{"doi":"10.3390/mps7020021","title":"Acceptability, Feasibility, and Effectiveness of a Worksite Intervention to Lower Cardiometabolic Risk in South Africa: Protocol","abstract":"<jats:p>As an important way to translate cardiovascular disease prevention efforts, worksite intervention programs can be used to effectively facilitate healthy food choices, health education, and social support among employees, in a targeted approach to improve health outcomes and physical activity levels of employees. In this study, the effectiveness of a canteen and a behavioral intervention on cardiometabolic risk among prediabetic and prehypertensive employees at two multinational worksites in South Africa will be measured. This two-arm randomized controlled trial (RCT) will be structured to provide a six-week intervention at two multinational companies spread across eight worksites and will include a canteen and behavioral arm (CB) and a canteen only (CO) arm. Participants who are either prediabetic or prehypertensive will complete the baseline assessments, which will include anthropometry, a demographic and lifestyle survey, the global physical activity questionnaire (GPAQ) and the 24 h food recall. Participants will be randomized into the CO and the canteen and CB intervention groups. The CO group will receive six weeks of canteen intervention [changes to enable a healthy food environment], while the CB group will receive six weeks of canteen intervention along with a behavioral intervention. The behavioral intervention will include an intense six-week lifestyle program aligned to the Diabetes Prevention Program (DPP). This study will assess the added benefit of environmental-level changes aimed at lowering cardiometabolic risk in a low–middle-income country (LMIC) and has the potential for scale-up to other worksites in South Africa and globally.</jats:p>","journal":"Methods and Protocols","year":2024,"id":644525,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":661843,"name":"Ashika Naicker","orcid":"0000-0001-7200-1756","position":1,"is_corresponding":false},{"id":1677671,"name":"Shivneta Singh","orcid":null,"position":2,"is_corresponding":false},{"id":1677667,"name":"Evonne Shanita Singh","orcid":"0000-0002-1873-389X","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Acceptability, Feasibility, and Effectiveness of a Worksite Intervention to Lower Cardiometabolic Risk in South Africa: Protocol","abstract":"<jats:p>As an important way to translate cardiovascular disease prevention efforts, worksite intervention programs can be used to effectively facilitate healthy food choices, health education, and social support among employees, in a targeted approach to improve health outcomes and physical activity levels of employees. In this study, the effectiveness of a canteen and a behavioral intervention on cardiometabolic risk among prediabetic and prehypertensive employees at two multinational worksites in South Africa will be measured. This two-arm randomized controlled trial (RCT) will be structured to provide a six-week intervention at two multinational companies spread across eight worksites and will include a canteen and behavioral arm (CB) and a canteen only (CO) arm. Participants who are either prediabetic or prehypertensive will complete the baseline assessments, which will include anthropometry, a demographic and lifestyle survey, the global physical activity questionnaire (GPAQ) and the 24 h food recall. Participants will be randomized into the CO and the canteen and CB intervention groups. The CO group will receive six weeks of canteen intervention [changes to enable a healthy food environment], while the CB group will receive six weeks of canteen intervention along with a behavioral intervention. The behavioral intervention will include an intense six-week lifestyle program aligned to the Diabetes Prevention Program (DPP). This study will assess the added benefit of environmental-level changes aimed at lowering cardiometabolic risk in a low–middle-income country (LMIC) and has the potential for scale-up to other worksites in South Africa and globally.</jats:p>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"38525779","pmcid":"PMC10961816","openalex_id":"https://openalex.org/W4392385040","authors":[],"funders":[{"funder_name":"SAMRC SIR","grant_id":"U954","title":null}],"total_grants":1,"fwci":0.0,"citation_percentile":0.04241708,"influential_citations":0,"citation_trend":[],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.mdpi.com/2409-9279/7/2/21/pdf?version=1709546993","host_type":"journal"},{"url":"https://www.mdpi.com/2409-9279/7/2/21/pdf?version=1709546993","host_type":"publisher"},{"url":"https://www.mdpi.com/2409-9279/7/2/21/pdf","host_type":"publisher"},{"url":"https://doi.org/10.3390/mps7020021","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/38525779","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10961816","host_type":"repository"},{"url":"https://doaj.org/article/4df596cbe3d04d95bf2365edbe3d5383","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10961816/pdf/mps-07-00021.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10961816","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10961816?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Workplace Health and Well-being","Health Systems, Economic Evaluations, Quality of Life","Cardiovascular Effects of Exercise"],"mesh_terms":[],"keywords":["Protocol (science)","Medicine","Intervention (counseling)","Environmental health","Nursing","Alternative medicine","Diabetes","intervention","South Africa","Worksite","Healthy","Employee","Cardiometabolic Disease"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Zero hunger"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-09T01:22:01.030421Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}