Clinical Economic And Humanistic Evaluation Of A Worksite Health Promotion Program Conducted Among Employees Of A Public University In Malaysia
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Date
2011-10
Authors
Liau, Siow Yen
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
The burden of cardiovascular (CV) diseases is increasing in Malaysia. This has an
adverse effect on the country’s health, society and economy. The general objective of
this research was to develop an effective and efficient worksite health promotion
program that could reduce the cardiovascular risk factors among employees at the
Universiti Sains Malaysia (USM) Engineering campus. This was a quasiexperimental
study conducted between 2009 and 2010. The six-month program
consisted of individualized counseling and seminars targeted at five behavioral risk
factors (RFs) i.e. smoking, alcohol consumption, inadequate fruit and vegetable
intake, physical inactivity and overweight/obesity. Individualized counseling was
conducted based on Transtheoretical Model principles. Both intervention and control
groups were assessed for their current RF status, health-related quality of life and
knowledge of cardiovascular risk factors. Validity of the arbitrary global risk score
developed from the WHO STEPS instrument for chronic disease risk factors
surveillance was assessed against Framingham risk score. Semi-structured interviews
were conducted with participants of the program to explore their perception of the
quality and effectiveness of the program. Finally, cost-effectiveness analysis was
performed from the payer’s (university) perspective. A total of 136 USM employees
were recruited into the study. The predictive, convergent and concurrent validity of
the global risk score based on the WHO STEPS instruments for chronic disease risk
factors surveillance were confirmed and supported when compared with the 10-year
Framingham risk scores. Fruit and vegetable intake, physical activity and fasting
blood glucose were consistently significantly better in the intervention group as
compared to the control group in terms of the mean RF and proportion of participants
reaching RF targets.
Description
Keywords
Worksite health promotion program , conducted among employees of a public university