Health Clinical Trial
Official title:
Comparison of Interventions to Promote Health in Workers: A Cluster Randomized Controled Trial
The goal of this research was to investigate different intervention strategies in the
workplace and their impact on quality of life of workers from companies in the city of
Londrina, Parana, Brazil.
The interventions were composed by exercise in the workplace and educational interventions.
The workplace has special features about human behaviors. Studies (Shepard 1996, Pratt 2008)
has shown that workers participate of this kind of health promotion programs for various
reasons: One reason is the convenience of doing something without having to look for it;
another reason is group support, many workers who share difficulties due to their working
demands can find support in each other, so that they could change health behavior.
Furthermore there are patterns of formal and informal communication that can contribute to
help more people to become healthier making their environment better. Finally, the norms of
a corporate behavior can unite the group of workers seeking same objectives.
Additionally the literature has shown that adults increased workload, job insecurity and
pressure to perform tasks (Sparks 1997). These facts has been shown that workplace is
different from community based interventions and leisure interventions.
The outcomes proposed to study are different from other studies since the interventions
focus changes in behaviors. Sedentary behavior has shown to have 23% of deaths from major
chronic disease (WHO 2002).
As the populations rises around the world and with the prolonged life expectancies, the
number of people with chronic diseases will raise (WHO 2006). By having positive changes in
health behavior the costs of public health can be reduced. Studying different types of
interventions and testing its efficacy in different places can help the policy makers to
create healthier environments.
There are strategies being developed in the workplace, but its efficacy is being challenged.
There are some researches that show no evidence to prove the continuity of these
interventions and there are evidences proving the opposite, positive changes in clinical
outcomes as diabetes, blood pressure and elevated blood cholesterol. In addition some
measures as BMI, anthropometric, fitness level have shown good association as prediction of
development of chronic disease with low cost (Dishman 2004).
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double Blind (Subject, Investigator)
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