Work, Weight, and Wellness Program: The 3W Program
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss, Peripheral Vascular Disease, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/13/2016 |
| Start Date: | September 2004 |
| End Date: | October 2008 |
Overweight and Obesity Control in Worksites
The purpose of this study is to increase physical activity, improve diet, and reduce obesity
of hotel employees.
of hotel employees.
BACKGROUND:
In Hawaii, as in many other states, tourism is a large industry. Most hotel jobs require
little education or training, and hotels employ large numbers of persons and immigrants with
low socioeconomic status. Hawaii, with the world's most ethnically diverse population, has
high rates of obesity and diabetes, particularly among those of Polynesian ancestry (about
20-22% of the population). This study will include a comprehensive lifestyle change program
delivered through worksites in partnership with a large health care system.
DESIGN NARRATIVE:
Thirty-one hotels employing 11,000 persons on the island of Oahu are pair-matched. One
member of each pair is assigned to a high intensity intervention and the other to a low
intensity intervention. Both interventions are intended to reduce BMI through an emphasis on
a healthy diet and increased physical activity. All employees are assessed annually for
three consecutive years. The assessment includes a survey on lifestyle habits, stage of
change, and attitudes toward weight, as well as measurement of BMI. The high intensity
intervention hotels receive the following: 1) environmental changes to support lifestyle
change and obesity control; 2) worksite based groups that offer state-of-the-art behavioral
interventions; and 3) after-hours "Re-Invent Yourself" groups designed for persons who want
to lose at least 25 pounds and are highly committed to doing it. These interventions
incorporate all the elements that produce sustained weight loss and an innovative decision
tutorial based on decision theory. The primary outcome is the mean difference between hotels
in the high intensity and low intensity interventions in change in BMI from baseline to 12
and 24 months. Secondary outcomes address effects of the intervention on ethnic and
occupational subgroups stage of change, absentee days, and worker compensation claims.
In Hawaii, as in many other states, tourism is a large industry. Most hotel jobs require
little education or training, and hotels employ large numbers of persons and immigrants with
low socioeconomic status. Hawaii, with the world's most ethnically diverse population, has
high rates of obesity and diabetes, particularly among those of Polynesian ancestry (about
20-22% of the population). This study will include a comprehensive lifestyle change program
delivered through worksites in partnership with a large health care system.
DESIGN NARRATIVE:
Thirty-one hotels employing 11,000 persons on the island of Oahu are pair-matched. One
member of each pair is assigned to a high intensity intervention and the other to a low
intensity intervention. Both interventions are intended to reduce BMI through an emphasis on
a healthy diet and increased physical activity. All employees are assessed annually for
three consecutive years. The assessment includes a survey on lifestyle habits, stage of
change, and attitudes toward weight, as well as measurement of BMI. The high intensity
intervention hotels receive the following: 1) environmental changes to support lifestyle
change and obesity control; 2) worksite based groups that offer state-of-the-art behavioral
interventions; and 3) after-hours "Re-Invent Yourself" groups designed for persons who want
to lose at least 25 pounds and are highly committed to doing it. These interventions
incorporate all the elements that produce sustained weight loss and an innovative decision
tutorial based on decision theory. The primary outcome is the mean difference between hotels
in the high intensity and low intensity interventions in change in BMI from baseline to 12
and 24 months. Secondary outcomes address effects of the intervention on ethnic and
occupational subgroups stage of change, absentee days, and worker compensation claims.
Inclusion Criteria:
- Employed at the hotel
Exclusion Criteria:
- Unable to read English, Korean, or Chinese
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