Design of a RCT evaluating the (cost-) effectiveness of a lifestyle intervention for male construction workers at risk for cardiovascular disease: the health under construction study

Groeneveld, Iris F.; Proper, Karin I.; van der Beek, Allard J.; van Duivenbooden, Cor; van Mechelen, Willem
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p1
Academic Journal
Background: Of all workers in Dutch construction industry, 20% has an elevated risk of cardiovascular disease (CVD). A major risk factor for CVD risk is an unhealthy lifestyle. The aim of our study is to design a lifestyle intervention for construction workers with an elevated CVD risk, and to evaluate its (cost-) effectiveness. Methods/Design: In a RCT, 692 participants will be randomised to either the control or the intervention group. The control group will receive usual care. For the intervention group, a lifestyle intervention has been designed based on interviews and current literature. The intervention will last 6 months and will comprise 3 face-to-face and 4 telephone contacts, consisting of individual counselling aimed at increasing daily physical activity (PA) and improving dietary behaviour, and/or smoking cessation. Counselling will take place at the Occupational Health Service (OHS), and will be done according to motivational interviewing (MI). Additional written information about healthy lifestyle will also be provided to those in the intervention group. At baseline, after 6 and after 12 months, measurements will take place. Primary outcome variables will be the lifestyle behaviours of concern, i.e. daily PA, dietary intake, and smoking status. Secondary outcome variables will be body mass index (BMI), systolic and diastolic blood pressure, total and HDL blood cholesterol, Hba1c and cardio-respiratory fitness (CRF). Sickness absenteeism and cost-effectiveness will be assessed as well. Multilevel analysis will be performed to compare all outcome measures between the intervention group and the control group. Discussion: By improving lifestyle, CVD risk may be lowered, yielding benefits for both employee and employer. If proven effective, this lifestyle intervention will be implemented on a larger scale within the Occupational Health Services in construction industry. Trial registration: Current Controlled Trials ISRCTN60545588


Related Articles

  • Effects of health intervention program on cardiometabolic risk profiles from health evaluation center in Asian population: a longitudinal study and propensity analysis. Chuan-Chuan Liu; Chung-Lieh Hung; Shou-Chuan Shih; Hung-Ju Ko; Chang, Ray-E. // Health & Quality of Life Outcomes;Aug2015, Vol. 13 Issue 1, p1 

    Background: Health intervention program (HIP) based on diet and lifestyle modifications had been shown to improve cardiovascular risks. The effects of such program on a variety of cardiometabolic outcome measures conducted in a strict analysis remained relatively unexplored. Materials and...

  • Promoting Health and Wellness in the Workplace: A Unique Opportunity to Establish Primary and Extended Secondary Cardiovascular Risk Reduction Programs. Arena, Ross; Guazzi, Marco; Briggs, Paige D.; Cahalin, Lawrence P.; Myers, Jonathan; Kaminsky, Leonard A.; Forman, Daniel E.; Cipriano Jr., Gerson; Borghi-Silva, Audrey; Babu, Abraham Samuel; Lavie, Carl J. // Mayo Clinic Proceedings;Jun2013, Vol. 88 Issue 6, p605 

    Given the burden of cardiovascular disease (CVD), increasing the prevalence of healthy lifestyle choices is a global imperative. Currently, cardiac rehabilitation programs are a primary way that modifiable risk factors are addressed in the secondary prevention setting after a cardiovascular (CV)...

  • Unilever survey helps identify staff at risk.  // Occupational Health;Nov2008, Vol. 60 Issue 11, p8 

    The article discusses the findings of a staff survey by Unilever, which were presented at the Health and Wellbeing at Work conference in Great Britain in October 2008. According to the results, one in five staff were at medium to high risk of developing cardiovascular disease within the next 10...

  • THE EDGE.  // Joe Weider's Muscle & Fitness;Jun2010, Vol. 71 Issue 6, p43 

    The article reports that workers under age 50 are at risk of having cardiovascular problems due to stress, according to researchers from University College London in Great Britain.

  • A qualitative study of the anticipated barriers and facilitators to the implementation of a lifestyle intervention in the dutch construction industry. Tonnon, S. C.; Proper, K. I.; van der Ploeg, H. P.; Westerman, M. J.; Sijbesma, E.; van der Beek, A. J. // BMC Public Health;2014, Vol. 14 Issue 1, p1426 

    Background Lifestyle interventions have proven effective for lowering a cardiovascular risk profile by improving lifestyle behaviors, blood glucose and blood cholesterol levels. However, implementation of lifestyle interventions is often met with barriers. This qualitative study sought to...

  • Who Empowers Women Towards Healthier Lifestyles? Example from Western Croatia. Vitale, Ksenija; Džakula, Aleksandar; Šuljić, Petra; Todorović, Goran; Vuletić, Silvije; Čović, Ana // Collegium Antropologicum;Apr2009 Supplement 1, Vol. 33, p163 

    This article explores who among the doctors, other health care workers, family or somebody else most frequently advised women about their lifestyle changes related to cardiovascular health (including smoking, nutritional habits and physical activity). We analyzed who advised the most, in...

  • Work-related stress and psychosomatic medicine. Nakao, Mutsuhiro // BioPsychoSocial Medicine;2010, Vol. 4, p4 

    This article introduces key concepts of work-related stress relevant to the clinical and research fields of psychosomatic medicine. Stress is a term used to describe the body's physiological and/or psychological reaction to circumstances that require behavioral adjustment. According to the...

  • Global study sheds light on role of exercise, cars and televisions on risk of heart attacks.  // British Journal of Hospital Medicine (17508460);Feb2012, Vol. 73 Issue 2, p71 

    The article reports a worldwide INTERHEART study which revealed that people involved in light physical activity during work had lower risk of heart attack compared to people having sedentary work and that people who owned both a car and a television had 27 percent increased risk of a heart attack.

  • Workplace initiatives can reduce heart disease risks, Indian study concludes. Mudur, Ganapati // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;5/30/2009, Vol. 338 Issue 7706, p1292 

    The article discusses research being done on the link between healthy lifestyles in the workplace and reducing the risk of cardiovascular disease in staff and in their families. It references a study by Kolli Srinath Reddy and colleagues, published in the 2009 issue of the "Journal of the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics