelle CM. New York: John Wiley & Sons, Inc; 2001:695-717.
- [42]Freak-Poli R, Cumpston M, Peeters A, Clemes S: Workplace pedometer interventions for increasing physical activity (Protocol). Cochrane Database Syst Rev 2011, (7):CD009209.
- [43]Lemon SC, Zapka J, Li W, Estabrook B, Rosal M, Magner R, Andersen V, Borg A, Hale J: Step ahead a worksite obesity prevention trial among hospital employees. Am J Prev Med 2010, 38(1):27-38.
- [44]Lubans DR, Morgan PJ, Collins CE, Warren JM, Callister R: Exploring the mechanisms of weight loss in the SHED-IT intervention for overweight men: a mediation analysis. Int J Behav Nutr Phys Act 2009, 6:76.
- [45]Prabhakaran D, Jeemon P, Goenka S, Lakshmy R, Thankappan KR, Ahmed F, Joshi PP, Mohan BV, Meera R, Das MS, Ahuja RC, Saran RK, Chaturvedi V, Reddy KS: Impact of a worksite intervention program on cardiovascular risk factors: a demonstration project in an Indian industrial population. J Am Coll Cardiol 2009, 53(18):1718-1728.
- [46]Prodaniuk TR, Plotnikoff RC, Spence JC, Wilson PM: The influence of self-efficacy and outcome expectations on the relationship between perceived environment and physical activity in the workplace. Int J Behav Nutr Phys Act 2004, 1(1):7.
- [47]Tudor-Locke C: Promoting lifestyle physical activity: experiences with the first step program. Am J Lifestyle Med 2009, 3(1 Suppl):508-548.
- [48]Egan M, Tannahill C, Petticrew M, Thomas S: Psychosocial risk factors in home and community settings and their associations with population health and health inequalities: a systematic meta-review. BMC Public Health 2008, 8:239.
- [49]Freak-Poli R, Harding J, Backholer K, Peeters A: Changes in health-related quality of life amongst participants in a four-month pedometer-based workplace health program. J Phys Act Health 2013, 10(4):533-543.
- [50]Touger-Decker R, Denmark R, Bruno M, O'Sullivan-Maillet J, Lasser N: Workplace weight loss program; comparing live and internet methods. J Occup Environ Med 2010, 52(11):1112-1118.
- [51]Freak-Poli R, Wolfe R, Brand M, de Courten M, Peeters A: Eight-month postprogram completion: change in risk factors for chronic disease amongst participants in a 4-month pedometer-based workplace health program. Obesity (Silver Spring) 2013, 21(9):E360-E368.
- [52]Freak-Poli R, Wolfe R, Peeters A: Risk of cardiovascular disease and diabetes in a working population with sedentary occupations. J Occup Environ Med 2010, 52(11):1132-1137.
- [53]Freak-Poli R, Backholer K, Peeters A: Daily step-count and change in waist circumference during a workplace pedometer program. Open J Prev Med 2012, 2(2):249-256.
- [54]Freak-Poli RL, Wolfe R, Walls H, Backholer K, Peeters A: Participant characteristics associated with greater reductions in waist circumference during a four-month, pedometer-based, workplace health program. BMC Public Health 2011, 11(1):824.
- [55]Ng W, Freak-Poli R, Peeters A: The Prevalence and Characteristics Associated With Excessive Daytime Sleepiness Among Australian Workers. J Occup Environ Med 2014. [Epub ahead of print]
- [56]The Global Corporate Challenge [ http://www.gettheworldmoving.com/what-is-the-gcc webcite]
- [57]World Health Organization (WHO): The WHO STEPwise approach. Surveillence of risk factors for noncommunicable diseases: Step 1, 2 & 3. Switzerland: WHO; 2002.
- [58]Dunstan DW, Zimmet PZ, Welborn TA, Cameron AJ, Shaw J, de Courten M, Jolley D, McCarty DJ: The Australian Diabetes, Obesity and Lifestyle Study (AusDiab)–methods and response rates. Diabetes Res Clin Pract 2002, 57(2):119-129.
- [59]Giles GG, English DR: The Melbourne collaborative cohort study. IARC Sci Publ 2002, 156:69-70.
- [60]Ball K, Brown W, Crawford D: Who does not gain weight? Prevalence and predictors of weight maintenance in young women. Int J Obes Relat Metab Disord 2002, 26(12):1570-1578.
