Centre for Health Research, University of Southern Queensland, Springfield,, QLD, 4300, Australia.
Leicester Diabetes Centre, University Hospitals of Leicester, Leicester General Hospital, Leicester, LE5 4PW, UK.
Trials. 2020 May 13;21(1):403. doi: 10.1186/s13063-020-04300-7.
Office-based workers accumulate high amounts of sitting time. Stand More At Work (SMArT Work) aimed to reduce occupational sitting time and a cluster randomised controlled trial demonstrated it was successful in achieving this aim. The purpose of this paper is to present the process evaluation of the SMArT Work intervention.
Questionnaire data were collected from intervention participants at 6 months (n = 58) and 12 months (n = 55). Questionnaires sought feedback on the different components of the intervention (education, height-adjustable desk, Darma cushion, behaviour feedback, progress chats (coaching) with research team, action planning/goal setting diary) and experiences of evaluation measures. Control participants (n = 37) were asked via questionnaire at 12-month follow-up about the impact of the study on their behaviour and any lifestyle changes made during the study. Participants from both arms were invited to focus groups to gain a deeper understanding of their experiences on completion of 12-month follow-up.
Focus group and questionnaire data showed a positive attitude towards the height-adjustable workstation with a high proportion of participants using it every day (62%). Most participants (92%) felt the education seminar increased their awareness of the health consequences of too much sitting and motivated them to change their behaviour. Receiving feedback on their sitting time and support from the research team also encouraged behaviour change. The Darma cushion and action planning/goal setting diary were seen to be less helpful for behaviour change. Benefits experienced included fewer aches and pains, improved cognitive functioning, increased productivity, more energy and positive feelings about general health.
Key elements of the programme identified as facilitating behaviour change were the educational seminar, the height-adjustable workstation, behavioural feedback and regular contact with research staff through regular progress chats.
ISRCTN: ISRCTN10967042. Registered on 2 February 2015.
办公室工作人员久坐时间过长。“工作中多站”（SMArT Work）项目旨在减少职业性久坐时间，一项集群随机对照试验证实其成功达到了这一目标。本文旨在介绍“工作中多站”干预的过程评估。
在干预的 6 个月（n=58）和 12 个月（n=55）时，从干预参与者处收集问卷调查数据。问卷旨在获取关于干预不同组成部分（教育、可调节高度的桌子、达玛坐垫、行为反馈、与研究团队的进展对话（指导）、行动计划/目标设定日记）和评估措施的经验反馈。在 12 个月的随访中，通过问卷调查询问对照组（n=37）参与者研究对其行为的影响，以及在研究期间是否发生了生活方式的改变。在完成 12 个月随访后，邀请两组参与者参加焦点小组，以深入了解他们的体验。
焦点小组和问卷调查数据显示，参与者对可调节工作站的态度积极，其中大部分人（62%）每天都在使用它。大多数参与者（92%）认为教育研讨会提高了他们对久坐过多带来的健康后果的认识，并促使他们改变行为。收到坐姿时间反馈和研究团队的支持也鼓励了行为改变。达玛坐垫和行动计划/目标设定日记对行为改变的帮助较小。参与者体验到的益处包括疼痛减少、认知功能改善、生产力提高、更多的精力和对整体健康的积极感受。
促进行为改变的项目关键要素包括教育研讨会、可调节工作站、行为反馈以及通过定期进展对话与研究人员的定期联系。
ISRCTN: ISRCTN80430241。2015 年 2 月 2 日注册。
