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Programm zur Gesundheitsprävention FIT IM LEBEN – FIT IM JOB
Eine effektive Maßnahme zum Aufbau eines gesundheitsförderlichen Verhaltensstils

Aim: Given the current demographic trends, preventive intervention programs are gaining importance for companies. The program for the prevention of cardiovascular diseases FIT FOR LIFE – FIT FOR WORK (Boehringer Ingelheim) aims to motivate employees to behave health consciously with the help of the series of modules FIT1, FIT2 and FITback, on the one hand (primary prevention), and, on the other hand, it aims to motivate employees with cardiovascular risk factors to change their current health behaviour (secondary prevention). From participants in FIT1 (internal counselling interview) and FIT2 (external examination and counselling interview), selected medical data is collected and reported back to the employee. The subsequent counselling interview FITback (12 weeks after FIT1, internal plant medical service) aims to motivate employees afresh and support them in realizing their intentions and sustaining the recommended behaviour.

Subjects and Methods: The change of health-related cognition and health behaviour (BMI, pedometer) due to interventions were assessed by means of a standardized questionnaire and a pedometer in a longitudinal study with four assessment points. The theoretical background of the evaluation is the Health Action Process Approach (Schwarzer 2008a). A total of 71 employees aged 41 years and more participated in the study; of these, 30 participants showed no cardiovascular risk factors, 41 participants did.

Results: The results indicate that FIT2 effectively motivates participants with cardiovascular risk factors to change their health behaviour. In consequence of FITback, those employees first acquire the competence to realize their intentions and show changes in health behaviour: People with cardiovascular risk factors decrease their BMI and increase the number of daily steps. Employees without risk factors increase the number of daily steps too.

Conclusion: FIT FOR LIFE – FIT FOR WORK is shown to be an effective and lasting preventive intervention program. Employees are motivated to change their current health behaviour (FIT2) and furthermore they are supported in realizing their “good intentions” and sustaining their newly acquired healthconscious behaviour (FITback). Especially employees with cardiovascular risk factors are susceptible to this program. This procedure is essential for a lasting change of behaviour.