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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Stand More AT Work (SMArT Work): using the behaviour change wheel to develop an intervention to reduce sitting time in the workplace

Authors: Fehmidah Munir, Stuart J. H. Biddle, Melanie J. Davies, David Dunstan, David Esliger, Laura J. Gray, Ben R. Jackson, Sophie E. O’Connell, Tom Yates, Charlotte L. Edwardson

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Sitting (sedentary behaviour) is widespread among desk-based office workers and a high level of sedentary behaviour is a risk factor for poor health. Reducing workplace sitting time is therefore an important prevention strategy. Interventions are more likely to be effective if they are theory and evidence-based. The Behaviour Change Wheel (BCW) provides a framework for intervention development. This article describes the development of the Stand More AT Work (SMArT Work) intervention, which aims to reduce sitting time among National Health Service (NHS) office-based workers in Leicester, UK.

Methods

We followed the BCW guide and used the Capability, Opportunity and Motivation Behaviour (COM-B) model to conduct focus group discussions with 39 NHS office workers. With these data we used the taxonomy of Behaviour Change Techniques (BCTv1) to identify the most appropriate strategies for facilitating behaviour change in our intervention. To identify the best method for participants to self-monitor their sitting time, a sub-group of participants (n = 31) tested a number of electronic self-monitoring devices.

Results

From our BCW steps and the BCT-Taxonomy we identified 10 behaviour change strategies addressing environmental (e.g. provision of height adjustable desks,), organisational (e.g. senior management support, seminar), and individual level (e.g. face-to-face coaching session) barriers. The Darma cushion scored the highest for practicality and acceptability for self-monitoring sitting.

Conclusion

The BCW guide, COM-B model and BCT-Taxonomy can be applied successfully in the context of designing a workplace intervention for reducing sitting time through standing and moving more. The intervention was developed in collaboration with office workers (a participatory approach) to ensure relevance for them and their work situation. The effectiveness of this intervention is currently being evaluated in a randomised controlled trial.

