Sedentary Behavior
Conditions
Keywords
worksite health, sit-stand workstations, multilevel intervention, implementation science, fidelity, facilitation, effectiveness, sedentary behavior, posture, Light physical activity
Brief summary
This is a 2-arm group-randomized hybrid effectiveness-implementation (HEI type 2) study to test an evidence-based intervention (EBI) known as Stand & Move at Work(SMW) to reduce sedentary time in the workplace, and to test the role of expert facilitation (SMW+) for improving intervention fidelity.
Detailed description
Primary Aim: To assess worksite-level reduction in sedentary time and intervention fidelity over 12 months Secondary Aim: To assess cost effectiveness of the intervention at 12 and 24 months
Interventions
BEHAVIORALStand & Move at Work
Web-based platform only.
BEHAVIORALStand & Move at Work+
Web-based platform and support from an expert facilitator
Sponsors
National Cancer Institute (NCI)
University of Minnesota
The University of Queensland
University of Nebraska
University of Utah
University of Virginia
Arizona State University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
SMW and SMW+ will be running simultaneously.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Worksite-Level Inclusion Criteria: * More than 80% of employees work full time (30+ hours per week). * At least 45 employees in the worksite with sit-stand workstations working at least three days per week * Occupations require primarily desk-based work (e.g., computer- and telephone-based) * Willing to allow the researchers to distribute online research surveys to all employees in order to allow the program to be evaluated. * Allow 30 randomly selected individuals to wear an activity monitor in several 7-day intervals across two years. * Willing to be randomized to either intervention. * Willing to identify one or more worksite champions to implement the Stand & Move at Work™ program. Worksite-level
Exclusion criteria
* Involved in previous interventions to reduce sitting and increase standing and moving at work in the last 24 months. * Involved in the Stand and Move I intervention. * Another worksite within the same organization is participating in the program and contamination across those worksites cannot be avoided. Employee-level inclusion criteria: * 18 years or older * Willing to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Researcher derived measures of fidelity | 3 months | A single composite measure of directly-observed intervention delivery assessed via web analytics, participation rates, and other calculated measures of fidelity. |
| Changes in posture | Baseline, 3 month, 12 months, and 24 months | Accelerometer-based (activPAL) sensor fixed to the thigh that measures sitting, standing, and lying down over 7 days. |
| Competence/Adherence | 3 months | A questionnaire-based assessment of intervention fidelity completed by study champions (competence and adherence) through an online portal. Based on Likert-scales and interval scales. SCORING RANGE |
| Intervention Fidelity | 3 months | A questionnaire-based assessment of intervention fidelity completed by study participants regarding the advocates (competence and adherence) through an online portal. SCORING RANGE |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Work Productivity and Activity Impairment Questionnaire - General Health | Baseline, 3 months, 12 months, and 24 months. | Work Productivity and Activity Impairment Questionnaire: General Health (WPAI:GH) assesses impairment in paid work and activities in the preceding 7 days on an interval and Likert-type scale with a higher score indicating greater impariment. |
| Comparison of program-related costs | Baseline, 3 month, 12 months, and 24 months. | Program-related costs above and beyond cost of sit-stand workstation which may include advocate time spent implementing the intervention and intervention supplies. |
| Change in health-related quality of life | Baseline, 3 month, 12 months, and 24 months. | 36-Item Short Form Survey (SF36) assesses quality of life that will be used to estimate incremental cost effectiveness. Scored from 0 to 100, with 0 being maximum disability and 100 being no disability. |
| Change in musculoskeletal pain | Baseline, 3 months, 12 months, and 24 months. | The Nordic Musculoskeletal Questionnaire (NMQ) assesses pain by bodily region on a Likert-type scale SCORING RANGE. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in sedentary behavior | Baseline, 3 month, 12 months, and 24 months. | Sedentary behavior questionnaire (SBQ) is a brief questionnaire to assess time spent sitting in different work and non-work contexts SCORING RANGE |
Countries
United States
Contacts
Primary ContactMatthew Buman, PhD
Backup ContactArlene Fernandez
Outcome results
None listed