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Published in: Archives of Public Health 1/2017

Open Access 01-12-2017 | Research

Promoting workplace stair climbing: sometimes, not interfering is the best

Authors: Andreas Åvitsland, Ane Kristiansen Solbraa, Amund Riiser

Published in: Archives of Public Health | Issue 1/2017

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Abstract

Background

Stair climbing is a vigorous activity and can lead to several health benefits. Studies seeking to increase stair climbing in various public locations have shown positive effects, while results from similar studies conducted in the workplace are inconclusive. This study examined stair climbing in the workplace, and monitored effects from a single- and a combined intervention. Interventions were inspired by nudging, the libertarian method of influencing behavior.

Methods

By quasi-experimental design, stair- and elevator traffic in two office buildings was monitored preceding-, during- and following interventions with stair leading footprints alone, and combined with stair-riser banners. Chi square tests were applied to determine differences between baseline and the subsequent periods. Web-based questionnaires were distributed after follow-up period.

Results

Elevators and stairs were used 45 237 times, of which 89.6% was stair use. Intervention site stair climbing at baseline (79.0%) was significantly reduced with footprints (-5.1%, p < 0.001), and footprints with stair-riser banners (-5.7%, p < 0.001) while baseline stair climbing at the control site (94.2%) remained stable (p > 0.027).