Trial registration

ISRCTN10967042. Registered on 2 February 2015.
Literature
1.
Brocklebank LA, Falconer CL, Page AS, Perry R, Cooper AR. Accelerometer-measured sedentary time and cardiometabolic biomarkers: A systematic review. Prev Med. 2015;76:92–102.CrossRefPubMed
2.
Edwardson CL, Gorely T, Davies MJ, Gray L, Khunti K, Wilmot EG, et al. Association of Sedentary Behaviour with Metabolic Syndrome: A Meta-Analysis. PLoS One. 2012;7:e34916.CrossRefPubMedPubMedCentral
3.
Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012;55(11):2895–905.CrossRefPubMed
4.
Shen D, Mao W, Liu T, Lin Q, Lu X, Wang Q, et al. Sedentary behavior and incident cancer: a meta-analysis of prospective studies. PLoS One. 2014;9:e105709.CrossRefPubMedPubMedCentral
5.
Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults: A Systematic Review and Meta-analysis. Ann Intern Med. 2015;162:123–32.CrossRefPubMed
6.
Pulsford RM, Blackwell J, Hillsdon M, Kos K. Intermittent walking, but not standing, improves postprandial insulin and glucose relative to sustained sitting: A randomised cross-over study in inactive middle-aged men. J Sci Med Sport. 2017;20(3):278–83.CrossRefPubMed
7.
Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388:1302–10.CrossRefPubMed
8.
Loyen A, Verloigne M, Van Hecke L, Hendriksen I, Lakerveld J, Steene-Johannessen J, et al. on behalf of the DEDIPAC consortium. Variation in population levels of sedentary time in European adults according to cross-European studies: a systematic literature review within DEDIPAC. Int J Behav Nutr Phy. 2016;13:71. https://​doi.​org/​10.​1186/​s12966-016-0397-3.CrossRef
9.
Clemes S, Houdmont J, Munir F, Wilson K, Kerr R, Addley RK. Descriptive epidemiology of domain-specific sitting in working adults: The Stormont Study. Journal of Public Health. 2016;38:53–60.CrossRefPubMed
10.
11.
Mansoubi M, Pearson N, SJH B, Clemes SA. Using Sit-to-Stand Workstations in Offices: Is There a Compensation Effect? Med Sci Sports Exerc. 2016;48(4):720–5.CrossRefPubMed
12.
Clemes SA, O’Connell SE, Edwardson CL. Office workers’ objectively measured sedentary behaviour and physical activity during and outside working hours. J Occup Environ Med. 2014;56(3):298–303.CrossRefPubMed
13.
Chau JY, van der Ploeg HP, van Uffelen JGZ, Wong J, Riphagen I, Healy GN, et al. Are workplace interventions to reduce sitting effective? A systematic review. Prev Med. 2010;51(5):352–6.CrossRefPubMed
14.
Shrestha N, Kukkonen-Harjula KT, Verbeek JH, Ijaz S, Hermans V, Bhaumik S. Workplace interventions for reducing sitting at work. Cochrane Database of Systematic Reviews 2016, Issue 3. Art. No.: CD010912. https://​doi.​org/​10.​1002/​14651858. CD010912.pub3.
15.
16.
17.
Michie S, Atkins L, West R. The Behaviour Change Wheel: A Guide to Designing Interventions. UK: Silverback Publishing; 2014.
18.
19.
Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, et al. The behaviour change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behaviour change interventions. Ann Behav Med. 2013;46(1):81–95.CrossRefPubMed
20.
Kitzinger J. The methodology of focus groups: the importance of interaction between research participants. Sociology of health & illness. 1994;16(1):103–21.CrossRef
21.
Charmaz K. Constructing grounded theory: A practical guide through qualitative analysis (Introducing Qualitative Methods Series). London: SAGE Publications; 2006.
22.
23.
Prochaska J, DiClemente C. In search of how people change: Applications to addictive behaviour. Am Psychol. 1992;47:1102–14.CrossRefPubMed
24.
King N. Template analysis. In: Symon G, Cassell C, editors. Qualitative Methods in Organizational Research: A Practical Guide. London: Sage Publications; 1998. p. 118–34.
25.
Brooks J, McCluskey S, Turley E, King N. Qualitative Research in Psychology. Qual Res Psychol. 2017;12(2):202–22.CrossRef
26.
Michie S, Abraham C, Whittington C, et al. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009;28:690–701.CrossRefPubMed
27.
28.
29.
Healy GN, Eakin EG, LaMontagne AD, Owen N, Winkler EAH, Wiesner G, et al. Reducing sitting time in office workers: Short-term efficacy of a multicomponent intervention. Prev Med. 2013;57:43–8.CrossRefPubMed
30.
31.
Biddle SJH, Gorely T, Mutrie N, Blamey A. Interventions for physical activity and sedentary behavior. In: Roberts GC, Treasure D, editors. Advances in motivation in sport and exercise (Volume 3). Champaign, IL: Human Kinetics; 2012. p. 357–86.
32.
Schuler D, Namioka A. Participatory Design: Principles and Practices, Lawrence Erlbaum Associates, Hillsdale, NJ. 1993.
33.
De Cocker K, Veldeman C, De Bacquer D, Braeckman L, Owen N, Cardon G, et al. Acceptability and feasibility of potential intervention strategies for influencing sedentary time at work: focus group interviews in executives and employees. Int J Behav Nutr Phys Act. 2015;12(1):22.CrossRefPubMedPubMedCentral
34.
Neuhaus M, Healy GN, Fjeldsoe BS, Lawler S, Owen N, Dunstan DW, et al. Iterative development of Stand Up Australia: a multi-component intervention to reduce workplace sitting. Int J Behav Nutr Phys. 2014;11:21.CrossRef
35.
Williams-Whitt K, Bultmann U, Amick BC 3rd, Munir F, Tveito TH, Anema JR. Workplace interventions to prevent disability from both the scientific and practice perspectives: a review of the scientific and grey literature. J Occup Rehabil. 2016;26:417–33.CrossRefPubMedPubMedCentral
36.
Metadata
Title
Stand More AT Work (SMArT Work): using the behaviour change wheel to develop an intervention to reduce sitting time in the workplace
Authors
Fehmidah Munir
Stuart J. H. Biddle
Melanie J. Davies
David Dunstan
David Esliger
Laura J. Gray
Ben R. Jackson
Sophie E. O’Connell
Tom Yates
Charlotte L. Edwardson
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5187-1

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