- [61]WHO-Five Well-being Index (WHO-5) [ http://www.who-5.org webcite]
- [62]Bech P: Quality of life in the psychiatric patient. London: Mosby-Wolfe; 1998.
- [63]Bech P: Male depression: stress and aggression as pathways to major depression. In Depression: Social and economic timebomb. London: BMJ Books; 2001:63-66.
- [64]Shea S, Skovlund S, Bech P, Kalo I, Home P: Routine assessment of psychological well-being in people with diabetes - validation of the WHO-5 Well-being Index in six countries. In 18th International Diabetes Federation Congress. Paris: Diabetologia; 2003. A88 [no.245]
- [65]Lowe B, Spitzer R, Grafe K, Kroenke K, Quenter A, Zipfel S, Buchholz C, Witte S, Herzog W: Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians' diagnoses. J Affect Disord 2004, 78:131-140.
- [66]Australian Institute of Health and Welfare (AIHW): Australia’s health 2008. Cat. no. AUS 99. Canberra: AIHW; 2008.
- [67]Commonwealth Government Department of Health and Aged Care (DHAC): National physical activity guidelines for Australians. Canberra: DHAC; 1999.
- [68]Royal Australian College of General Practitioners: National Preventive and Community Medicine Committee: Guidelines for preventive activities in general practice, 7th edition. Victoria: The Royal Australian College of General Practitioners; 2009.
- [69]National Health and Medical Research Council (NHMRC): Food for health: Dietary Guidelines for all Australians. Canberra: NHMRC; 2003.
- [70]Glymour MM, Weuve J, Berkman LF, Kawachi I, Robins JM: When is baseline adjustment useful in analyses of change? An example with education and cognitive change. Am J Epidemiol 2005, 162(3):267-278.
- [71]Stata Corporation: College Station. TX; http://www.stata.com webcite
- [72]Linden A: Estimating the effect of regression to the mean in health management programs. Dis Manag Health Outcomes 2007, 15(1):7-12.
- [73]Delaney L, Doyle O, Mckenzie K, Wall P: The distribution of wellbeing in Ireland. Irish J Psychol Med 2009, 26:119-126.
- [74]Aujla N, Abrams KR, Davies MJ, Taub N, Skinner TC, Khunti K: The prevalence of depression in white-European and South-Asian people with impaired glucose regulation and screen-detected type 2 diabetes mellitus. PLoS One 2009, 4(11):e7755.
- [75]Hajos TR, Pouwer F, de Grooth R, Holleman F, Twisk JW, Diamant M, Snoek FJ: The longitudinal association between glycaemic control and health-related quality of life following insulin therapy optimisation in type 2 diabetes patients. A prospective observational study in secondary care. Qual Life Res 2011, 21(8):1359-1365.
- [76]Due-Christensen M, Zoffmann V, Hommel E, Lau M: Can sharing experiences in groups reduce the burden of living with diabetes, regardless of glycaemic control? Diabet Med 2011, 29(2):251-256.
- [77]Newnham EA, Hooke GR, Page AC: Monitoring treatment response and outcomes using the World Health Organization's Wellbeing Index in psychiatric care. J Affect Disord 2010, 122(1–2):133-138.
- [78]Conn VS, Hafdahl AR, Brown LM: Meta-analysis of quality-of-life outcomes from physical activity interventions. Nurs Res 2009, 58(3):175-183.
- [79]Chu AH, Koh D, Moy FM, Muller-Riemenschneider F: Do workplace physical activity interventions improve mental health outcomes? Occup Med (Lond) 2014, 64(4):235-245.
- [80]Christie J, O'Halloran P, Caan W, Cardwell C, Young T, Rao M: Workplace-based organisational interventions to prevent and control obesity by improving dietary intake and/or increasing physical activity (Protocol). Cochrane Database Syst Rev 2010, (6):CD008546.
- [81]Centers for Disease Control and Prevention Health-Related Quality-of-Life 14-Item Measure [ http://www.cdc.gov/hrqol/hrqol14_measure.htm webcite]
- [82]Saris-Baglama R, Dewey C, Chisholm G, Plumb E, King J, Kosinski M, BJorner JB, Ware JE: QualityMetric Health Outcomes Scoring Software 3.0 User’s Guide. Lincoln, USA: QualityMetric Incorporated; 2007.
- [83]Chan CB, Ryan DA, Tudor-Locke C: Health benefits of a pedometer-based physical activity intervention in sedentary workers. Prev Med 2004, 39(6):1215-1222.