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01-02-2007 | Original Paper

Tools for health: the efficacy of a tailored intervention targeted for construction laborers

Authors: Glorian Sorensen, Elizabeth M. Barbeau, Anne M. Stoddard, Mary Kay Hunt, Roberta Goldman, Ann Smith, Angela A. Brennan, Lorraine Wallace

Published in: Cancer Causes & Control | Issue 1/2007

Abstract

Objectives

Novel approaches to worksite health promotion are needed for high-risk workers who change job sites frequently, and thus may have limited access to worksite health promotion efforts. The objective of this study was to test a behavioral intervention among construction laborers.

Methods

Using a randomized-controlled design, we tested the efficacy of a tailored telephone-delivered and mailed intervention to promote smoking cessation and increased fruit and vegetable consumption (n = 582).

Results

At baseline, 40% of control group participants and 45% of intervention group participants reported using any tobacco in the last seven days. At final, 8% of baseline cigarette smokers in the control group had quit, compared to 19% in the intervention group (p = 0.03). In both groups, the mean consumption of fruits and vegetables at baseline was over five servings per day. At final, the intervention group had increased consumption by approximately one and one-half servings, compared to a slight decrease in consumption in the control group (p < 0.001).

Conclusions

A tailored intervention can be efficacious in promoting tobacco use cessation and increased fruit and vegetable consumption among construction laborers, a high-risk, mobile workforce.

Sorensen G, Barbeau E, Stoddard A, Hunt MK, Kaphingst K, Wallace L (2005) Promoting behavior change among working-class, multi-ethnic workers: results of the Healthy Directions Small Business Study. Am J Public Health 95(8):1389–1395PubMedCrossRef

Buller DB, Morrill C, Taren D, et al (1999) Randomized trial testing: the effect of peer education at increasing fruit and vegetable intake. J Natl Cancer Inst 91(17):1491–1500PubMedCrossRef

Emmons KM, Linnan LA, Shadel WG, Marcus B, Abrams DB (1999) The Working Healthy Project: a worksite health-promotion trial targeting physical activity, diet, and smoking. J Occup Environ Med 41(7):545–555PubMedCrossRef

Sorensen G, Stoddard A, LaMontagne A, et al (2002) A comprehensive worksite cancer prevention intervention: behavior change results from a randomized controlled trial in manufacturing worksites (United States). Cancer Causes Control 13(6):493–502PubMedCrossRef

Barbeau E, Krieger N, Soobader M (2004) Working class matters: socioeconomic disadvantage, race/ethnicity, gender and smoking in the National Health Interview Survey, 2000. Am J Public Health 94(2):269–278PubMed

Giovino GA (2002) Epidemiology of tobacco use in the United States. Oncogene 21:7326–7340PubMedCrossRef

US Department of Agriculture, US Department of Health (2000) Human services nutrition and your health: dietary guidelines for Americans, 5th ed. US Government Printing Office, Washington, DC

Grosch J, Alterman T, Petersen M, Murphy L (1998) Worksite health promotion programs in the US: factors associated with availability and participation. Am J Health Promot 13(1):36–45PubMed

Linnan LA, Sorensen G, Colditz G, Klar N, Emmons K (2001) Using theory to understand the multiple determinants of low participation in worksite health promotion programs. Health Educ Behav 28(5):591–607PubMed

10.

Glasgow RE, McCaul KD, Fisher KJ (1993) Participation in worksite health promotion: a critique of the literature and recommendations for future practice. Health Educ Q 20(3):391–408PubMed

11.

Sorensen G, Stoddard A, Ockene JK, Hunt MK, Youngstrom R (1996) Worker participation in an integrated health promotion/health protection program: results from the WellWorks Project. Health Educ Q 23(2):191–203PubMed

12.

Centers for Disease Control and Prevention (2005) NIOSH fact sheets: construction safety and health. http://www.cdc.gov/niosh/constfc.html (accessed 25 June 2005)

13.

Kreuter M, Farrell D, Olevitch L, Brennan L (2000) Tailoring health messages: customizing communication with computer technology. Lawrence Erlbaum Associates Inc. Publishers, Mahwah, NJ

14.

Abrams DB, Mills S, Bulger D (1999) Challenges and future directions for tailored communication research. Ann Behav Med 21(4):299–306PubMed

15.

