scholarly journals Efficacy, characteristics, behavioural models and behaviour change strategies, of non-workplace interventions specifically targeting sedentary behaviour; a systematic review and meta-analysis of randomised control trials in healthy ambulatory adults

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256828
Author(s):  
Fiona Curran ◽  
Catherine Blake ◽  
Caitriona Cunningham ◽  
Carla Perrotta ◽  
Hidde van der Ploeg ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Primary Outcome ◽  
Meta Analysis ◽  
Sitting Time ◽  
Change Strategies ◽  
Standing Time ◽  
Effective Interventions ◽  
Randomised Control Trials ◽  
Sedentary Breaks

Background Sedentary behaviour (SB) research has grown exponentially but efficacy for interventions to reduce sedentary behaviour is often contaminated by interventions primarily or co-targeting other behaviours and outcomes. The primary aim of this research therefore, was to systematically review the efficacy of interventions specifically targeting sedentary behaviour reduction, as a sole primary outcome, from randomised control trials in healthy ambulatory adults. This research also sought to identify the successful interventions characteristics, behaviour change techniques (BCT’s) and underlying theories, and their relation to intervention effectiveness. Methods We followed PRISMA reporting guidelines for this systematic review. Six electronic databases were searched and a grey literature review conducted. Only randomised or cluster randomised controlled trials, from 2000 to 2020, in adult populations with a sole primary outcome of change in sedentary behaviour were included. Data codebooks were developed, data were extracted, and a narrative synthesis and meta-analysis was conducted using mixed methods random effects models. Results Of 5589 studies identified, 7 studies met the inclusion criteria. Six studies reported activPAL3 measures of mean daily sitting time, and four reported mean daily standing time, stepping time and number of sedentary breaks. Pooled analysis of weighted mean differences revealed a reduction in mean daily sitting time of -32.4mins CI (-50.3, -14.4), an increase in mean daily standing time of 31.75mins CI (13.7, 49.8), and mean daily stepping time of 9.5mins CI (2.8, 16.3), and an increase in rate of sedentary breaks per day of 3.6 (CI 1.6, 5.6). BCTs used exclusively in two of the three most effective interventions are ‘feedback on behaviour’ and ‘goal setting behaviour’ whilst all three most effective interventions included ‘instruction on how to perform the behaviour’ and ‘adding objects to the environment’, BCTs which were also used in less effective interventions. Conclusions Although limited by small sample sizes and short follow up periods, this review suggests that interventions specifically designed to change sedentary behaviour, reduce overall daily sitting time by half an hour, with an equivalent increase in standing time, in the short to medium term. Effective characteristics and behaviour change strategies are identified for future development of high quality interventions targeting change in sedentary behaviour. Prospero registration PROSPERO 2020 CRD42020172457 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020172457.

scholarly journals Planning for sedentary behaviour interventions: office workers’ survey and focus group responses

2017 ◽  
Vol 137 (6) ◽  
pp. 316-321 ◽  
Author(s):  
Teneale McGuckin ◽  
Rebecca Sealey ◽  
Fiona Barnett
Keyword(s):  
Focus Groups ◽  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Intervention Strategies ◽  
Work Environments ◽  
Office Workers ◽  
Sitting Time ◽  
Change Strategies ◽  
The Relationship ◽  
Behavioural Strategies

Aims: As sedentary behaviour is becoming more prominent in office-based work environments, this study aimed to explore office workers’ perceptions of sedentary behaviour, explore potential behavioural strategies to reduce sedentary behaviour in the workplace and identify barriers which may hamper behaviour change. Methods: A total of 140 office workers were recruited and surveyed from the same workplace. The survey included questions regarding perceptions of the relationship between sitting time and health. Following the survey, 12 employees also participated in focus groups to identify potential sedentary behaviour intervention strategies and barriers. The responses from the survey and focus groups were thematically analysed. Results: In total, 88% of all participants surveyed agreed that there was a relationship between sitting time and their health. The most prominent theme identified was musculoskeletal complaints followed by general health and weight gain or obesity. The focus groups identified that interventions targeting reducing sitting time should include education, supportive and knowledgeable managers, and a variety of behaviour change strategies to address individual preferences and barriers. Conclusion: Multiple behavioural strategies were identified, which appear to be appropriate for sedentary behaviour change.