Conclusions

Stair climbing was significantly reduced during the intervention periods. Use of stair leading footprints alone, or combined with stair-riser banners in an attempt to influence stair climbing may be ineffective, or cause a negative reaction, when applied in a workplace with a pre-existing high amount of stair climbing.
Literature
2.
go back to reference Yu S, Yarnell JWG, Sweetnam PM, Murray L. What level of physical activity protects against premature cardiovascular death? the caerphilly study. Heart. 2003;89(5):502.CrossRefPubMedPubMedCentral Yu S, Yarnell JWG, Sweetnam PM, Murray L. What level of physical activity protects against premature cardiovascular death? the caerphilly study. Heart. 2003;89(5):502.CrossRefPubMedPubMedCentral
3.
go back to reference Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS. Physical Activity and Reduced Occurrence of Non-Insulin-Dependent Diabetes Mellitus. N Engl J Med. 1991;325(3):147–52.CrossRefPubMed Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS. Physical Activity and Reduced Occurrence of Non-Insulin-Dependent Diabetes Mellitus. N Engl J Med. 1991;325(3):147–52.CrossRefPubMed
4.
go back to reference Colditz G, Cannuscio C, Frazier A. Physical activity and reduced risk of colon cancer: implications for prevention. Cancer Causes Control. 1997;8(4):649–67.CrossRefPubMed Colditz G, Cannuscio C, Frazier A. Physical activity and reduced risk of colon cancer: implications for prevention. Cancer Causes Control. 1997;8(4):649–67.CrossRefPubMed
5.
go back to reference Arsenault BJ, Rana JS, Lemieux I, et al. Physical inactivity, abdominal obesity and risk of coronary heart disease in apparently healthy men and women. Int J Obes (Lond). 2009;34(2):340.CrossRef Arsenault BJ, Rana JS, Lemieux I, et al. Physical inactivity, abdominal obesity and risk of coronary heart disease in apparently healthy men and women. Int J Obes (Lond). 2009;34(2):340.CrossRef
7.
go back to reference Hansen BH, Anderssen SA, Steene-Johannessen J, et al. Fysisk aktivitet og sedat tid blant voksne og eldre i Norge. Oslo: Helsedirektoratet (The Norwegian Directorate of Health); 2015. Hansen BH, Anderssen SA, Steene-Johannessen J, et al. Fysisk aktivitet og sedat tid blant voksne og eldre i Norge. Oslo: Helsedirektoratet (The Norwegian Directorate of Health); 2015.
8.
go back to reference Tucker JM, Welk GJ, Beyler NK. Physical Activity in U.S. Adults: Compliance with the Physical Activity Guidelines for Americans. Am J Prev Med. 2011;40(4):454–61.CrossRefPubMed Tucker JM, Welk GJ, Beyler NK. Physical Activity in U.S. Adults: Compliance with the Physical Activity Guidelines for Americans. Am J Prev Med. 2011;40(4):454–61.CrossRefPubMed
9.
go back to reference Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet. 2012;380(9838):247–57.CrossRef Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet. 2012;380(9838):247–57.CrossRef
10.
go back to reference Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ. Environmental and policy determinants of physical activity in the United States. Am J Public Health. 2001;91(12):1995.CrossRefPubMedPubMedCentral Brownson RC, Baker EA, Housemann RA, Brennan LK, Bacak SJ. Environmental and policy determinants of physical activity in the United States. Am J Public Health. 2001;91(12):1995.CrossRefPubMedPubMedCentral
11.
go back to reference Dishman RK, Oldenburg B, O’Neal H, Shephard RJ. Worksite physical activity interventions. Am J Prev Med. 1998;15(4):344–61.CrossRefPubMed Dishman RK, Oldenburg B, O’Neal H, Shephard RJ. Worksite physical activity interventions. Am J Prev Med. 1998;15(4):344–61.CrossRefPubMed
12.
go back to reference Bassett DR, Vachon JA, Kirkland AO, Howley ET, Duncan GE, Johnson KR. Energy cost of stair climbing and descending on the college alumnus questionnaire. Med Sci Sports Exerc. 1997;29(9):1250–4.CrossRefPubMed Bassett DR, Vachon JA, Kirkland AO, Howley ET, Duncan GE, Johnson KR. Energy cost of stair climbing and descending on the college alumnus questionnaire. Med Sci Sports Exerc. 1997;29(9):1250–4.CrossRefPubMed
13.
go back to reference Teh KC, Aziz AR. Heart rate, oxygen uptake, and energy cost of ascending and descending the stairs. Med Sci Sports Exerc. 2002;34(4):695.PubMed Teh KC, Aziz AR. Heart rate, oxygen uptake, and energy cost of ascending and descending the stairs. Med Sci Sports Exerc. 2002;34(4):695.PubMed
14.
go back to reference Boreham CAG, Kennedy RA, Murphy MH, Tully M, Wallace WFM, Young I. Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women. Br J Sports Med. 2005;39(9):590.CrossRefPubMedPubMedCentral Boreham CAG, Kennedy RA, Murphy MH, Tully M, Wallace WFM, Young I. Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women. Br J Sports Med. 2005;39(9):590.CrossRefPubMedPubMedCentral
15.
go back to reference Andersen LL, Sundstrup E, Boysen M, Jakobsen MD, Mortensen OS, Persson R. Cardiovascular Health Effects of Internet-Based Encouragements to Do Daily Workplace Stair-Walks: Randomized Controlled Trial. Journal Of Medical Internet Research. 2013;15(6):e127.CrossRefPubMedPubMedCentral Andersen LL, Sundstrup E, Boysen M, Jakobsen MD, Mortensen OS, Persson R. Cardiovascular Health Effects of Internet-Based Encouragements to Do Daily Workplace Stair-Walks: Randomized Controlled Trial. Journal Of Medical Internet Research. 2013;15(6):e127.CrossRefPubMedPubMedCentral
