2005 Fiscal Year Final Research Report Summary
Development and Economic Evaluation of Efficient Lifestyle-related Disease Prevention Programs Based on Health Behavior Theories
| Project/Area Number |
15300237
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Applied health science
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| Research Institution | Dokkyo Medical University |
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Principal Investigator |
MUTO Takashi Dokkyo Medical University, School of Medicine, Professor, 医学部, 教授 (30209986)
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| Co-Investigator(Kenkyū-buntansha) |
HASHIMOTO Michiyo Dokkyo Medical University, School of Medicine, Research Associate, 医学部, 助手 (00316580)
HARUYAMA Yasuo Dokkyo Medical University, School of Medicine, Research Associate, 医学部, 助手 (20406185)
FUKUDA Hiroshi Juntendo University, School of Medicine, Lecturer, 医学部, 講師 (70384120)
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| Project Period (FY) |
2003 – 2005
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| Keywords | Lifestyle-related Disease / Health Behavior Theory / Prevention / Health Education / Economic Evaluation / Stage Theory / PRECEDE Model / Social Learning Theory |
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| Research Abstract |
A questionnaire survey was conducted in 1,372 companies to clarify the needs of companies for the lifestyle disease prevention program in the workplace. The current rate of implementation of the program and future plan of implementation were lower compared with the program for mental health issues, suggesting the education of lifestyle disease prevention for occupational health staff and the need of development of attractive programs. The results of the hearing survey for occupational physicians and health nurses suggested the importance of considering the diversified work-styles due to the development of information technology, and introduction of participatory seminars or learning by experiences. Based on these survey results, we developed an educational tool for the self-assessment of lifestyles with the name of Health Management (HM) 21, incorporating stage theory, PRECEDE model, behavioral theories, and social learning theory. Health education programs to be conducted by health nu
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rses for the improvement of dietary and physical activities habits with the use of HM21 were also developed. These programs were implemented in three workplaces with different job categories. Subjects were male employees with one of those abnormalities : obesity, glucose intolerance, hypertension, or hyperlipidemia, but without medication. Quasi-experimental design was used, and control groups were consisted of age-matched male employees working in the same workplace. In the case of sales representatives, intervention group was provided with health guidance (30 minutes per employee) from health nurses by using HM21, and control group was given information on the prevention of lifestyle related diseases through in-company mailing services. There was a significant decrease in total cholesterol in the intervention group compared with the control group. In a construction related company, spouses of the employees in the intervention group was given a collective nutrition education for two hours, and the control group was provided with health guidance (10 minutes per employee) from health nurses without using HM21. There was also a significant decrease in total cholesterol in the intervention group compared with the control group. At a headquarter of health related company, intervention group was provided with weight loss education program using behavioral theories and workplace environment in that body images of the subjects were shown in the intra-net of the company. There were significant decrease in body weight, adiposity and waist circumference in the intervention group than in the control group. Economic evaluation of these programs was conducted from the viewpoint of employers, and cost-effective analysis revealed that these programs were cost-effective in the reduction of total cholesterol and body weight. Less
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