A comparison of the Indian Health Service counseling technique with traditional, lecture-style counseling.

OBJECTIVES: To compare the immediate postcounseling retention of important information using the traditional method with retention obtained using the Indian Health Service (IHS) interactive technique, and to compare the time required to counsel patients on new prescriptions using the traditional method with the time required using the IHS technique. DESIGN: A prospective, nonrandomized, observational study at four different local community pharmacies in Oregon. Two sites that used the traditional counseling model served as the control sites, while two other sites used the IHS counseling model. Only new prescriptions were included in this study. The pharmacists did not alter their counseling styles for new prescriptions for the purposes of this study. The duration of counseling between the pharmacist and patient was recorded. Immediately upon completion of counseling, patients met with the primary investigator for postcounseling knowledge assessment on indication of therapy, directions on how to take their medication properly, and expected adverse effects. SETTING: Four local community pharmacies in Oregon. PARTICIPANTS: Five hundred patients at four local community pharmacies in Oregon. INTERVENTION: Use of the IHS counseling technique. MAIN OUTCOME MEASURES: Immediate recall of key counseling points and time per counseling session. RESULTS: A total of 500 patients participated in the study. Seventy-one percent of patients counseled using the IHS technique answered all three questions correctly, compared with 33% of patients counseled using the traditional method (P <0.00). For patients who were counseled about adverse effects, 80% counseled using the IHS technique compared with 51.5% counseled using the traditional approach answered all three questions correctly. For indication of therapy, there was no evidence of a difference in the proportion of correct answers between counseling types on the reason for taking their medication (P = 0.06). Those who received IHS counseling had four times the odds of correctly answering when to take their medication and four times the odds of correctly answering all adverse effects questions. The duration of counseling methods differed by 53 seconds (128 s for IHS vs. 75 s for traditional). CONCLUSION: The interactive style of the IHS method of counseling provided significantly improved immediate memory recall compared with the traditional method. The IHS method also took longer than the traditional method.

Longitudinal changes in strength of police officers with gender comparisons.

Strength is a critical factor in the health and job performance of police officers. Using a retrospective longitudinal design, the purpose of this study was to identify differences in strength scores from initial recruitment to in-service tests and to compare gender differences. Strength changes were also compared in low- to high-strength groups. Strength scores included bench press, bench press/lean weight, and bench press/weight. Body weight, percent body fat, and bench press scores were retrieved for the 1990-1995 recruit classes and were paired to most recent scores on 2006 in-service fitness record. Sample included 327 police officers: 30 females and 297 males. Mean age at initial recruitment was 24.6 years and for in-service was 37.1 years. Average time between tests was 12.5 years. Over this period bench press and bench press/lean weight significantly increased for both gender groups (p

Physical activity, weight gain and occupational health among call centre employees.

BACKGROUND: A need exists to address ergonomic, weight gain and obesity risks in sedentary occupations. AIM: To determine relationships between body mass index (BMI), weight gain, ergonomic and exercise variables in sedentary workers. METHODS: An anonymous questionnaire was administered regarding body weight, height, weight gained since employment, body part discomfort, shift fatigue, time to achieve job adaptation, physical activity, fitness centre membership, previous employment type and previous injury. RESULTS: Subjects were 393 volunteers (mean age 34 years, 71% female) employed in a call centre. Sixty-eight per cent of participants gained weight averaging 0.9 kg/month for 8 months. Significant findings (P < 0.05) were as follows: non-obese individuals gained less weight than obese individuals, fitness club members had higher BMIs and weight gains than non-members, previously injured individuals gained more weight than non-injured individuals, non-weight gainers reported higher metabolic equivalent-min/week expenditure in relation to vigorous exercise. CONCLUSIONS: Participants reported substantial weight gain over a period of 8 months. In contrast to walking and moderate exercise, only vigorous exercise was significantly associated with non-weight gain. Three risk factors were identified for weight gain: obese when hired, history of previous injury and lack of vigorous exercise.

Physical fitness, absenteeism and workers' compensation in smoking and non-smoking police officers.

BACKGROUND: Employers seek to minimize business costs by creating conditions of employment. Relying on the presumably negative effects of smoking on variables such as workers' compensation claims, absenteeism and physical fitness scores, they seek a rational basis for requirements that employees refrain from smoking. No research has been found on police officer smoking rates relating to physical fitness, and the resulting economic variables of workers' compensation claims and absenteeism rates. AIMS: To compare police officer non-smoker and smoker physical fitness, absenteeism rates and workers' compensation claims. METHODS: The sample included 514 officers of a metropolitan police department. A physical fitness test was administered. Smoking status, yearly absenteeism rates and workers' compensation claims were collected. RESULTS: Male smokers were significantly older than non-smokers. An analysis of covariance controlling for sex and age indicated that smokers had significantly (P < or = 0.05) lower fitness scores in sit and reach flexibility, sit-ups endurance, bench press strength and bicycle ergometer cardiovascular endurance. When neither age nor sex was controlled in males, a similar trend continued. However, in females only the sit and reach and sit-up tests demonstrated statistically significant differences. Fat percentage, step-test scores, absenteeism rates and workers' compensation claims were not statistically different. CONCLUSION: These data do not provide a rational basis for the requirement that officers refrain from smoking when considering body fat and the economic savings of lower absenteeism rates and workers' compensation. To some extent, smoking policies can be justified by officers' physical fitness but there are age, gender and test protocol considerations.