Lifestyle-related Condition
Conditions
Brief summary
Long-term sitting has been associated with multiple health risks. To reduce sitting time for office workers in a Dutch insurance company, an intervention will be implemented. The goal of this study is to evaluate this intervention on the short term (3 months) and long-term (12 months).
Detailed description
Large volumes of sitting time have been associated with multiple health risks such as diabetes, heart disease and premature death. Especially, in office workers sitting time per day can accumulate to over 10 hours a day. To reduce sitting time for office workers in a Dutch insurance company, an intervention will be implemented. The intervention contains the introduction of alternative workstations, intervention sessions with an occupational physiotherapist and an activity tracker with a self-help program booklet. The goal of this study is to evaluate the (cost) effectiveness of this intervention on the short term (3 months) and long-term (12 months). The primary outcome is objectively assessed sitting time. In a cluster randomized controlled trial 250 employees of an insurance company will participate in the study. After baseline measurements, matched departments will be randomly assigned to the control or intervention group. The evaluation includes an economic and process evaluation.
Interventions
OTHERDynamic Work
The intervention consists of the introduction of sit-stand workstations and desk bikes in the participants work environment in a ratio of 1:2 with traditional desks and chairs. Employees will receive a half hour intervention session at the start of the intervention from an occupational physiotherapist, who will provide further intervention support in the ensuing 12 weeks. Intervention participants will also receive an activity tracker which provides feedback on sitting time and physical activity levels.
Sponsors
Achmea
Amsterdam UMC, location VUmc
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Cluster randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Employed by the insurance company for at least the duration of the study (12 months) * Employed at least 28 hours per week * Employed at one of the participating departments
Exclusion criteria
* Already access to the Dynamic Working Intervention * Unable to stand or walk for longer time periods (i.e. wheelchair bound) * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sitting time | Change in sitting time between baseline and 12 month follow up assessment | Total sitting time will be measured objectively with the activPAL activity tracker |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Non-occupational sitting time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, non-occupational time will be recorded and linked with a diary |
| Total standing time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker |
| Occupational standing time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, occupational time will be recorded and linked with a diary |
| Non-occupational standing time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, non-occupational time will be recorded and linked with a diary |
| Total stepping time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker |
| Occupational stepping time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, occupational time will be recorded and linked with a diary |
| Non-occupational stepping time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, non-occupational time will be recorded and linked with a diary |
| Sitting time in bouts of 30 min | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker |
| Occupational sitting time in bouts of 30 min | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, occupational time will be recorded and linked with a diary |
| Non-occupational sitting time in bouts of 30 min | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, non-occupational time will be recorded and linked with a diary |
| Sitting time in bouts of 60 min | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker |
| Occupational sitting time in bouts of 60 min | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, occupational time will be recorded and linked with a diary |
| Occupational sitting time | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, occupational time will be recorded and linked with a diary |
| Waist circumference and body height | Assessed at baseline 3 months and 12 months | Waist circumference and body height will be objectively measured in cm |
| Body weight | Assessed at baseline 3 months and 12 months | Body weight will be objectively measured in kg and used to calculate body mass index (BMI) |
| Individual Work Performance | Assessed at baseline 3 months and 12 months | Will be assessed with the Individual Work Performance Questionnaire (IWPQ) |
| Need for recovery | Assessed at baseline 3 months and 12 months | This will be assessed with the Need For Recovery (NFR) questionnaire |
| Effort-reward imbalance | Assessed at baseline 3 months and 12 months | This will be assessed with the short Effort-Reward Imbalance (ERI-short) questionnaire |
| Musculoskeletal complaints | Assessed at baseline 3 months and 12 months | This will be assessed with the Nordic Musculoskeletal questionnaire |
| Vitality | Assessed at baseline 3 months and 12 months | This will be assessed with the Vita-16© TNO questionnaire |
| Quality of life measured with EQ-5D-5L | Assessed at baseline 3 months and 12 months | This will be assessed with the EQ-5D-5L questionnaire |
| Absenteeism | Assessed at baseline 3 months and 12 months | This will be self-reported as well as assessed with company records |
| Healthcare consumption | Assessed at 3 months and 12 months | This includes general practitioner, allied health professionals, complementary medicine consumption |
| Sitting, physical activity and work related outcomes | Assessed at baseline 3 months and 12 months | These will be assessed with custom sitting, physical activity and work questions |
| Process evaluation | Assessed at 3 months and 12 months | A process evaluation will be performed using qualitative (focus group interviews) and quantitative methods (questionnaires) in order to determine the level of implementation of the intervention as well as barriers and facilitators of this implementation. |
| Non-occupational sitting time in bouts of 60 min | Assessed at baseline 3 months and 12 months | Objectively assessed by the activPAL activity tracker, non-occupational time will be recorded and linked with a diary |
Countries
Netherlands
Outcome results
None listed