A Systematic Review of Selected Interventions for Worksite Health Promotion The Assessment of Health Risks with Feedback

作者：Soler Robin E^*; Leeks Kimberly D; Razi Sima; Hopkins David P; Griffith Matt; Aten Adam; Chattopadhyay Sajal K; Smith Susan C; Habarta Nancy; Goetzel Ron Z; Pronk Nicolaas P; Richling Dennis E; Bauer Deborah R; Buchanan Leigh Ramsey; Florence Curtis S; Koonin Lisa; MacLean Debbie; Rosenthal Abby; Koffman Dyann Matson; Grizzell James V; Walker Andrew M

来源：American Journal of Preventive Medicine, 2010, 38(2): S237-S262.

DOI：10.1016/j.amepre.2009.10.030

Background: Many health behaviors and physiologic indicators can be used to estimate one's likelihood of illness or premature death. Methods have been developed to assess this risk, most notably the use of a health-risk assessment or biometric screening tool. This report provides recommendations on the effectiveness of interventions that use an Assessment of Health Risks with Feedback (AHRF) when used alone or as part of a broader worksite health promotion program to improve the health of employees.
Evidence acquisition: The Guide to Community Preventive Services' methods for systematic reviews were used to evaluate the effectiveness of AHRF when used alone and when used in combination with other intervention components. Effectiveness was assessed on the basis of changes in health behaviors and physiologic estimates, but was also informed by changes in risk estimates, healthcare service use, and worker productivity.
Evidence synthesis: The review team identified strong evidence of effectiveness of AHRF when used with health education with or without other intervention components for five outcomes. There is sufficient evidence of effectiveness for four additional outcomes assessed. There is insufficient evidence to determine effectiveness for others such as changes in body composition and fruit and vegetable intake. The team also found insufficient evidence to determine the effectiveness of AHRF when implemented alone.
Conclusions: The results of these reviews indicate that AHRF is useful as a gateway intervention to a broader worksite health promotion program that includes health education lasting I hour or repeating multiple times during I year, and that may include an array of health promotion activities. These reviews form the basis of the recommendations by the Task Force on Community Preventive Services presented elsewhere in this supplement. (Am J Prev Med 2010;38(2S):S237-S262) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine

• 出版日期2010-2