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Health-risk appraisal with or without disease management for worksite cardiovascular risk reduction.
J Cardiovasc Nurs. 2008 Nov-Dec; 23(6):513-8.JC

Abstract

BACKGROUND AND RESEARCH OBJECTIVE

Worksite health promotion programs use health risk appraisal (HRA) surveys to identify employees at increased risk, then provide a range of interventions to encourage high-risk individuals to improve their health. Our objective was to determine how the intensity of intervention after HRA affected cardiovascular risk after 1 year, comparing individual follow-up counseling with environmental supports.

SUBJECTS AND METHODS

133 employees of Vanderbilt University with cardiovascular risk factors were randomly assigned to worksite HRA plus targeted disease management (DM group) or HRA plus information about worksite health promotion programs (HRA group). The DM group received longitudinal individualized counseling for risk reduction, whereas the HRA group members received one feedback session about their risk factors and information about free worksite health promotion programs. The main outcome measure was the difference between groups in the change in average Framingham risk score from baseline to 1 year.

RESULTS

There was no significant baseline difference between groups in the Framingham risk score. Among DM participants, the mean (SD) Framingham risk score decreased by 22.6%; among HRA participants, the mean score rose by 4.3% (P = .017 for the difference between groups).

CONCLUSIONS

In this study of employees with cardiovascular risk factors, HRA followed by individual counseling was more effective than providing information about free worksite health promotion programs.

Authors+Show Affiliations

Division of Cardiovascular Medicine, Vanderbilt University School of Medicine, and Medical Director, Dayani Center for Health and Wellness, Vanderbilt University Medical Center, Nashville, Tennessee, USA. david.maron@vanderbilt.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18953215

Citation

Maron, David J., et al. "Health-risk Appraisal With or Without Disease Management for Worksite Cardiovascular Risk Reduction." The Journal of Cardiovascular Nursing, vol. 23, no. 6, 2008, pp. 513-8.
Maron DJ, Forbes BL, Groves JR, et al. Health-risk appraisal with or without disease management for worksite cardiovascular risk reduction. J Cardiovasc Nurs. 2008;23(6):513-8.
Maron, D. J., Forbes, B. L., Groves, J. R., Dietrich, M. S., Sells, P., & DiGenio, A. G. (2008). Health-risk appraisal with or without disease management for worksite cardiovascular risk reduction. The Journal of Cardiovascular Nursing, 23(6), 513-8. https://doi.org/10.1097/01.JCN.0000338933.81587.b4
Maron DJ, et al. Health-risk Appraisal With or Without Disease Management for Worksite Cardiovascular Risk Reduction. J Cardiovasc Nurs. 2008 Nov-Dec;23(6):513-8. PubMed PMID: 18953215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-risk appraisal with or without disease management for worksite cardiovascular risk reduction. AU - Maron,David J, AU - Forbes,Barbara L, AU - Groves,Jay R, AU - Dietrich,Mary S, AU - Sells,Patrick, AU - DiGenio,Andres G, PY - 2008/10/28/pubmed PY - 2009/1/1/medline PY - 2008/10/28/entrez SP - 513 EP - 8 JF - The Journal of cardiovascular nursing JO - J Cardiovasc Nurs VL - 23 IS - 6 N2 - BACKGROUND AND RESEARCH OBJECTIVE: Worksite health promotion programs use health risk appraisal (HRA) surveys to identify employees at increased risk, then provide a range of interventions to encourage high-risk individuals to improve their health. Our objective was to determine how the intensity of intervention after HRA affected cardiovascular risk after 1 year, comparing individual follow-up counseling with environmental supports. SUBJECTS AND METHODS: 133 employees of Vanderbilt University with cardiovascular risk factors were randomly assigned to worksite HRA plus targeted disease management (DM group) or HRA plus information about worksite health promotion programs (HRA group). The DM group received longitudinal individualized counseling for risk reduction, whereas the HRA group members received one feedback session about their risk factors and information about free worksite health promotion programs. The main outcome measure was the difference between groups in the change in average Framingham risk score from baseline to 1 year. RESULTS: There was no significant baseline difference between groups in the Framingham risk score. Among DM participants, the mean (SD) Framingham risk score decreased by 22.6%; among HRA participants, the mean score rose by 4.3% (P = .017 for the difference between groups). CONCLUSIONS: In this study of employees with cardiovascular risk factors, HRA followed by individual counseling was more effective than providing information about free worksite health promotion programs. SN - 1550-5049 UR - https://www.unboundmedicine.com/medline/citation/18953215/Health_risk_appraisal_with_or_without_disease_management_for_worksite_cardiovascular_risk_reduction_ L2 - https://doi.org/10.1097/01.JCN.0000338933.81587.b4 DB - PRIME DP - Unbound Medicine ER -