Effect of a Nine-Month Web- and App-Based Workplace Intervention to Promote Healthy Lifestyle and Weight Loss for Employees in the Social Welfare and Health Care Sector: A Randomized Controlled Trial
- PMID: 28396303
- PMCID: PMC5404146
- DOI: 10.2196/jmir.6196
Effect of a Nine-Month Web- and App-Based Workplace Intervention to Promote Healthy Lifestyle and Weight Loss for Employees in the Social Welfare and Health Care Sector: A Randomized Controlled Trial
Abstract
Background: General health promoting campaigns are often not targeted at the people who need them the most. Web- and app-based tools are a new way to reach, motivate, and help people with poor health status.
Objective: The aim of our study was to test a Web- and mobile app-based tool ("SoSu-life") on employees in the social welfare and health care sector in Denmark.
Methods: A randomized controlled trial was carried out as a workplace intervention. The tool was designed to help users make healthy lifestyle changes such as losing weight, exercise more, and quit smoking. A team competition between the participating workplaces took place during the first 16 weeks of the intervention. Twenty nursing homes for elderly people in 6 municipalities in Denmark participated in the study. The employees at the nursing homes were randomized either 1:1 or 2:1 on a municipality level to use the SoSu-life tool or to serve as a control group with no intervention. All participants underwent baseline measurements including body weight, waist circumference, body fat percentage, blood pressure, and blood cholesterol level and they filled in a questionnaire covering various aspects of health. The participants were measured again after 16 and 38 weeks.
Results: A total of 566 (SoSu-life: n=355, control: n=211) participants were included in the study. At 16 weeks there were 369 participants still in the study (SoSu-life: n=227, control: n=142) and 269 participants completed the 38 week intervention (SoSu-life: n=152, control: n=117). At 38 weeks, the SoSu-life group had a larger decrease in body weight (-1.01 kg, P=.03), body fat percentage (-0.8%, P=.03), and waist circumference (-1.8 cm, P=.007) compared with the control group.
Conclusions: The SoSu-life Web- and app-based tool had a modest yet beneficial effect on body weight and body fat percentage in the health care sector staff.
Trial registration: Clinicaltrials.gov NCT02438059; http://clinicaltrials.gov/ct2/show/NCT02438059 (Archived by WebCite at http://www.webcitation.org/6i6y4p2AS).
Keywords: Internet; eHealth; health promotion; randomized controlled trial; smartphone; weight reduction programs; workplace.
©Nina Charlotte Balk-Møller, Sanne Kellebjerg Poulsen, Thomas Meinert Larsen. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 10.04.2017.
Conflict of interest statement
Conflicts of Interest: PenSam Livsforsikringsselskab manages occupational pension schemes for approximately 340,000 wage-earners employed in Danish municipalities and regions, and in private organizations. Arne Astrup is cofounder and coowner of the University of Copenhagen spin-out company Mobile Fitness A/S, Denmark. The University of Copenhagen takes full responsibility for the study design, the data collection, the analysis, the interpretation of data, and the decision to submit the article for publication.
Figures
Similar articles
-
Experiences From a Web- and App-Based Workplace Health Promotion Intervention Among Employees in the Social and Health Care Sector Based on Use-Data and Qualitative Interviews.J Med Internet Res. 2017 Oct 19;19(10):e350. doi: 10.2196/jmir.7278. J Med Internet Res. 2017. PMID: 29051133 Free PMC article. Clinical Trial.
-
The impact of a Web-based app (eBalance) in promoting healthy lifestyles: randomized controlled trial.J Med Internet Res. 2015 Mar 2;17(3):e56. doi: 10.2196/jmir.3682. J Med Internet Res. 2015. PMID: 25732936 Free PMC article. Clinical Trial.
-
Effect of a Web-based intervention to promote physical activity and improve health among physically inactive adults: a population-based randomized controlled trial.J Med Internet Res. 2012 Oct 30;14(5):e145. doi: 10.2196/jmir.2109. J Med Internet Res. 2012. PMID: 23111127 Free PMC article. Clinical Trial.
-
App-technology to improve lifestyle behaviors among working adults - the Health Integrator study, a randomized controlled trial.BMC Public Health. 2019 Mar 7;19(1):273. doi: 10.1186/s12889-019-6595-6. BMC Public Health. 2019. PMID: 30845949 Free PMC article.
-
Diabetes Prevention and Weight Loss with a Fully Automated Behavioral Intervention by Email, Web, and Mobile Phone: A Randomized Controlled Trial Among Persons with Prediabetes.J Med Internet Res. 2015 Oct 23;17(10):e240. doi: 10.2196/jmir.4897. J Med Internet Res. 2015. PMID: 26499966 Free PMC article. Clinical Trial.
Cited by
-
Design of a randomized trial testing a multi-level weight-control intervention to reduce obesity and related health conditions in low-income workers.Contemp Clin Trials. 2019 Apr;79:89-97. doi: 10.1016/j.cct.2019.01.011. Epub 2019 Jan 19. Contemp Clin Trials. 2019. PMID: 30664943 Free PMC article.
-
Impact of Digital Interventions in Occupational Health Care: A Systematic Review.Mayo Clin Proc Digit Health. 2025 Mar 18;3(2):100216. doi: 10.1016/j.mcpdig.2025.100216. eCollection 2025 Jun. Mayo Clin Proc Digit Health. 2025. PMID: 40568611 Free PMC article. Review.
-
Expanding the Capabilities of Nutrition Research and Health Promotion Through Mobile-Based Applications.Adv Nutr. 2021 Jun 1;12(3):1032-1041. doi: 10.1093/advances/nmab022. Adv Nutr. 2021. PMID: 33734305 Free PMC article.
-
The active ingredients of physical activity and / or dietary workplace-based interventions to achieve weight loss in overweight and obese healthcare staff: a systematic review.J Behav Med. 2022 Jun;45(3):331-349. doi: 10.1007/s10865-021-00279-x. Epub 2022 Feb 7. J Behav Med. 2022. PMID: 35132501
-
Guideline-Based Digital Exercise Interventions for Reducing Body Weight and Fat and Promoting Physical Activity in Adults With Overweight and Obesity: Systematic Review and Meta-Analysis.Interact J Med Res. 2025 Aug 7;14:e73656. doi: 10.2196/73656. Interact J Med Res. 2025. PMID: 40773286 Free PMC article. Review.
References
-
- Bonevski B, Randell M, Paul C, Chapman K, Twyman L, Bryant J, Brozek I, Hughes C. Reaching the hard-to-reach: a systematic review of strategies for improving health and medical research with socially disadvantaged groups. BMC Med Res Methodol. 2014;14(1):42. doi: 10.1186/1471-2288-14-42. doi: 10.1186/1471-2288-14-42. - DOI - DOI - PMC - PubMed
-
- World Health Organization . Obesity: Preventing and Managing the Global Epidemic. Geneva, Switzerland: World Health Organization; 2000. - PubMed
-
- Christensen A, Davidsen M, Ekholm O, Hansen S, Holst M, Juel K. In: Den nationale sundhedsprofil 2010 – Hvordan har du det? 1.0 edition. Størup M, Hajlsted B, Raahauge Hvass L, editors. Copenhagen: Sundhedsstyrelsen; 2011.
-
- Holst M, Ekholm O, Juel K. Sundhedstilstanden blandt FOA medlemmer 2010 og udviklingen siden 2000. Copenhagen: Statens Institut for Folkesundhed; 2010.
Publication types
MeSH terms
Associated data
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical