scholarly journals Worksite Wellness

2012 ◽  
Vol 10 (1) ◽  
pp. 13-27
Author(s):  
Larry W. Anenson, Jr. ◽  
Ardith Brunt ◽  
Donna Terbizan ◽  
Bryan Christensen

The purpose of this 38-week, quasi-experimental study was to determine the effectiveness of one weekly e-mail health (e-health) message that utilized the World Health Organization’s seven dimensions of wellness. Employees from a large Midwestern city were recruited and divided into two groups based on their desire to receive additional health information. The participants in each group were then randomly assigned to receive basic or detailed e-health messages. The basic e-health message consisted of an e-mail with health tips for the specific topic; whereas the detailed message included the basic message plus links to games, surveys, and websites to supplement the basic message. Those lacking an e-mail address comprised the control group, and did not receive any e-health messages. A total of 46 employees completed both assessments and comprised the analytic sample. Systolic blood pressure significantly decreased in unmotivated participants receiving the detailed messages (-2.1 mmHg, p=0.04). Across all groups, at-risk participants (blood pressure ? 140/90 mm/Hg or body mass index ? 25 kg/m2) showed greatest improvement with significant drops in both systolic and diastolic blood pressure. Detailed ehealth messages may be an effective approach to assist employees who are at-risk for chronic disease.

2014 ◽  
Vol 12 (1) ◽  
pp. 61-70
Author(s):  
Larry W. Anenson, Jr. ◽  
Ardith Brunt ◽  
Donna Terbizan ◽  
Bryan Christensen

Purpose: The purpose of this quasi-experimental study was to determine the effectiveness of one weekly e-mail health (e-health) message in assisting individuals meet their self-identified health goals. Methods: Employees (N=31) from a midwestern city were recruited at a Benefits Fair health booth and divided into two groups based on their desire to receive additional health information. The participants in each group were then randomly assigned to receive basic or detailed e-health messages that were developed using the constructs of the Transtheoretical Model. Participants self-identified a personal wellness goal and how soon they planned to start working toward accomplishing this goal. For 38 weeks, the basic group received weekly e-health messages that contained basic information related to one of the World Health Organization’s seven dimensions of wellness while the detailed group received the basic message plus additional games, webpage links and more extensive information. Participant’s progress along the change continuum and goal completion was assessed 38 weeks later with a Post-Wellness Survey. Results: Participants exhibited positive movement on the behavior change continuum with many reaching their goals, regardless of the type of e-health message received. Conclusion: E-health messages can be a practical, cost-effective way to assist employees in making healthy behavioral changes and meeting their personal health goals.


2001 ◽  
Vol 6 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Harald Walach ◽  
Stefan Schmidt ◽  
Yvonne-Michelle Bihr ◽  
Susanne Wiesch

We studied the effect of experimenter expectations and different instructions in a balanced placebo design. 157 subjects were randomized into a 2 × 4 factorial design. Two experimenters were led to expect placebos either to produce physiological effects or not (pro- vs. antiplacebo). All subjects except a control group received a caffeine placebo. They were either made to expect coffee, no coffee, or were in a double-blind condition. Dependent measures were blood pressure, heart rate, well-being, and a cognitive task. There was one main effect on the instruction factor (p = 0.03) with the group “told no caffeine” reporting significantly better well-being. There was one main effect on the experimenter factor with subjects instructed by experimenter “proplacebo” having higher systolic blood pressure (p = 0.008). There was one interaction with subjects instructed by experimenter “proplacebo” to receive coffee doing worse in the cognitive task than the rest. Subjects instructed by experimenter “antiplacebo” were significantly less likely to believe the experimental instruction, and that mostly if they had been instructed to receive coffee. Contrary to the literature we could not show an effect of instruction, but there was an effect of experimenters. It is likely, however, that these experimenter effects were not due to experimental manipulations, but to the difference in personalities.


Author(s):  
Annibal Sabino ◽  
Eduardo de Souza ◽  
Ana Goulart ◽  
Adriana Lima ◽  
Nelson Sass