scholarly journals How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults

2015 ◽  
Vol 10 (1) ◽  
pp. 89-112 ◽  
Author(s):  
Benjamin Gardner ◽  
Lee Smith ◽  
Fabiana Lorencatto ◽  
Mark Hamer ◽  
Stuart JH Biddle
Keyword(s):  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Sitting Time ◽  
Change Strategies

scholarly journals An Integrative, Systematic Review Exploring the Research, Effectiveness, Adoption, Implementation, and Maintenance of Interventions to Reduce Sedentary Behaviour in Office Workers

2018 ◽  
Vol 15 (12) ◽  
pp. 2876 ◽  
Author(s):  
Bradley MacDonald ◽  
Xanne Janssen ◽  
Alison Kirk ◽  
Mhairi Patience ◽  
Ann-Marie Gibson
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Sedentary Behaviour ◽  
Primary Outcome ◽  
Office Workers ◽  
Sitting Time ◽  
Inclusion Criteria ◽  
Published Research ◽  
Significant Health ◽  
Effective Translation

Sedentary behaviour is associated with poor health outcomes, and office-based workers are at significant health risk, as they accumulate large proportions of their overall sitting time at work. The aim of this integrated systematic review was to collate and synthesize published research on sedentary behaviour interventions in the workplace that have reported on at least one an aspect of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. Studies were included if they involved adult office workers, were conducted in an office setting, and changes in sedentary behaviour had been measured as a primary outcome. Five electronic databases were searched yielding 7234 articles, with 75 articles (61 individual interventions) meeting the inclusion criteria. Reach indicators were the most frequently reported RE-AIM dimensions, which were reported on average 59% of the time. Efficacy/effectiveness was the second most reported dimension at 49% reporting across all of the indicators. Implementation indicators were reported an average of 44% of the time, with indicators of adoption and maintenance reported as the lowest of all indicators at 13% and 8%, respectively. Recommendations are provided to improve reporting across all RE-AIM dimensions, which is an important first step to enable the effective translation of interventions into real world settings.

scholarly journals A smartphone app for sedentary behaviour change in cardiac rehabilitation and the effect on hospital admissions: the ToDo-CR randomised controlled trial study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040479
Author(s):  
Kacie Patterson ◽  
Rachel Davey ◽  
Richard Keegan ◽  
Theophile Niyonsenga ◽  
Itismita Mohanty ◽  
...  
Keyword(s):  
Physical Activity ◽  
Emergency Department ◽  
Randomised Controlled Trial ◽  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Primary Outcome ◽  
Hospital Admissions ◽  
Controlled Trial ◽  
Emergency Department Visits ◽  
Randomised Controlled

