Gx Works 2 1.98.epub



 
 
 
 
 
 
 

Gx Works 2 1.98.epub

Insufficient research is available on the influence of worksite environmental interventions in modifying CVD risk factors. A few studies in our review demonstrated no significant intervention effects of worksite health promotion programs on diet or physical activity. A robust environmental intervention strategy needs to be developed and investigated.

It is important to re-emphasise that worksite health promotion programs have the potential to deliver health benefits beyond the individual employee. As discussed previously, there is growing evidence that multi-level (e.g., organizational, community, policy) interventions are more effective [ 33 ] and cheaper [ 74 ]. Thus, developing a policy regime and social environment that encourages health promoting behaviors among employees through worksite health promotion programs, is essential to address the complex multi-level challenges related to NCD risk factors.

The few worksite interventions that reported data on NCD outcomes, all showed the effectiveness of the interventions to reduce mortality. While it is not possible to differentiate deaths due to NCDs from other causes in published papers, some studies have attempted to do this as a post hoc analysis. Of the few that reported only NCD deaths due to NCDs, all showed strong evidence for the effectiveness of the interventions. Studies that have defined NCD deaths as those due to CVDs showed a strong effect or near-significant effect for the interventions. However, we found no difference in intervention effect between studies that only reported a relative reduction in deaths due to NCDs from those that also reported absolute risk changes. This suggests that using relative reductions as the main outcome measures is likely to produce biased estimates of intervention effectiveness. Alternatively, absolute risk reduction (ARR) may be a more useful measure for evaluating the interventions as an absolute risk reduction in any employee with NCDs or in all employees with NCDs would be a desirable public health outcome. If the WHO GLM models used to project future mortality and morbidity burdens due to NCDs were to assume a constant prevalence of NCD risk factors over time, then the projected burden of deaths due to NCDs would significantly decline in absolute terms.

Insufficient research is available on the influence of worksite environmental interventions in modifying CVD risk factors. A few studies in our review demonstrated no significant intervention effects of worksite health promotion programs on diet or physical activity. A robust environmental intervention strategy needs to be developed and investigated.
It is important to re-emphasise that worksite health promotion programs have the potential to deliver health benefits beyond the individual employee. As discussed previously, there is growing evidence that multi-level (e.g., organizational, community, policy) interventions are more effective [ 33 ] and cheaper [ 74 ]. Thus, developing a policy regime and social environment that encourages health promoting behaviors among employees through worksite health promotion programs, is essential to address the complex multi-level challenges related to NCD risk factors.
The few worksite interventions that reported data on NCD outcomes, all showed the effectiveness of the interventions to reduce mortality. While it is not possible to differentiate deaths due to NCDs from other causes in published papers, some studies have attempted to do this as a post hoc analysis. Of the few that reported only NCD deaths due to NCDs, all showed strong evidence for the effectiveness of the interventions. Studies that have defined NCD deaths as those due to CVDs showed a strong effect or near-significant effect for the interventions. However, we found no difference in intervention effect between studies that only reported a relative reduction in deaths due to NCDs from those that also reported absolute risk changes. This suggests that using relative reductions as the main outcome measures is likely to produce biased estimates of intervention effectiveness. Alternatively, absolute risk reduction (ARR) may be a more useful measure for evaluating the interventions as an absolute risk reduction in any employee with NCDs or in all employees with NCDs would be a desirable public health outcome. If the WHO GLM models used to project future mortality and morbidity burdens due to NCDs were to assume a constant prevalence of NCD risk factors over time, then the projected burden of deaths due to NCDs would significantly decline in absolute terms.
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