Objective To evaluate whether the presence of maternal blood pressure reduces the risks of morbidity, perinatal mortality and morbidity at 24 months of age in very low birth weight infants (VLBWIs) compared with a control group. Methods A retrospective, observational, case-control study. Total 49 VLBWIs were allocated to the study group, called the maternal arterial hypertension group (AHG), and matched with 44 in the control group (CG). The infants were assessed during hospitalization and at 12 and 24 months corrected age at a specialized clinic. For the assessment of growth, the World Health Organization (WHO) Anthro software (Geneva, 2006) was used, and for the psychomotor assessment, the Denver II test was used. Results In relation to the antenatal variables, the infants of the AHG had more centralized circulation assessed by Doppler, received more corticosteroids and magnesium sulfate, and were born by cesarean section more frequently. In terms of the postnatal and in-hospital outcomes, the AHG had a higher gestational age at birth (30.7 versus 29.6 weeks) and a lower frequency of 5-minute Apgar scores of less than 7 (26.5% versus 52.3%). The CG had a higher rate of pulmonary dysplasia (30.2% versus 8.3%). There were no differences in terms of hospital mortality, complications, somatic growth and functional problems at 24 months of corrected age. Conclusion The presence of maternal hypertension, especially preeclampsia, was not a protective factor against morbidity, mortality and evolution in VLBWIs aged up to 24 months. Therefore, the clinical practice should be focused on prolonging the pregnancy for as long as possible in these conditions as well.


1995 ◽  
Vol 38 (2) ◽  
Author(s):  
S. Barba ◽  
R. Di Giovambattista ◽  
G. Smriglio

he Istituto Nazionale di Geofisica (ING) Seismic Network Database (ISND) includes over 300000 arrivaI times of Italian, Mediterranean and teleseismic earthquakes from 1983 to date. This database is a useful tool for Italian and foreign seismologists ( over 1000 data requests in the first 6 months of this year). Recently (1994) the ING began storing in the ISND, the digital waveforms associated with arri,Tal times and experimen- tally allowed users to retrieve waveforms recorded by the ING acquisition system. In this paper we describe the types of data stored and the interactive and batch procedures available to obtain arrivaI times and/or asso- ciated waveforms. The ISND is reachable via telephone line, P.S.I., Internet and DecNet. Users can read and send to their E-mail address alI selected earthquakes locations, parameters, arrivaI times and associated digital waveforms (in SAC, SUDS or ASCII format). For r;aedium or large amounts of data users can ask to receive data by means of magnetic media (DAT, Video 8, floppy disk).


Author(s):  
Premalatha P ◽  
Kanniammal C ◽  
Valli G ◽  
Jaydeep Mahendra

Objective: The principal aim of the study is to identify the effect of physical exercise and yoga on blood pressure (BP) among children, a common cardiovascular risk factor among children in recent years. Methods: A true experimental design was adopted to find the effect of physical exercise and yoga on selected children with increased BP and weight. The weight was inferred based on the World Health Organization (WHO) chart on body mass index for age. BP and height were measured and interpreted using the WHO height percentile chart for boys/girls and BP references of National Heart, Lung, and Blood Institute, to identify hypertensive children. Hypertensive children were given physical exercise and yoga, 5 days a week, for 6 months and control group led a normal lives. Results: In the pretest, 100% of the study and control group were prehypertensive. After 3 months of physical exercise and yoga, 21% of study group became normotensive which was significant at p=0.000 and it increased to 93% after 6 months with the significance of p=0.000. The weight and systolic BP (SBP) had a significant positive correlation. The age (p=0.001), number of family members, type of family (p=0.01), mother’s occupation, family history of obesity, and chronic illness among fathers (p=0.05) had a significant association with SBP of the children. Conclusion: The study concluded that physical exercise and yoga reduced childhood hypertension as well as is a cost effective and easily practicable intervention for children to minimize cardiovascular risk during their adulthood.


2005 ◽  
Vol 19 (6) ◽  
pp. 422-429 ◽  
Author(s):  
Ronald C. Plotnikoff ◽  
Linda J. McCargar ◽  
Philip M. Wilson ◽  
Constantinos A. Loucaides

Purpose. The purpose of this study was to evaluate a 12-week workplace e-mail intervention designed to promote physical activity and nutrition behavior. Design. A pre- and post-test design was conducted to compare the effects of e-mail messages between intervention and control groups. Setting. Five large workplaces in Alberta, Canada. Subjects. Employees with access to a personal e-mail address (N = 2121) were randomly assigned to an intervention (n = 1566) or a control group (n = 555). Intervention. Physical activity and nutrition messages were based on social-cognitive theories. The intervention group received one physical activity and one parallel nutrition message per week for 12 weeks. The control group received no weekly messages. Measures. Each participant completed self-report measures of physical activity and nutrition related to knowledge, attitudes, and behaviors 1 week before (time 1) and 1 week after (time 2) the intervention. Results. The intervention group was more efficacious at time 2 on measures of self-efficacy, pros, cons, intentions, and behavior related to physical activity. This group also reported more favorable changes in practicing healthy eating, balancing food intake with activity level, cooking meals with techniques to reduce fat, and avoiding eating high-fat foods. Effect sizes for all significant differences were small. Conclusion. E-mail is a promising mode of delivery for promoting physical activity and nutrition in the workplace. Further theoretically driven studies are needed.