16.
go back to reference Meyer P, Kayser B, Kossovsky MP, et al. Stairs instead of elevators at workplace: cardioprotective effects of a pragmatic intervention. Eur J Cardiovasc Prev Rehabil. 2010;17(5):569–75.CrossRefPubMed Meyer P, Kayser B, Kossovsky MP, et al. Stairs instead of elevators at workplace: cardioprotective effects of a pragmatic intervention. Eur J Cardiovasc Prev Rehabil. 2010;17(5):569–75.CrossRefPubMed
18.
go back to reference Westmeier-shuh J, Parr BB, Dewitt CM, Woeber KW. Time Required for Stair and Elevator Use: Implications for a Physical Activity Intervention. Med Sci Sports Exerc. 2007;39(Supplement):S195.CrossRef Westmeier-shuh J, Parr BB, Dewitt CM, Woeber KW. Time Required for Stair and Elevator Use: Implications for a Physical Activity Intervention. Med Sci Sports Exerc. 2007;39(Supplement):S195.CrossRef
19.
go back to reference Cohen SM. Examining the effects of a health promotion intervention on the use of stairs. Journal of Articles in Support of the Null Hypothesis. 2013;10(1):17. Cohen SM. Examining the effects of a health promotion intervention on the use of stairs. Journal of Articles in Support of the Null Hypothesis. 2013;10(1):17.
20.
go back to reference Kerr J, Eves F, Carroll D. Can posters prompt stair use in a worksite environment? J Occup Health. 2001;43(4):205–7.CrossRef Kerr J, Eves F, Carroll D. Can posters prompt stair use in a worksite environment? J Occup Health. 2001;43(4):205–7.CrossRef
22.
go back to reference Marshall AL, Bauman AE, Patch C, Wilson J, Chen J. Can motivational signs prompt increases in incidental physical activity in an Australian health-care facility? Health Educ Res. 2002;17(6):743–9.CrossRefPubMed Marshall AL, Bauman AE, Patch C, Wilson J, Chen J. Can motivational signs prompt increases in incidental physical activity in an Australian health-care facility? Health Educ Res. 2002;17(6):743–9.CrossRefPubMed
23.
go back to reference Eves FF, Webb OJ, Mutrie N. A workplace intervention to promote stair climbing: greater effects in the overweight. Obesity. 2006;14(12):2210.CrossRefPubMed Eves FF, Webb OJ, Mutrie N. A workplace intervention to promote stair climbing: greater effects in the overweight. Obesity. 2006;14(12):2210.CrossRefPubMed
24.
go back to reference Eves FF, Webb OJ, Griffin C, Chambers J. A multi-component stair climbing promotional campaign targeting calorific expenditure for worksites; a quasi-experimental study testing effects on behaviour, attitude and intention. BMC Public Health. 2012;12:423.CrossRefPubMedPubMedCentral Eves FF, Webb OJ, Griffin C, Chambers J. A multi-component stair climbing promotional campaign targeting calorific expenditure for worksites; a quasi-experimental study testing effects on behaviour, attitude and intention. BMC Public Health. 2012;12:423.CrossRefPubMedPubMedCentral
25.
go back to reference Graham D, Linde J, Cousins J, Jeffery R. Environmental Modifications and 2-Year Measured and Self-reported Stair- Use: A Worksite Randomized Trial. J Primary Prevent. 2013;34(6):413–22.CrossRef Graham D, Linde J, Cousins J, Jeffery R. Environmental Modifications and 2-Year Measured and Self-reported Stair- Use: A Worksite Randomized Trial. J Primary Prevent. 2013;34(6):413–22.CrossRef
26.
go back to reference Aksay E. Do simple warning signs enhance the use of stairs? Health Educ J. 2014;73(6):683–92.CrossRef Aksay E. Do simple warning signs enhance the use of stairs? Health Educ J. 2014;73(6):683–92.CrossRef
27.
go back to reference Eves FF, Olander EK, Nicoll G, Puig-Ribera A, Griffin C. Increasing stair climbing in a train station: The effects of contextual variables and visibility. J Environ Psychol. 2009;29(2):300–3.CrossRef Eves FF, Olander EK, Nicoll G, Puig-Ribera A, Griffin C. Increasing stair climbing in a train station: The effects of contextual variables and visibility. J Environ Psychol. 2009;29(2):300–3.CrossRef
28.
go back to reference Russel WD, Hutchinson J. Comparison of health promotion and deterrent prompts in increasing use of stairs over escalators. Percept Mot Skills. 2000;91:55–61.CrossRef Russel WD, Hutchinson J. Comparison of health promotion and deterrent prompts in increasing use of stairs over escalators. Percept Mot Skills. 2000;91:55–61.CrossRef
29.
go back to reference Grimstvedt ME, Kerr J, Fogt DL, Oswalt SB, Vargas-Tonsing TM, Yin Z. Using Signage to Promote Stair Use on a University Campus: 1596. Med Sci Sports Exerc. 2008;40(Supplement):S253.CrossRef Grimstvedt ME, Kerr J, Fogt DL, Oswalt SB, Vargas-Tonsing TM, Yin Z. Using Signage to Promote Stair Use on a University Campus: 1596. Med Sci Sports Exerc. 2008;40(Supplement):S253.CrossRef
30.
go back to reference Eves FF, Webb OJ. Worksite interventions to increase stair climbing; reasons for caution. Prev Med. 2006;43(1):4.CrossRefPubMed Eves FF, Webb OJ. Worksite interventions to increase stair climbing; reasons for caution. Prev Med. 2006;43(1):4.CrossRefPubMed
31.
