scholarly journals Should We Scale-Up? A Mixed Methods Process Evaluation of an Intervention Targeting Sedentary Office Workers Using the RE-AIM QuEST Framework

2019 ◽  
Vol 17 (1) ◽  
pp. 239
Author(s):  
Bradley MacDonald ◽  
Ann-Marie Gibson ◽  
Xanne Janssen ◽  
Jasmin Hutchinson ◽  
Samuel Headley ◽  
...  
Keyword(s):  
Focus Groups ◽  
Sedentary Behaviour ◽  
Workplace Health Promotion ◽  
Scale Up ◽  
Office Workers ◽  
Sitting Time ◽  
Management Support ◽  
Intervention Participant ◽  
Cultural Changes ◽  
Team Members

Background: Interventions targeting a reduction in sedentary behaviour in office workers need to be scaled-up to have impact. In this study, the RE-AIM QuEST framework was used to evaluate the potential for further implementation and scale-up of a consultation based workplace intervention which targeted both the reduction, and breaking up of sitting time. Methods: To evaluate the Springfield College sedentary behaviour intervention across multiple RE-AIM QuEST indicators; intervention participant, non-participant (employees who did not participate) and key informant (consultation delivery team; members of the research team and stakeholders in workplace health promotion) data were collected using interviews, focus groups and questionnaires. Questionnaires were summarized using descriptive statistics and interviews and focus groups were transcribed verbatim, and thematically analysed. Results: Barriers to scale-up were: participant burden of activity monitoring; lack of management support; influence of policy; flexibility (scheduling/locations); time and cost. Facilitators to scale up were: visible leadership; social and cultural changes in the workplace; high acceptability; existing health and wellbeing programmes; culture and philosophy of the participating college. Conclusions: There is potential for scale-up, however adaptations will need to be made to address the barriers to scale-up. Future interventions in office workers should evaluate for scalability during the pilot phases of research.

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 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 How do office workers respond to media coverage of sitting?

2019 ◽  
Vol 69 (5) ◽  
pp. 372-375
Author(s):  
M Yusuf ◽  
A Jagatia ◽  
Z Mahmood ◽  
E McCabe ◽  
G-J de Bruijn ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Media Coverage ◽  
Scientific Evidence ◽  
Premature Mortality ◽  
Office Workers ◽  
Sitting Time ◽  
Physical And Mental Health ◽  
Structured Interviews ◽  
News Reports ◽  
Scientific Advances

Abstract Background Sitting time is associated with adverse physical and mental health outcomes, and premature mortality. Office workers sit for prolonged periods, so are at particular risk. Scientific advances in public health threats are predominantly communicated to the public through media reports. Aims This study aimed to examine office workers’ impromptu responses to media coverage of scientific evidence related to the health risks of sedentary behaviour. Methods Semi-structured interviews were run with 26 office workers (mean age 35 years), recruited from four organizations in southern England. Within the interview, each participant provided a ‘think-aloud’ narrative as they read three real-world news reports relating to sedentary behaviour. Thematic analysis was conducted on verbatim transcripts. Results Three themes were extracted from the data: gauging the personal relevance of the news reports; questioning their trustworthiness and challenging the feasibility of proposed sitting-reduction strategies. Participants voiced scepticism about the applicability of the reports to their personal circumstances, and the validity of the reports and the scientific evidence underpinning them. Conclusions Researchers, press officers and journalists should emphasise the ways in which participants in research studies represent the broader population of office workers, and offer greater transparency in reporting study methods, when reporting scientific advances in sedentary behaviour.

Australian office workers' response to sedentary behaviour messaging

2020 ◽  
Vol 13 (2) ◽  
pp. 189-202
Author(s):  
Janine Chapman ◽  
Chloe Fletcher ◽  
Nadia Corsini ◽  
Georgina de Cure
Keyword(s):  
Sedentary Behaviour ◽  
Online Survey ◽  
Occupational Risk ◽  
Office Workers ◽  
Sitting Time ◽  
Office Worker ◽  
Psychological Variables ◽  
Content Type ◽  
Employer Responsibility ◽  
Insight Into