2017 ◽  
Author(s):  
Arab World English Journal ◽  
Kafa Mohammad Bani Khalaf

This study aims to examine the potential effect of an e-mail and WhatsApp based instructional program on Jordanian EFL tenth-grade students' skimming and scanning skills of reading. To collect the data, two instrument were utilized: a pre-test and a post-test. The study used a quasi-experimental design. The participants of the study were 60 Jordanian tenth-grade female students from four sections who were purposefully chosen from Bahraini Basic School for Girls in Jordan. 15 students comprised the control group and 45 comprised three experimental groups of 15 students each. The findings reveal significant differences (at 0.05) in the students' mean scores on the post-test, in favour of the students in the WhatsApp group, the e-mail and WhatsApp combination group and the e-mail group respectively. The findings also reveal a significantly high effect of the instructional program on scanning than on skimming. A number of implications and recommendations for future research are put forth.


2017 ◽  
Vol 1 (1) ◽  
pp. 48
Author(s):  
Esti Hitatami ◽  
Bony Lestari ◽  
Herman Susanto ◽  
Dany Hilmanto ◽  
Tina Judistiani ◽  
...  

Angka Kematian Ibu (AKI) di Indonesia masih cukup tinggi, dibandingkan dengan negara ASEAN lainnya.  Kematian ibu  yang tinggi tersebut disebabkan oleh komplikasi saat kehamilan dan persalinan. World Health Organization (WHO) memperkirakan bahwa 15-20% ibu hamil baik di negara maju maupun berkembang akan mengalami risiko tinggi (risti) dan/atau komplikasi kehamilan. Salah satu penyebab terjadinya  kehamilan risiko tinggi  pada ibu hamil adalah kurangnya pengetahuan dan sikap positif  ibu  tentang kesehatan reproduksi. Hal ini dapat disebabkan oleh rendahnya  status sosial ekonomi,  pendidikan yang rendah, kesenjangan  keterpaparan informasi, faktor kepercayaan dan pengalaman. Untuk mengoptimalkan pengetahuan dan sikap ini perlu dilakukan pendidikan kesehatan melalui pemberian layanan pesan singkat lewat telepon seluler. Oleh karena itu penelitian ini bertujuan untuk mengukur pengaruh pendidikan kesehatan tentang kehamilan risiko tinggi melalui  layanan pesan singkat terhadap peningkatan pengetahuan dan sikap ibu hamil. Penelitian ini merupakan penelitian quasi experimental dengan rancangan pre test-post test control group design dengan jumlah sampel 114  orang ibu hamil. Pengambilan sampel ibu hamil dilakukan dengan cara randomisasi blok permutasi sehingga diperoleh  57 orang ibu hamil untuk kelompok intervensi dan 57 orang ibu hamil untuk kelompok kontrol. Variabel pengetahuan dan sikap tentang kehamilan risiko tinggi diukur dengan menggunakan kuesioner sebelum dan sesudah diberikan pendidikan kesehatan berupa layanan pesan singkat.   Perbedaan peningkatan pengetahuan dan sikap pada pada kelompok intervensi dan kontrol diuji secara statistik dengan uji t tidak berpasangan.Penelitian dilaksanakan dari bulan Desember 2013 sampai dengan  bulan Januari 2014. Hasil penelitian pada kelompok intervensi menunjukkan adanya  peningkatan skor rata-rata  pengetahuan dari 49,2±11,6 menjadi 60,6±12,6  (p<0,05). Selain itu terdapat peningkatan skor rata-rata  sikap dari 71,4±9,3 menjadi 76,3±5,7 (p<0,05). Sedangkan uji beda selisih peningkatan pengetahuan dan sikap antar kelompok intervensi dan kontrol menunjukkan perbedaan selisih pengetahuan bermakna dengan skor 11,4±12,5 dan 1,4±16,9  (p<0,05). Untuk variabel sikap, terdapat perbedaan selisih skor sikap yang bermakna pada kelompok intervensi sebesar 4,9±14,7 dan kelompok kontrol  sebesar – 5,9±9,6 (p<0,05). Berdasarkan hasil penelitian dapat disimpulkan  bahwa pendidikan kesehatan dengan  layanan pesan singkat dapat  meningkatkan pengetahuan dan sikap ibu hamil tentang kehamilan risiko tinggi.