Emmons K (2001) Behavioral and social science contributions to the health of adults in the United States. In: Smedley BD, Syme SL (eds) Promoting health: intervention strategies from social and behavioral research. Institute of Medicine, Washington, DC, pp 254–321

16.

Rimer BK, Glassman B (1999) Is there a use for tailored print communications in cancer risk communication? J Natl Cancer Inst Monogr 25:140–148PubMed

17.

Kreuter MW, Strecher VJ, Glassman B (1999) One size does not fit all: the case for tailoring print materials. Ann Behav Med 21(4):276–283PubMedCrossRef

18.

Campbell M, Tessaro I, DeVellis B, et al (2002) Effects of a tailored health promotion program for female blue-collar workers: health works for women. Prevent Med 34(3):313–323CrossRef

19.

Krueter MW, Wray RJ (2003) Tailored and targeted health communication: strategies for enhancing information relevance. Am J Health Behav 27(Suppl 3): S227–S232

20.

Barbeau E, Goldman R, Roelofs C, et al (2005) A new channel for health promotion: building trades unions. Am J Health Promot 19(4):297–303PubMed

21.

Sorensen G, Barbeau E, Hunt MK, Emmons K (2004) Reducing social disparities in tobacco use: a social contextual model for reducing tobacco use among blue-collar workers. Am J Public Health 94(2):230–239PubMed

22.

Sorensen G, Emmons K, Hunt MK, et al (2003) Model for incorporating social context in health behavior interventions: applications for cancer prevention for working-class, multiethnic populations. Prevent Med 37:188–197CrossRef

23.

Prochaska JO, DiClemente CC (1983) Self-change processes, self-efficacy, decisional balance across five stages of smoking cessation. Alan R. Liss Inc., New York, NY

24.

Bandura A (1986) Social foundations of thought, action: a social cognitive theory. Prentice Hall, Englewood Cliffs, NJ

25.

Miller W, Rollnick S (1991) Motivational interviewing: preparing people to change addictive behaviors. Guildford Press, New York, NY

26.

VanWormer JJ, Boucher JL (2004) Motivational interviewing and diet modification: a review of the evidence. Diabetes Educ 30(3):404–419PubMed

27.

Lobb R, Gonzalez Suarez E, Fay ME, et al (2004) Implementation of a cancer prevention program for working class, multiethnic populations. Prevent Med 38(6):766–776CrossRef

28.

Hughes JR, Keely JP, Niaura RS, Ossip-Klein DJ, Richmond RL, Swan GE (2003) Measures of abstinence in clinical trials: issues and recommendations. Nicotine Tob Res 5(1):13–25PubMedCrossRef

29.

Subar AF, Thompson FE, Kipnis V, et al (2001) Comparative validation of the Block, Willett, and National Cancer Institute Food Frequency Questionnaires: the eating at America’s Table Study. Am J Epidemiol 154:1089–1099PubMedCrossRef

30.

National Cancer Institute. Fruit and vegetable screeners: scoring procedures. http://www.riskfactor.cancer.gov/diet/screeners/fruitveg/scoring/ (accessed 4 March 2005)

31.

US Department of Health and Human Services (2003) 2001 Federal Poverty Guidelines. http://www.aspe.hhs.gov/poverty/01poverty.htm (accessed 22 May 2003)

32.

Ringen K, Englund A, Welch L, Weeks JL, Seegal JL (1996) Why construction is different. Occup Med 10(2):255–259

33.

Leigh JP, Miller TR (1997) Ranking occupations based upon the costs of job-related injuries and diseases. J Occup Environ Med 39(12):1170–1182PubMedCrossRef

34.

Covey LS, Zang SA, Wydner EL (1992) Cigarette smoking and occupational status: 1977 to 1990. Am J Public Health 82(9):1230–1234PubMed

35.

Ringen K, Anderson N, McAfee T, Zbikowski SM, Fales D (2002) Smoking cessation in a blue-collar population: Results from an evidence-based pilot program. Am J Ind Med 42:367–377PubMedCrossRef

36.

Osinubi OY, Moline J, Rovner E, et al (2003) A pilot study of telephone-based smoking cessation intervention in asbestos workers. J Occup Environ Med 45(5):569–574PubMedCrossRef

37.

Sorensen G, Stoddard A, Peterson K, et al (1999) Increasing fruit and vegetable consumption through worksites and families in the Treat well 5-A-Day Study. Am J Public Health 89(1):54–60PubMed

38.