PurposeTo provide insight into how office workers respond to sedentary health messages following the introduction of the Australian Physical Activity and Sedentary Behaviour Guidelines.Design/methodology/approachVia online survey, office workers (n = 185) reported awareness of the Guidelines and sedentary risk, availability of workplace movement-based initiatives, and measures of sitting time, intention, self-efficacy, and perceived barriers to sedentary behaviour. Participants then viewed one of two brief messages (“Occupational Risk” or “Strategies”); indicated their message receptivity and provided written recommendations. Participants who consented to a second survey (n = 126) completed sitting time and psychological measures again after four weeks.FindingsOnly 23% were aware of the Guidelines; willingness to follow public health guidance was mixed. Barriers to adoption were apparent for existing initiatives. Message receptivity was high for both messages. For the follow-up survey, an improvement in psychological variables and workplace sitting was reported in those who viewed the Occupational Risk compared to the Strategies message. Qualitative analysis revealed lack of organisational support and called for increased employer responsibility.Research limitations/implicationsAs participants self-selected into the study, the sample may be more health-conscious than the typical office worker.Practical implicationsWorkers are receptive to brief messages and the Occupational Risk message showed promise in promoting change. However, sedentary exposure is viewed as an organisational-level issue. A “whole of workplace” approach is needed with co-designed strategies tailored to the culture and working practices within the organisation.Originality/valueThis study offers insight into avenues for improving the management of prolonged sitting and workplace sedentary behaviour.

scholarly journals Rise and Recharge: Effects on Activity Outcomes of an e-Health Smartphone Intervention to Reduce Office Workers’ Sitting Time

2020 ◽  
Vol 17 (24) ◽  
pp. 9300
Author(s):  
Abigail S. Morris ◽  
Kelly A. Mackintosh ◽  
David Dunstan ◽  
Neville Owen ◽  
Paddy Dempsey ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Working Hours ◽  
Smartphone Application ◽  
Office Workers ◽  
Sitting Time ◽  
Individual Level ◽  
Prolonged Sitting ◽  
Health Application ◽  
Smartphone Intervention ◽  
Reduced Time

This feasibility study evaluated the effects of an individual-level intervention to target office workers total and prolonged sedentary behaviour during working hours, using an e-health smartphone application. A three-arm (Prompt-30 or 60 min Intervention arm and a No-Prompt Comparison arm), quasi-randomised intervention was conducted over 12 weeks. Behavioural outcomes (worktime sitting, standing, stepping, prolonged sitting, and physical activity) were monitored using accelerometers and anthropometrics measured at baseline, 6 weeks and 12 weeks. Cardiometabolic measures were taken at baseline and 12 weeks. Fifty-six office workers (64% female) completed baseline assessments. The Prompt-60 arm was associated with a reduction in occupational sitting time at 6 (−46.8 min/8 h workday [95% confidence interval = −86.4, −6.6], p < 0.05) and 12 weeks (−69.6 min/8 h workday [−111.0, −28.2], p < 0.05) relative to the No-Prompt Comparison arm. Sitting was primarily replaced with standing in both arms (p > 0.05). Both Intervention arms reduced time in prolonged sitting bouts at 12 weeks (Prompt-30: −27.0 [−99.0, 45.0]; Prompt-60: −25.8 [−98.4, 47.4] min/8 h workday; both p > 0.05). There were no changes in steps or cardiometabolic risk. Findings highlight the potential of a smartphone e-health application, suggesting 60 min prompts may present an optimal frequency to reduce total occupational sedentary behaviour.

Perceptions of an online ‘train-the-champion’ approach to increase workplace movement

2018 ◽  
Vol 34 (6) ◽  
pp. 1179-1190 ◽  
Author(s):  
Ana D Goode ◽  
Nyssa T Hadgraft ◽  
Maike Neuhaus ◽  
Genevieve N Healy
Keyword(s):  
Organizational Climate ◽  
Safety Issue ◽  
Health And Safety ◽  
Sitting Time ◽  
Management Support ◽  
Perceived Fit ◽  
Structured Interviews ◽  
Team Members ◽  
Intervention Delivery ◽  
Team Culture

Abstract Prolonged sitting is now recognized as an emergent work health and safety issue. To address the need for a scalable sitting-reduction intervention for workplaces, the BeUpstanding™ Champion Toolkit was developed. This free, online toolkit uses a ‘train-the-champion’ approach, providing a step-by-step guide and resources to workplace champions to assist them in raising awareness and building a supportive culture to reduce sitting time in their team. This qualitative study explored champion and staff perceptions of the beta (test) version of the toolkit. Seven work teams, from a range of workplace sectors (blue-/white-collar), sizes (small/medium/large) and locations (urban/regional) participated; all team members were exposed to the program (n = 603). Approximately 4 months after program initiation, semi-structured interviews were conducted with all champions (n = 7); focus groups were conducted with a random sample of staff (n = 40). Champions were followed-up again at 12 months (n = 5). Transcripts were coded by two researchers, with codes organized into overarching themes. All champions found the ‘train-the-champion’ approach, and the toolkit acceptable. Common enablers for intervention delivery included: champion passion for staff health and wellbeing; perceived fit of the program within existing practice; and, management support. Champions and staff reported improvements in knowledge/awareness about sitting, cultural norms, perceived stress, productivity and resilience. Facilitators for sustained change over time included a stable organizational climate and ongoing management support; barriers included workload intensification. The beta version of the BeUpstanding™ Champion Toolkit was highly acceptable to workplace champions and staff, and was perceived to have benefits for team culture and staff knowledge and wellbeing.