2019 ◽  
Vol 9 (02) ◽  
pp. 80-87
Author(s):  
Dewi Rury Arindari ◽  
Hendi Rifqi Alhafis

One in ten adults in the world has high blood pressure. World Health Organization (WHO) year (2016) called hypertension as "an epidemic that spreads beyond. Management of hypertension from it all can be prevented through nonpharmacological therapy that is by exercising regularly. According to data obtained from the Alang-Alang Lebar Public Health Center in Palembang it is known that the number of hypertensive sufferers in 2018 is 1,781 people. The purpose of this study was to determine the effect of hypertension exercise on blood pressure reduction in the Alang - Alang Lebar Puskesmas Work Area in 2019. This research method uses Quasy Experiment with a Non-Equivolent Control Group. The population of this study was all hypertension sufferers in the Work Area of Alang-Alang Lebar Health Center in Palembang in January - March 2019 as many as 84 people. The sample used in this study was a portion of the population, namely some patients with hypertension in the Alang-Alang Lebar Puskesmas Work Area in Palembang totaling 30 respondents. Data analysis uses univariate and bivariate analysis. The results showed an average value of blood pressure in the control group before hypertension was 160.56/100.56 mmHg and the intervention group averaged 159.4/96.6 mmHg. After hypertension gymnastics, the mean blood pressure in the control group was 160/99.44 mmHg and in the intervention group the average value was 136.11/93.89 mmHg. The results of the bivariate analysis revealed that there was an effect of hypertension exercise on the reduction of blood pressure in the Work Area of Palembang Alang-Alang Lebar Health Center in 2019 p value = 0,000. The results of this study can be used as one of the considerations in providing alternative non-pharmacological therapies in non-communicable disease (PTM) programs at the Alang-Alang Lebar Health Center in Palembang.


2019 ◽  
Vol 2 (1) ◽  
pp. 121-127
Author(s):  
Lam Murni Sagala

Hypertension is a persistent blood pressure with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The treatment of hypertension is highly depend on the information given by nurse to patients’ skills on self care management to modify and maintain effective behavior. These activities include self management in prescribed medication, health monitoring, adequate rest, stress management and prescribed diet and exercises. The purpose of this study was to determine the effect of Hypertension Self Management Education (HSME) on controlling blood pressure in hypertensive patients in the Kabanjahe health center.This research used the quasi experimental research, using pretest and posttest with control group design. The samples of  research consisted of 40 respondents, and they were divided into two groups, namely: control group and intervention group. The data of research were analyzed by using the Paired T-test. The result of research shows that the p-values of Paired T-test of the experiment and control groups were 0.782 and 0.577 respectively whereas the p- value of Independent T-test was 0.001 (p <α; α = 0.05). Thus, there was an effect of Hypertention Self Management Education (HSME) on the control of  blood pleasure of the patient hypertention, Community Health Center, Kabanjahe. The nurses, therefore, are suggested to extend the HSME to control the blood pleasure hypertention client and and utilize the HSME as a health promotion program.   Hipertensi adalah tekanan darah persisten dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Perawatan hipertensi sangat tergantung pada informasi yang diberikan oleh perawat kepada keterampilan pasien tentang manajemen perawatan diri untuk memodifikasi dan mempertahankan perilaku yang efektif. Kegiatan-kegiatan ini termasuk manajemen diri dalam pengobatan yang diresepkan, pemantauan kesehatan, istirahat yang cukup, manajemen stres dan diet dan olahraga yang ditentukan. Tujuan  penelitian ini untuk mengetahui pengaruh Hypertention Self Management Education (HSME) terhadap pengontrolan tekanan darah pasien hipertensi di puskesmas kabanjahe. Metode penelitian adalah quasi experimental dengan menggunakan metode pre-test and post-test with control group design. Sampel penelitian terdiri dari 40 responden, dan mereka dibagi menjadi dua kelompok, yaitu: kelompok kontrol dan kelompok intervensi. Data penelitian dianalisis dengan menggunakan Paired T-test. Hasil penelitian menunjukkan bahwa nilai-p dari uji-T Berpasangan dari eksperimen dan kelompok kontrol masing-masing adalah 0,782 dan 0,577 sedangkan p-nilai dari Independent T-test adalah 0,001 (p <α; α = 0,05). Dengan demikian, ada efek dari Edukasi Manajemen Diri Hipertensi (HSME) pada kontrol tekanan darah dari pasien hipertensi, Puskesmas, Kabanjahe. Oleh karena itu, perawat disarankan untuk memberikan penkes HSME untuk mengendalikan tekanan darah pasien hipertensi dan memanfaatkan HSME sebagai program promosi kesehatan.


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