School of Psychological Sciences and Health, University of Strathclyde, 16 Richmond Street, Glasgow G1 1XQ, UK.
Department of Exercise Science and Athletic Training, Springfield College, 263 Alden Street, Springfield, MA 01109, USA.
Int J Environ Res Public Health. 2019 Dec 29;17(1):239. doi: 10.3390/ijerph17010239.
: 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. 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. : 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. : 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.
: 减少上班族久坐行为的干预措施需要扩大规模才能产生影响。在这项研究中,使用 RE-AIM QuEST 框架评估了一种基于咨询的工作场所干预措施进一步实施和扩大规模的潜力,该干预措施针对减少和打破久坐时间。为了评估 Springfield 学院在多个 RE-AIM QuEST 指标上的久坐行为干预措施;使用访谈、焦点小组和问卷调查收集了干预参与者、非参与者(未参与的员工)和关键信息提供者(咨询提供团队;研究团队成员和工作场所健康促进的利益相关者)的数据。使用描述性统计数据总结了问卷,对访谈和焦点小组进行了逐字转录和主题分析。 : 扩大规模的障碍是:活动监测的参与者负担;缺乏管理层支持;政策影响;灵活性(调度/地点);时间和成本。促进扩大规模的因素是:明显的领导力;工作场所的社会和文化变化;高接受度;现有的健康和福利计划;参与学院的文化和理念。 : 有扩大规模的潜力,但是需要进行调整以解决扩大规模的障碍。未来针对上班族的干预措施应该在研究的试点阶段评估可扩展性。