Behavioral Health Professionals’ Perceptions on Outcomes of Patient-Controlled Granular Information Sharing Study: Focus Groups and Survey (Preprint)

2020 ◽  
Author(s):  
Julia Ivanova ◽  
Tianyu Tang ◽  
Nassim Idouraine ◽  
Anite Murcko ◽  
Adela Grando ◽  
...  
Keyword(s):  
Focus Groups ◽  
Information Sharing ◽  
Behavioral Health ◽  
Health Professionals ◽  
Medical Information ◽  
Health Data ◽  
Health Record ◽  
Team Members ◽  
Patient Study ◽  
Actual Patient

BACKGROUND Granular information sharing studies rarely use actual patient electronic health record (EHR) information. In a previous study, behavioral health patients categorized their own EHR data into sensitive categories (e.g. mental health) and chose which care team members (e.g. pharmacists) should have access to those records. In this study, behavioral health professionals are provided access to the outcomes of a previous patient study to better understand the perspectives of health professionals on patient-controlled granular information sharing. OBJECTIVE Assess behavioral health professionals’: (1) perspectives on understanding and opinions about granular information sharing; (2) accuracy in assessing redacted medical information; (3) reactions to patient rationale for health data categorization, assignment of sensitivity, and sharing choices; and (4) recommendations on how to improve the process of granular health information sharing. METHODS Four two-hour focus groups and a pre- and post-survey were conducted at two integrated health facilities. During the focus groups, outcomes from a previous study on patients’ medical record sharing choices were shared. Thematic analysis and descriptive statistical analyses were conducted. RESULTS Twenty-eight professionals were initially unaware of or provided incorrect definitions of granular information sharing (56.0%). After having access to outcomes from a previous patient study, professionals increased their mixed perspectives (21.4% to 37.1%) on granular information sharing. A majority (81.3%) identified that key medical data had been redacted from the study case. Many (66.1%) stated they did not understand patient rationale for categorization or medical sharing preferences. Finally, participants recommended that a variety of educational approaches be incorporated to inform patients about granular information and health record sharing processes. CONCLUSIONS This study provides detailed insights from behavioral health professionals on patient-controlled granular information sharing. Health professionals accurately identified information gaps resulting from patient-directed data redaction, improved in their overall concept comprehension, underscored the fine line between patient safety and patient rights, and expressed a commitment to help patients appreciate the risks and benefits associated with granular information sharing. Outcomes will inform the development, deployment and evaluation of an electronic consent tool for granular health data sharing.

scholarly journals A theoretically informed, mixed-methods study of pharmacists’ aspirations and readiness to implement pharmacist prescribing

2021 ◽  
Author(s):  
Derek Stewart ◽  
Abdulrouf Pallivalapila ◽  
Binny Thomas ◽  
Yolande Hanssens ◽  
Wessam El Kassem ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Tertiary Care ◽  
Pharmacy Practice ◽  
Principal Component ◽  
Management Support ◽  
Pharmacist Prescribing ◽  
Facilitators And Barriers ◽  
Physician Resistance ◽  
Inner Setting

AbstractBackground Studies have highlighted advancing clinical pharmacy practice in Qatar. Objective To explore pharmacists’ aspirations and readiness to implement pharmacist prescribing. Setting Hamad Medical Corporation (HMC), the main provider of secondary and tertiary care. Method A sequential explanatory mixed-methods design. Questionnaire items were derived from the Consolidated Framework of Implementation Research (CFIR), in domains of: awareness/support; readiness; implementation; and facilitators and barriers. Following piloting, all pharmacists (n = 554) were invited to participate. Questionnaire data were analysed using descriptive and inferential statistics with principal component analysis of attitudinal items. Focus groups were recorded, transcribed and analysed using the Framework Approach. Main outcome measure Aspirations and readiness to implement pharmacist prescribing. Results The response rate was 62.8% (n = 348), with respondents highly supportive of implementation in Qatar (median 4, scale 0–5, extremely supportive). The majority (64.9%, n = 226) considered themselves ready, particularly those more senior (p < 0.05) and classifying themselves innovative (p < 0.01). Outpatient (72.9%, n = 221 agreeing) and inpatient (71.1%, n = 218 agreeing) HMC settings were those perceived as being most ready. PCA identified 2 components, with ‘personal attributes’ being more positive than ‘prescribing support’. Facilitators were access to records, organizational/management support and the practice environment, with physician resistance and scope of practice as barriers. Focus groups provided explanation, with themes in CFIR domains of innovation characteristics, characteristics of individuals and the inner setting. Conclusion HMC pharmacists largely aspire, and consider themselves ready, to be prescribers with inpatient and outpatient settings most ready. CFIR domains and constructs identified as facilitators and barriers should be focus for implementation.

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