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Social marketing including financial incentive programs at worksite cafeterias for preventing obesity: a systematic review

机译:社会营销,包括在工作场所食堂预防肥胖的经济激励计划:系统回顾

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As with food-taxation strategies, such interventions as discounted healthy menus, point-of-purchase advertisements, and sugar-free beverages for employees at worksites could help prevent obesity. This study assessed the effectiveness of food environment interventions incorporating financial incentive or social marketing strategies at workplace cafeterias, vending machines, and kiosks toward preventing obesity and improving dietary habits. We conducted searches on CENTRAL, MEDLINE, EMBASE, CINAHL, and PsycINFO databases. The study designs included were randomized control trials (RCTs) and cluster RCTs. We evaluated the effectiveness of financial incentive or social marketing strategies interventions (such as discounts) on health outcomes or food intake behavior. Two reviewers independently screened the studies for inclusion. We assessed the risk of bias using the Cochrane Collaboration’s tool. This protocol was published in 2014. We included three trials, with a combined total of 3013 participants. There were limited available data from RCTs on changes in body weight. No eligible social marketing studies were retrieved. In some cases, a meta-analysis could not be conducted owing to differences in the analytic methods for the outcomes. Lack of evidence made it difficult to draw any conclusions. In future surveys, it will be necessary to conduct interventions focusing only on financial incentive intervention versus no intervention in order to determine whether the incentive strategy has a clear impact.
机译:与食品税收策略一样,诸如折扣健康菜单,购买点广告以及为工作场所员工提供的无糖饮料等干预措施也可以帮助预防肥胖。这项研究评估了在工作场所自助餐厅,自动售货机和自助亭中采用财务激励或社会营销策略的食品环境干预措施的有效性,以预防肥胖和改善饮食习惯。我们对CENTRAL,MEDLINE,EMBASE,CINAHL和PsycINFO数据库进行了搜索。研究设计包括随机对照试验(RCT)和整群RCT。我们评估了财务激励措施或社会营销策略干预措施(例如折扣)对健康结果或食物摄入行为的有效性。两名评论者独立筛选了纳入研究。我们使用Cochrane协作工具评估了偏见的风险。该方案于2014年发布。我们纳入了三项试验,总共3013名参与者。 RCT中有关体重变化的可用数据有限。未检索到符合条件的社会营销研究。在某些情况下,由于结果的分析方法不同,因此无法进行荟萃分析。缺乏证据使得很难得出任何结论。在以后的调查中,有必要进行仅侧重于财务激励措施而不是无干预措施的干预措施,以确定激励策略是否具有明显的影响。

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