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一项基于理论的多组分干预措施,旨在减少职业男性工作者的职业久坐行为:一项整群随机交叉试点可行性研究的方案

A theory-based multicomponent intervention to reduce occupational sedentary behaviour in professional male workers: protocol for a cluster randomised crossover pilot feasibility study.

作者信息

Nicolson Gail Helena, Hayes Catherine, Darker Catherine

机构信息

Public Health & Primary Care, Trinity College Dublin, Institute of Population Health, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland.

出版信息

Pilot Feasibility Stud. 2020 Nov 10;6(1):175. doi: 10.1186/s40814-020-00716-9.

Abstract

BACKGROUND

Prolonged sitting, a significant risk factor for increased morbidity and mortality, is accumulated mostly in the workplace. There is limited research targeting specific at-risk populations to reduce occupational sedentary behaviour. A recent study found that professional males have the longest workplace sitting times. Current evidence supports the use of multi-level interventions developed using participative approaches. This study's primary aims are to test the viability of a future definitive intervention trial using a randomised pilot study, with secondary aims to explore the acceptability and feasibility of a multicomponent intervention to reduce workplace sitting.

METHODS

Two professional companies in Dublin, Ireland, will take part in a cluster randomised crossover pilot study. Office-based males will be recruited and randomised to the control or the intervention arms. The components of the intervention target multiple levels of influence including individual determinants (via mHealth technology to support behaviour change techniques), the physical work environment (via provision of an under-desk pedal machine), and the organisational structures and culture (via management consultation and recruitment to the study). The outcomes measured are recruitment and retention, minutes spent sedentary, and physical activity behaviours, work engagement, and acceptability and feasibility of the workplace intervention.

DISCUSSION

This study will establish the acceptability and feasibility of a workplace intervention which aims to reduce workplace SB and increase PA. It will identify key methodological and implementation issues that need to be addressed prior to assessing the effectiveness of this intervention in a definitive cluster randomised controlled trial.

摘要

背景

长时间坐着是发病率和死亡率增加的一个重要风险因素,大部分是在工作场所积累的。针对特定高危人群以减少职业久坐行为的研究有限。最近一项研究发现,职业男性在工作场所的久坐时间最长。目前的证据支持使用采用参与式方法制定的多层次干预措施。本研究的主要目的是通过一项随机试点研究来测试未来确定性干预试验的可行性,次要目的是探索多成分干预措施在减少工作场所久坐方面的可接受性和可行性。

方法

爱尔兰都柏林的两家专业公司将参与一项整群随机交叉试点研究。将招募办公室男性并随机分为对照组或干预组。干预措施的组成部分针对多个影响层面,包括个体决定因素(通过移动健康技术支持行为改变技巧)、物理工作环境(通过提供桌下踏板机)以及组织结构和文化(通过管理咨询和招募参与研究)。测量的结果包括招募和留存情况、久坐时间、身体活动行为、工作投入度以及工作场所干预措施的可接受性和可行性。

讨论

本研究将确定旨在减少工作场所久坐行为和增加身体活动的工作场所干预措施的可接受性和可行性。它将确定在确定性整群随机对照试验中评估该干预措施有效性之前需要解决的关键方法学和实施问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f405/7653741/ef3131c196fa/40814_2020_716_Fig1_HTML.jpg

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