IntroductionCardiac rehabilitation (CR) is recommended for secondary prevention of cardiovascular disease and reducing the risk of repeat cardiac events. Physical activity is a core component of CR; however, studies show that participants remain largely sedentary. Sedentary behaviour is an independent risk factor for all-cause mortality. Strategies to encourage sedentary behaviour change are needed. This study will explore the effectiveness and costs of a smartphone application (Vire) and an individualised online behaviour change program (ToDo-CR) in reducing sedentary behaviour, all-cause hospital admissions and emergency department visits over 12 months after commencing CR.Methods and analysisA multicentre, assessor-blind parallel randomised controlled trial will be conducted with 144 participants (18+ years). Participants will be recruited from three phase-II CR centres. They will be assessed on admission to CR and randomly assigned (1:1) to one of two groups: CR plus the ToDo-CR 6-month programme or usual care CR. Both groups will be re-assessed at 6 months and 12 months for the primary outcome of all-cause hospital admissions and presentations to the emergency department. Accelerometer-measured changes in sedentary behaviour and physical activity will also be assessed. Logistic regression models will be used for the primary outcome of hospital admissions and emergency department visits. Methods for repeated measures analysis will be used for all other outcomes. A cost-effectiveness analysis will be conducted to evaluate the effects of the intervention on the rates of hospital admissions and emergency department visits within the 12 months post commencing CR.Ethics and disseminationThis study received ethical approval from the Australian Capital Territory Health (2019.ETH.00162), Calvary Public Hospital Bruce (20–2019) and the University of Canberra (HREC-2325) Human Research Ethics Committees (HREC). Results will be disseminated through peer-reviewed academic journals. Results will be made available to participants on request.Trial registration numberACTRN12619001223123.

scholarly journals A systematic review and meta-analysis of non-workplace interventions to reduce time spent sedentary in adults

2021 ◽  
Author(s):  
Jessica Faye Hall ◽  
Rekesh Corepal ◽  
Thomas Frederick Crocker ◽  
Natalie Lam ◽  
Louisa-Jane Burton ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sedentary Behaviour ◽  
Data Extraction ◽  
Meta Analysis ◽  
Adult Population ◽  
Mean Difference ◽  
Sitting Time ◽  
Research Network ◽  
Inclusion Criteria ◽  
Post Intervention

Background: Sedentary behaviour has been the focus of considerable clinical, policy and research interest due to its detrimental effects on health and wellbeing. This systematic review aims to (1) develop a more precise description of different categories of interventions that aim to reduce sedentary time in adults by identifying specific components that form an intervention; (2) explore the effect of different categories of interventions in reducing time spent sedentary in adults. Methods: Ten electronic databases, websites of relevant organisations (e.g. the Sedentary Behaviour Research Network), and relevant reviews were searched. Inclusion criteria: Randomised controlled trials (RCTs), including cluster and randomised cross-over trials, in the adult population (clinical and non-clinical). Any study including a measure of sedentary behaviour was included even if reducing sedentary behaviour was not the primary aim. Exclusion criteria: Interventions delivered in schools, colleges, or workplaces; studies investigating the immediate effects of breaking up sitting time as part of a supervised (usually laboratory-based) intervention. Two review authors conducted data extraction and quality assessment (GRADE approach). Results: Searches identified 39,223 records, of which 85 studies met the inclusion criteria and were included in the review. Interventions shown to significantly reduce time spent sedentary were those which incorporated the provision of information, education, or support (advice/recommendations), in conjunction with either counselling (mean difference: -52.24 minutes/day; 95% CI: -85.37 to -19.10) or a form of structured/prescribed physical activity (standardised mean difference: -0.15; 95% CI: -0.23 to -0.07). However, this positive effect was not maintained at follow-up. No interventions were shown to break up prolonged sitting. Conclusions: This review presents a novel way of categorising interventions according to the types of components they comprised. There is evidence that interventions might be effective in reducing time spent sedentary immediately post-intervention. There were limited studies measuring sustained behaviour change.

Environmental, behavioural and multicomponent interventions to reduce adults' sitting time: a systematic review and meta-analysis

2018 ◽  
pp. bjsports-2017-098968 ◽  
Author(s):  
Melissa M Peachey ◽  
Julie Richardson ◽  
Ada V Tang ◽  
Vanina Dal-Bello Haas ◽  
Janelle Gravesande
Keyword(s):  
Systematic Review ◽  
Sedentary Behaviour ◽  
Meta Analysis ◽  
Intervention Group ◽  
Self Report ◽  
Sitting Time ◽  
Qualitative Synthesis ◽  
Eligibility Criteria ◽  
Environmental Interventions ◽  
Multicomponent Interventions

