Effects on cardiovascular disease risk of a web-based health risk assessment with tailored health advice: A follow-up study
Introduction: A large proportion of the cardiovascular disease (CVD) burden can potentially be prevented by primary prevention programs addressing major causal risk factors. A Web- based health risk assessment (HRA) with tailored feedback for individual health promotion is a promising strategy. We evaluated the effect on CVD risk of such a program among employees of a Dutch worksite. Methods: We conducted a prospective follow-up study among 368 employees who voluntarily participated in a Web-based HRA program at a single Dutch worksite in 2008. The program included a multicomponent HRA through... Mehr ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2011 |
Schlagwörter: | Cardiovascular disease risk / Health risk assessment / Internet / Netherlands / Primary prevention / adult / alcohol consumption / article / biometry / body mass / cardiovascular disease / cardiovascular risk / cholesterol blood level / computer program / controlled study / diastolic blood pressure / feeding behavior / female / follow up / health behavior / health care / health education / health hazard / high density lipoprotein cholesterol / human / lifestyle modification / low density lipoprotein cholesterol / male / outcome assessment / physical activity / prospective study / questionnaire / risk assessment / risk reduction / smoking cessation / systolic blood pressure / triacylglycerol / triacylglycerol blood level / waist circumference |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-26832588 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | http://repub.eur.nl/pub/23276 |
Introduction: A large proportion of the cardiovascular disease (CVD) burden can potentially be prevented by primary prevention programs addressing major causal risk factors. A Web- based health risk assessment (HRA) with tailored feedback for individual health promotion is a promising strategy. We evaluated the effect on CVD risk of such a program among employees of a Dutch worksite. Methods: We conducted a prospective follow-up study among 368 employees who voluntarily participated in a Web-based HRA program at a single Dutch worksite in 2008. The program included a multicomponent HRA through a Web-based electronic questionnaire, biometrics, and laboratory evaluation. The results were combined with health behavior change theory to generate tailored motivational and educational health advice. On request, a health counseling session with the program physician was available. Follow-up data on CVD risk were collected 1 year after initial participation. The primary outcome was a change in Framingham CVD risk at 6 months relative to baseline. We checked for a possible background effect of an increased health consciousness as a consequence of program introduction at the worksite by comparing baseline measurements of early program participants with baseline measurements of participants who completed the program 6 months later. Results: A total of 176 employees completed follow-up measurements after a mean of 7 months. There was a graded relation between CVD risk changes and baseline risk, with a relative reduction of 17.9% (P = 0.001) in the high-risk category (baseline CVD risk ≥20%). Changes were not explained by additional health counseling, medication, or an increase in health consciousness within the company. Conclusions: Voluntary participation in a Web-based HRA with tailored feedback at the worksite reduced CVD risk by nearly 18% among participants at high CVD risk and by nearly 5% among all participants. Web-based HRA could improve CVD risk in similar populations. Future research should focus on the ...