A meta-analysis of health effects of randomized controlled worksite interventions: Does social stratification matter?

Objectives The aim of this review was to assess what types of socioeconomic positions (SEP) are being considered in randomized controlled intervention studies and estimate the moderation of SEP in workplace intervention effects on body mass index (BMI), fruit and vegetable consumption, musculoskelet...

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Bibliographische Detailangaben
Veröffentlicht in:	Scandinavian Journal of Work, Environment & Health. - NOROSH Nordic Association of Occupational Safety and health, 1975. - 40(2014), 3, Seite 230-234
1. Verfasser:	Montano, Diego (VerfasserIn)
Weitere Verfasser:	Hoven, Hanno, Siegrist, Johannes
Format:	Online-Aufsatz
Sprache:	English
Veröffentlicht:	2014
Zugriff auf das übergeordnete Werk:	Scandinavian Journal of Work, Environment & Health
Schlagworte:	Behavioral sciences Social sciences Biological sciences Economics Health sciences Applied sciences


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100	1		\|a Montano, Diego \|e verfasserin \|4 aut
245	1	2	\|a A meta-analysis of health effects of randomized controlled worksite interventions: Does social stratification matter?
264		1	\|c 2014
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520			\|a Objectives The aim of this review was to assess what types of socioeconomic positions (SEP) are being considered in randomized controlled intervention studies and estimate the moderation of SEP in workplace intervention effects on body mass index (BMI), fruit and vegetable consumption, musculoskeletal symptoms, and job stress. Methods A meta-analysis of randomized controlled workplace interventions was undertaken. Studies were classified by participants' SEP. The overall standardized mean difference (SMD) for each outcome was estimated with random-effects models. Additionally, a random-effects model with SEP as moderating variable was calculated in order to assess intervention effect modification (EM). Results This review covers 36 studies. Altogether 40 reports of intervention effects were considered. The overall mean differences in the models, without SEP as moderating variable, were significant for all outcomes. BMI, self-reported musculoskeletal symptoms, and self-reported job stress decreased [SMD -0.16, 95% confidence interval (95% CI) -0.29—0.02, SMD -0.32, 95% CI -0.51—0.14, and SMD -0.37, 95% CI -0.71—0.04, respectively], whereas daily consumption of fruit and vegetables increased (SMD 0.12,95% CI 0.01-0.22). There were no statistically significant differences between occupational classes for the health outcomes considered (SMD -0.102,95% CI -0.264-0.060, EM -0.141, 95% CI -0.406-0.125; SMD 0.117,95% CI -0.049-0.282, EM 0.000, 95% CI -0.230-0.231; SMD -0.301,95% CI -0.494—0.107, EM -0.369,95% CI -1.169-0.430; and SMD -0.200, 95% CI -0.524-0.124, EM -0.598, 95% CI -1.208-0.012, respectively). Conclusions Workplace interventions can achieve small positive effects on major health outcomes. We could not confirm whether these effects are moderated by occupational class.
650		4	\|a Behavioral sciences \|x Psychology \|x Applied psychology \|x Educational psychology \|x Psychoeducational intervention
650		4	\|a Social sciences \|x Human geography \|x Workplaces
650		4	\|a Biological sciences \|x Biology \|x Physiology \|x Anthropometric measurements \|x Body mass index
650		4	\|a Economics \|x Economic disciplines \|x Socioeconomics
650		4	\|a Behavioral sciences \|x Psychology \|x Clinical psychology \|x Psychological stress \|x Job stress
650		4	\|a Health sciences \|x Health and wellness \|x Health benefits
650		4	\|a Applied sciences \|x Research methods \|x Research studies \|x Intervention studies
650		4	\|a Applied sciences \|x Food science \|x Foodstuffs \|x Food \|x Vegetables
650		4	\|a Health sciences \|x Health and wellness \|x Health outcomes
650		4	\|a Behavioral sciences \|x Sociology \|x Human societies \|x Social structures \|x Social stratification \|x Review
655		4	\|a research-article
700	1		\|a Hoven, Hanno \|e verfasserin \|4 aut
700	1		\|a Siegrist, Johannes \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t Scandinavian Journal of Work, Environment & Health \|d NOROSH Nordic Association of Occupational Safety and health, 1975 \|g 40(2014), 3, Seite 230-234 \|w (DE-627)350781230 \|w (DE-600)2083318-0 \|x 1795990X \|7 nnns
773	1	8	\|g volume:40 \|g year:2014 \|g number:3 \|g pages:230-234
856	4	0	\|u https://www.jstor.org/stable/43188013 \|3 Volltext
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