ObjectiveTo examine the overall effectiveness of interventions for reducing adult sedentary behaviour and to directly compare environmental, behavioural and multicomponent interventions.DesignIntervention systematic review with meta-analysis.Data sourcesOvid PsycINFO, Ovid MEDLINE, EBSCOHost CINAHL, EBSCOHost SPORTDiscus and PubMed were searched from inception to 26 July 2017.Eligibility criteriaTrials including randomised controlled trials, quasi-randomised, cluster-randomised, parallel group, prepost, factorial and crossover trials where the primary aim was to change the sedentary behaviour of healthy adults assessed by self-report (eg, questionnaires, logs) or objective measures (eg, accelerometry).ResultsThirty-eight trials of 5983 participants published between 2003 and 2017 were included in the qualitative synthesis; 35 studies were included in the quantitative analysis (meta-analysis). The pooled effect was a significant reduction in daily sitting time of −30.37 min/day (95% CI −40.86 to −19.89) favouring the intervention group. Reductions in sitting time were similar between workplace (−29.96 min/day; 95% CI −44.05 to –15.87) and other settings (−30.47 min/day; 95% CI −44.68 to –16.26), which included community, domestic and recreational environments. Environmental interventions had the largest reduction in daily sitting time (−40.59 min/day; 95% CI −61.65 to –19.53), followed by multicomponent (−35.53 min/day; 95% CI −57.27 to –13.79) and behavioural (−23.87 min/day; 95% CI −37.24 to –10.49) interventions.ConclusionInterventions targeting adult sedentary behaviour reduced daily sitting time by an average of 30 min/day, which was likely clinically meaningful.

scholarly journals Feasibility of Reducing and Breaking Up University Students' Sedentary Behaviour: Pilot Trial and Process Evaluation

2021 ◽  
Vol 12 ◽  
Author(s):  
Oscar Castro ◽  
Ineke Vergeer ◽  
Jason Bennie ◽  
Stuart J. H. Biddle
Keyword(s):  
University Students ◽  
Sedentary Behaviour ◽  
Process Evaluation ◽  
Behaviour Change ◽  
Sedentary Time ◽  
Text Messages ◽  
Randomised Control Trial ◽  
Short Term ◽  
Post Intervention ◽  
Standing Time

Background: Accumulating high levels of sedentary behaviour has been linked to poor health outcomes. This study examined the feasibility and preliminary, short-term effects of a theory-based intervention aimed at reducing total and prolonged sedentary behaviour in University students.Design: A quasi-experimental (pre-post) pilot study. Methods: Nine ambulatory undergraduate students (Mean age = 22 ± 2.32) participated in a one-on-one session, including an educational component around the health effects of sedentary behaviour and three distinct activities (feedback, “pros and cons” exercise, and suggested behaviour change strategies). In addition, automated daily text messages targeting sedentary behaviour were sent for 6 days (four messages per day at fixed intervals). The Behaviour Change Wheel framework guided the intervention design process. Outcomes were assessed over 6 days in pre- and post-intervention periods and included accelerometer-based (activPAL) and self-reported (Nightly-Week-U) total sedentary time, as well as accelerometer-based number of steps and prolonged sedentary time. Students completed a process evaluation interview upon completing the trial.Results: From pre- to post-intervention, there was a significant reduction in accelerometer-based total and prolonged sedentary time during weekend days. In addition, there was a significant increase in accelerometer-based standing time and stepping during weekend days. There were no statistically significant changes in accelerometer-based sedentary time, standing time or number of steps during weekdays. Process evaluation results indicated that the intervention and its assessment is feasible. Reductions in sedentary time were likely to be mediated by positive changes in the student's reflective and automatic motivation.Conclusions: Findings from this small, short-term intervention suggest that a single one-on-one session, together with automated text messages, may help University students reduce sedentary behaviour and enhance movement during weekend days. Additional strategies to maximise the intervention effects are discussed (e.g., establishing a collaboration with University staff, introducing sit-to-stand desks, and/or facilitating social support). A randomised control trial assessing sedentary behaviour over a longer period is needed to adequately study the intervention's effectiveness.