Beresford SAA, Thompson B, Feng Z, Christianson A, McLerran D, Patrick DL (2001) Seattle 5-A-Day worksite program to increase fruit and vegetable consumption. Prevent Med 32:230–238CrossRef

39.

Ossip-Klein DJ, MacIntosh S (2003) Quitlines in North America: evidence base and applications. Am J Med Sci 326(4):201–205PubMedCrossRef

40.

Stead LF, Lancaster T (2001) Telephone counselling for smoking cessation. Cochrane Database Syst Rev 2: CD002850PubMed

41.

Zhu SH, Anderson CM, Tedeschi GJ, et al (2002) Evidence of real world effectiveness of a telephone quitline for smokers. N Engl J Med 347(14):1087–1092PubMedCrossRef

42.

Fiore MC, Bailey WC, Cohen SJ, et al (2000) Clinical practice guideline: treating tobacco use and dependence. US Department of Health and Human Services, Public Health Service, Rockville, MD

43.

Lichtenstein E, Glasgow RE, Lando HA, Ossip-Klein DJ, Boles SM (1996) Telephone counseling for smoking cessation: rationales and meta-analytic review of evidence. Health Educ Res 11(2):243–257PubMed

44.

Zhu SH (2002) A survey of quitlines in North America. Paper presented at North American conference on smoking cessation quitlines, Phoenix, AZ, 8–10 May 2002

45.

Newman B, Mu H, Butler LM, Millikan RC, Moorman PG, King MC (1998) Frequency of breast cancer attributable to BRCA1 in a population-based series of American women. J Am Med Assoc 279(12):915–921CrossRef

46.

Hunt MK, Lobb R, Delichatsios HK, Stone C, Emmons K, Gillman MW (2001) Process evaluation of a clinical preventive nutrition intervention. Prevent Med 33:82–90

47.

Delichatsios HK, Hunt MK, Lobb R, Emmons K, Gillman MW (2001) EatSmart: efficacy of a multifaceted preventive nutrition intervention in clinical practice. Prevent Med 33:91–98

48.

Sorensen G, Barbeau E (2004) Steps to a healthier US workforce: integrating occupational health and safety and worksite health promotion: state of the science. Paper presented at Steps to a Healthier US Workforce Symposium, Washington, DC, 26–28 October 2004

49.

Curtin R, Presser S, Singer E (2005) Changes in telephone survey nonresponse over the past quarter century. Public Opin Q 69(1):87–98CrossRef

50.

Velicer WF, Prochaska JO, Rossi JS, Snow M (1992) Assessing outcome in smoking cessation studies. Psychol Bull 111(1):23–41PubMedCrossRef

51.

Wilson DK, Wallston KA, King JE, Smith MS, Heim C (1993) Validation of smoking abstinence in newly diagnosed cardiovascular patients. Addict Behav 18(4):421–429PubMedCrossRef

52.

Havas S, Anliker J, Damron D, Langenberg P, Ballesteros M, Feldman R (1998) Final results of the Maryland WIC 5-A-Day Promotion Program. Am J Public Health 88(8):1161–1167PubMedCrossRef

53.

Thompson B, Demark-Wahnefried W, Taylor G, et al (1999) Baseline fruit and vegetable intake among adults in seven 5-A-Day study centers located in diverse geographic areas. J Am Diet Assoc 99:1241–1248PubMedCrossRef

54.

Thompson FE, Kipnis V, Subar AF, et al (2000) Evaluation of 2 brief instruments and a food-frequency questionnaire to estimate daily number of servings of fruit and vegetables. Am J Clin Nutr 71(6):1503–1510PubMed

55.

Thompson FE, Subar AF, Smith AF, et al (2002) Fruit and vegetable assessment: Performance of 2 new short instruments and a food frequency questionnaire. J Am Diet Assoc 102(12):1764–1772PubMedCrossRef

Title: Tools for health: the efficacy of a tailored intervention targeted for construction laborers
Authors: Glorian Sorensen
Elizabeth M. Barbeau
Anne M. Stoddard
Mary Kay Hunt
Roberta Goldman
Ann Smith
Angela A. Brennan
Lorraine Wallace
Publication date: 01-02-2007
Publisher: Kluwer Academic Publishers
Published in: Cancer Causes & Control / Issue 1/2007
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-006-0076-9

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