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The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers

机译：m-Health财务奖励计划对澳大利亚卡车司机的身体活动和饮食的影响

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Background: Chronic diseases are high in truck drivers and have been linked to work routines that promote inactivity and poor diets. This feasibility study examined the extent to which an m-Health financial incentives program facilitated physical activity and healthy dietary choices in Australian truck drivers. Methods: Nineteen men (mean [SD] age = 47.5 [9.8] years; BMI = 31.2 [4.6] kg/m²) completed the 20-week program, and used an activity tracker and smartphone application (Jawbone UP™) to regulate small positive changes in occupational physical activity, and fruit, vegetable, saturated fat and processed/refined sugar food/beverage choices. Measures (baseline, end-program, 2-months follow-up; April-December 2014) were accelerometer-determined proportions of work time spent physically active, and a workday dietary questionnaire. Statistical (repeated measures ANOVA) and thematic (interviews) analyses assessed program impact. Results: Non-significant increases in the mean proportions of work time spent physically active were found at end-program and follow-up (+1%; 7 mins/day). Fruit (p = 0.023) and vegetable (p = 0.024) consumption significantly increased by one serve/day at end-program. Non-significant improvements in saturated fat (5%) and processed/refined sugar (1%) food/beverage choices were found at en d-program and follow-up. Overall, 65% (n = 11) of drivers demonstrated positive changes in physical activity, and at least one dietary choice (e.g. saturated fat) at follow-up. Drivers found the financial incentives component of the program to be a less effective facilitator of change than the activity tracker and smartphone application, although this technology was easier to use for monitoring of physical activity than healthy dietary choices. Conclusions: Not all drivers benefitted from the program. However, positive changes for different health behaviours were observed in the majority of participants. Outcomes from this feasibility study inform future intervention development for studies with larger samples.
机译：背景：慢性病在卡车司机中居高不下，并且与促进不运动和饮食不当的工作习惯有关。这项可行性研究考察了m-Health经济激励计划在多大程度上促进了澳大利亚卡车司机的体育锻炼和健康的饮食选择。方法：19位男性（平均[SD]年龄= 47.5 [9.8]岁； BMI = 31.2 [4.6] kg /m²）完成了为期20周的计划，并使用了活动追踪器和智能手机应用程序（Jawbone UP™）来调节小职业体育活动以及水果，蔬菜，饱和脂肪和加工/精制糖食品/饮料选择的积极变化。措施（基线，最终计划，2个月的随访； 2014年4月至12月）是由加速度计确定的体育锻炼时间和工作日饮食问卷的比例。统计（重复测量方差分析）和主题（访谈）分析评估了计划的影响。结果：在最终计划和随访中（+ 1％； 7分钟/天）发现参加体育锻炼的平均工作时间比例无明显增加。最终程序中，一天的水果（p = 0.023）和蔬菜（p = 0.024）消费量显着增加。在d程序和随访中，发现饱和脂肪（5％）和加工/精制糖（1％）的食品/饮料选择没有显着改善。总体而言，有65％（n = 11）的驾驶员表现出身体活动的积极变化，并且在随访中至少选择了一种饮食选择（例如饱和脂肪）。驾驶员发现，与活动跟踪器和智能手机应用程序相比，该计划的经济奖励措施对变革的促进作用较差，尽管该技术比健康饮食选择更容易用于监测身体活动。结论：并非所有驱动程序都从该程序中受益。但是，大多数参与者观察到了不同健康行为的积极变化。可行性研究的结果为将来进行更大样本研究提供了依据。

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