scholarly journals Changes in Sitting Time and Sitting Fragmentation after a Workplace Sedentary Behaviour Intervention

2018 ◽  
Author(s):  
Jasmin Hutchinson ◽  
Samuel Headley ◽  
Tracey Matthews ◽  
Greg Spicer ◽  
Kristen Dempsey ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Primary Outcome ◽  
Sedentary Time ◽  
Sitting Time ◽  
Post Intervention ◽  
Intervention Measures ◽  
Consultation Intervention ◽  
Sedentary Bouts ◽  
Experimental Study Design

Prolonged sedentary behaviour (SB) has shown to be detrimental to health. Nevertheless, population levels of SB are high and interventions to decrease SB are needed. This study aimed to explore the effect of an individualized consultation intervention aimed at reducing SB and increasing breaks in SB among college employees. A pre-experimental study design was used. Participants (n=36) were recruited at a college in Massachusetts, USA. SB was measured over 7 consecutive days using an activPAL3 accelerometer. Following baseline measures, all participants received an individualized SB consultation which focused on limiting bouts of SB >30 minutes, participants also received weekly follow-up e-mails. Post-intervention measures were taken after 16 weeks. Primary outcome variables were sedentary minutes/day and SB bouts >30 minutes. Differences between baseline and follow-up were analyzed using paired t-tests. The intervention did not change daily sedentary time (-0.48%; p>0.05). The number of sedentary bouts >30 minutes decreased significantly by 0.52 bouts/day (p=0.015). In this study a consultation based SB intervention was successful in reducing number of bouts >30 minutes of SB. However, daily sedentary time did not reduce significantly. These results indicate that consultation-based interventions may be effective if focused on a specific component of SB.

scholarly journals Effectiveness of interventions for reducing non-occupational sedentary behaviour in adults and older adults: a systematic review and meta-analysis

2018 ◽  
Vol 53 (19) ◽  
pp. 1206-1213 ◽  
Author(s):  
Nipun Shrestha ◽  
Jozo Grgic ◽  
Glen Wiesner ◽  
Alexandra Parker ◽  
Hrvoje Podnar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sedentary Behaviour ◽  
Sedentary Time ◽  
Meta Analysis ◽  
Sitting Time ◽  
Medium Term ◽  
Tv Viewing ◽  
Or Education ◽  
High Quality Research

BackgroundNo systematic reviews of the effectiveness of interventions for reducing non-occupational sedentary behaviour are available. Therefore, the aim of this systematic review was to assess the effectiveness of interventions for reducing non-occupational sedentary behaviour in adults and older adults.MethodsAn electronic search of nine databases was performed. Randomised controlled trials (RCT) and cluster RCTs among adults testing the effectiveness of interventions aimed to reduce non-occupational sedentary behaviour were considered for inclusion. Two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias.ResultsNineteen studies that evaluated multicomponent lifestyle interventions, counselling or education, television (TV) control devices and workplace interventions were included. Evidence from the meta-analyses suggested that interventions can reduce leisure sitting time in adults in the medium term (−30 min/day; 95% CI −58 to –2), and TV viewing in the short term (−61 min/day; 95% CI −79 to –43) and medium term (−11 min/day; 95% CI −20 to –2). No significant pooled effects were found for transport sitting time, leisure-time computer use and longer term outcomes. No evidence was available on the effectiveness of interventions for reducing non-occupational sedentary time in older adults.ConclusionsThe findings of this systematic review suggest the interventions may be effective in reducing non-occupational sedentary behaviour in the short to medium term in adults. However, no significant effect was found on longer term outcomes. The quality of evidence was, however, low to very low. No evidence was available on the effectiveness of non-occupational interventions on reducing sedentary time in older adults. Further high-quality research with larger samples is warranted.

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