Scottish Collaboration for Public Health Research and Policy (SCPHRP), University of Edinburgh, 5 Forrest Hill, EH1 2QL, Edinburgh, UK.
ScotCen, Scotiabank House, 6 S Charlotte St, EH2 4AW, Edinburgh, UK.
Eval Program Plann. 2021 Dec;89:102002. doi: 10.1016/j.evalprogplan.2021.102002. Epub 2021 Sep 16.
Contact centre staff spend up to 95 % of their day seated, which can lead to a range of negative health outcomes. The aim of this study was to develop a programme theory for a complex intervention to reduce sedentary behaviour in contact centres.
The 6SQuID model was used. A literature review, and focus groups at one contact centre were used to: understand the problem (step 1); identify modifiable factors (step 2); and develop a theory of change (step 3). A workshop shaped a theory of action (step 4), and the programme theory was refined after testing activities over 6 months (step 5). The intervention is currently undergoing further evaluation and feasibility testing in a larger scale stepped wedge randomised controlled study in 11 contact centres (Step 6).
Step 1: Limited opportunity to sit less, and move more at work was identified as the main problem. Step 2: Modifiable factors were identified at four levels of the centre. Step 3: A theory of change was developed around cultural norms and individual behaviour change. Step 4: Actions were developed to 'activate' the theory of change. Step 5: Activities were implemented, and adapted over 6 months and the programme theory was refined.
The programme theory behind this intervention is robust, evidence based, adaptive and transferable.
联络中心的员工每天有高达 95%的时间是坐着的，这可能导致一系列负面的健康后果。本研究旨在为联络中心减少久坐行为的复杂干预措施制定一个方案理论。
使用了 6SQuID 模型。文献回顾和一个联络中心的焦点小组被用来：理解问题（步骤 1）；确定可改变的因素（步骤 2）；并制定一个变革理论（步骤 3）。一个研讨会形成了一个行动理论（步骤 4），并且在 6 个月的测试活动后，对方案理论进行了改进（步骤 5）。该干预措施目前正在 11 个联络中心进行更大规模的阶梯式随机对照研究（步骤 6）进一步评估和可行性测试。
步骤 1：工作中久坐和活动机会有限被确定为主要问题。步骤 2：在中心的四个层面上确定了可改变的因素。步骤 3：围绕文化规范和个人行为改变制定了变革理论。步骤 4：制定了行动来“激活”变革理论。步骤 5：在 6 个月的时间里实施和调整了活动，并改进了方案理论。
该干预措施背后的方案理论是稳健的、基于证据的、适应性强且可转移的。
