基于理论的干预措施降低联络中心久坐行为的混合方法评估 - 站立健康阶梯式可行性研究。

A mixed method evaluation of a theory based intervention to reduce sedentary behaviour in contact centres- the stand up for health stepped wedge feasibility study.

机构信息

Scottish Collaboration for Public Health Research and Policy, University of Edinburgh, Edinburgh, United Kingdom.

Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, United Kingdom.

出版信息

PLoS One. 2023 Dec 15;18(12):e0293602. doi: 10.1371/journal.pone.0293602. eCollection 2023.

DOI:10.1371/journal.pone.0293602

PMID:38100490

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10723690/

Abstract

INTRODUCTION

Contact centres have higher levels of sedentary behaviour than other office-based workplaces. Stand Up for Health (SUH) is a theory-based intervention developed using the 6SQuID framework to reduce sedentary behaviour in contact centre workers. The aim of this study was to test acceptability and feasibility of implementing SUH in UK contact centres.

METHODS

The study was conducted in 2020-2022 (pre COVID and during lockdown) and used a stepped-wedge cluster randomised trial design including a process evaluation. The intervention included working with contact centre managers to develop and implement a customised action plan aligning with SUH's theory of change. Workplace sedentary time, measured using activPAL™ devices, was the primary outcome. Secondary outcomes included productivity, mental wellbeing, musculoskeletal health and physical activity. Empirical estimates of between-centre standard deviation and within-centre standard deviation of outcomes from pre-lockdown data were calculated to inform sample size calculations for future trials. The process evaluation adopted the RE-AIM framework to understand acceptability and feasibility of implementing the intervention. Interviews and focus groups were conducted with contact centre employees and managers, and activity preferences were collected using a questionnaire.

RESULTS

A total of 11 contact centres participated: 155 employees from 6 centres in the pre-lockdown data collection, and 54 employees from 5 centres post-lockdown. Interviews and focus groups were conducted with 33 employees and managers, and 96 participants completed an intervention activity preference questionnaire. Overall, the intervention was perceived as acceptable and feasible to deliver. Most centres implemented several intervention activities aligned with SUH's theory of change and over 50% of staff participated in at least one activity (pre-lockdown period). Perceived benefits including reduced sedentary behaviour, increased physical activity, and improved staff morale and mood were reported by contact centre employees and managers.

CONCLUSIONS

SUH demonstrates potential as an appealing and acceptable intervention, impacting several wellbeing outcomes.

TRIAL REGISTRATION

The trial has been registered on the ISRCTNdatabase: http://www.isrctn.com/ISRCTN11580369.

摘要

简介

与其他基于办公室的工作场所相比，联络中心的久坐行为水平更高。“站起来为健康（Stand Up for Health，SUH）”是一种基于理论的干预措施，是使用 6SQuID 框架开发的，旨在减少联络中心工作人员的久坐行为。本研究的目的是测试在英国联络中心实施 SUH 的可接受性和可行性。

方法

该研究于 2020-2022 年进行（在 COVID 之前和封锁期间），采用了一个逐步楔形集群随机试验设计，包括一个过程评估。该干预措施包括与联络中心经理合作，制定并实施符合 SUH 变革理论的定制行动计划。使用 activPAL™设备测量的工作场所久坐时间是主要结果。次要结果包括生产力、心理健康、肌肉骨骼健康和身体活动。根据封锁前数据计算了中心间和中心内结果的经验估计标准差，为未来试验的样本量计算提供了信息。过程评估采用了 RE-AIM 框架，以了解实施干预措施的可接受性和可行性。对联络中心员工和经理进行了访谈和焦点小组讨论，并使用问卷收集了活动偏好。

结果

共有 11 家联络中心参与：6 家中心在封锁前数据收集期间有 155 名员工，5 家中心在封锁后有 54 名员工。对 33 名员工和经理进行了访谈和焦点小组讨论，96 名参与者完成了干预活动偏好问卷。总的来说，该干预措施被认为是可以接受和可行的。大多数中心实施了几项与 SUH 变革理论一致的干预活动，超过 50%的员工至少参加了一项活动（封锁前时期）。联络中心员工和经理报告了一些好处，包括减少久坐行为、增加身体活动以及提高员工士气和情绪。