go back to reference Russell WD, Ryan GJ, Dzewaltowski DA. The Effects of a Point-of- Decision Prompt for Deterring Sedentary Behavior. Med Sci Sports Exerc. 1999;31(Supplement):S130.CrossRef Russell WD, Ryan GJ, Dzewaltowski DA. The Effects of a Point-of- Decision Prompt for Deterring Sedentary Behavior. Med Sci Sports Exerc. 1999;31(Supplement):S130.CrossRef
32.
go back to reference Eckhardt MR, Kerr J, Taylor WC. Point-of- Decision Signs and Stair Use in a University Worksite Setting: General Versus Specific Messages. American journal of health promotion : AJHP. 2015;29(5):291.CrossRefPubMed Eckhardt MR, Kerr J, Taylor WC. Point-of- Decision Signs and Stair Use in a University Worksite Setting: General Versus Specific Messages. American journal of health promotion : AJHP. 2015;29(5):291.CrossRefPubMed
33.
go back to reference Webb OJ, Eves FF. Promoting stair climbing: intervention effects generalize to a subsequent stair ascent. American journal of health promotion : AJHP. 2007;22(2):114.CrossRefPubMed Webb OJ, Eves FF. Promoting stair climbing: intervention effects generalize to a subsequent stair ascent. American journal of health promotion : AJHP. 2007;22(2):114.CrossRefPubMed
34.
go back to reference Kerr J, Eves FF, Carroll D. Getting More People on the Stairs: The Impact of a New Message Format. J Health Psychol. 2001;6(5):495–500.CrossRefPubMed Kerr J, Eves FF, Carroll D. Getting More People on the Stairs: The Impact of a New Message Format. J Health Psychol. 2001;6(5):495–500.CrossRefPubMed
35.
go back to reference Boutelle KN, Jeffery RW, Murray DM, Kathryn M, Schmitz H. Using signs, artwork, and music to promote stair use in a public building. (Research). The. Am J Public Health. 2001;91(12):2004.CrossRefPubMedPubMedCentral Boutelle KN, Jeffery RW, Murray DM, Kathryn M, Schmitz H. Using signs, artwork, and music to promote stair use in a public building. (Research). The. Am J Public Health. 2001;91(12):2004.CrossRefPubMedPubMedCentral
36.
go back to reference Schumacher JE, Utley J, Sutton L, et al. Boosting Workplace Stair Utilization: A Study of Incremental Reinforcement. Rehabil Psychol. 2013;58(1):81–6.CrossRefPubMed Schumacher JE, Utley J, Sutton L, et al. Boosting Workplace Stair Utilization: A Study of Incremental Reinforcement. Rehabil Psychol. 2013;58(1):81–6.CrossRefPubMed
37.
go back to reference Schultz PW, Nolan JM, Cialdini RB, Goldstein NJ, Griskevicius V. The Constructive, Destructive, and Reconstructive Power of Social Norms. Psychol Sci. 2007;18(5):429–34.CrossRefPubMed Schultz PW, Nolan JM, Cialdini RB, Goldstein NJ, Griskevicius V. The Constructive, Destructive, and Reconstructive Power of Social Norms. Psychol Sci. 2007;18(5):429–34.CrossRefPubMed
38.
go back to reference Deci EL, Koestner R, Ryan RM. A Meta- Analytic Review of Experiments Examining the Effects of Extrinsic Rewards on Intrinsic Motivation. Psychol Bull. 1999;125(6):627–68.CrossRefPubMed Deci EL, Koestner R, Ryan RM. A Meta- Analytic Review of Experiments Examining the Effects of Extrinsic Rewards on Intrinsic Motivation. Psychol Bull. 1999;125(6):627–68.CrossRefPubMed
39.
go back to reference Lewis A, Eves F. Specific Effects of a Calorie-Based Intervention on Stair Climbing in Overweight Commuters. Ann Behav Med. 2011;42(2):257–61.CrossRefPubMed Lewis A, Eves F. Specific Effects of a Calorie-Based Intervention on Stair Climbing in Overweight Commuters. Ann Behav Med. 2011;42(2):257–61.CrossRefPubMed
40.
go back to reference Thaler RH, Sunstein CR. Nudge - Improving decisions about health, wealth and happiness. 2nd ed. London: Penguin; 2009. Thaler RH, Sunstein CR. Nudge - Improving decisions about health, wealth and happiness. 2nd ed. London: Penguin; 2009.
41.
go back to reference Thomas JR. Research methods in physical activity. 6th ed. ed. Champaign: Human Kinetics; 2011. Thomas JR. Research methods in physical activity. 6th ed. ed. Champaign: Human Kinetics; 2011.
42.
go back to reference Kwak L, Kremers SPJ, van Baak MA, Brug J. A poster-based intervention to promote stair use in blue- and white-collar worksites. Prev Med. 2007;45(2-3):177.CrossRefPubMed Kwak L, Kremers SPJ, van Baak MA, Brug J. A poster-based intervention to promote stair use in blue- and white-collar worksites. Prev Med. 2007;45(2-3):177.CrossRefPubMed
43.
go back to reference Olander EK, Eves FF, Puig-Ribera A. Promoting stair climbing: Stair- riser banners are better than posters… sometimes. Prev Med. 2008;46(4):308–10.CrossRefPubMed Olander EK, Eves FF, Puig-Ribera A. Promoting stair climbing: Stair- riser banners are better than posters… sometimes. Prev Med. 2008;46(4):308–10.CrossRefPubMed
44.
go back to reference Zacharias J, Ling R. Choosing Between Stairs and Escalator in Shopping Centers. Environ Behav. 2015;47(6):694–709.CrossRef Zacharias J, Ling R. Choosing Between Stairs and Escalator in Shopping Centers. Environ Behav. 2015;47(6):694–709.CrossRef
45.
go back to reference Ruff RR, Rosenblum R, Fischer S, Meghani H, Adamic J, Lee KK. Associations between building design, point-of-decision stair prompts, and stair use in urban worksites. Prev Med. 2013;60:60–4.CrossRefPubMed Ruff RR, Rosenblum R, Fischer S, Meghani H, Adamic J, Lee KK. Associations between building design, point-of-decision stair prompts, and stair use in urban worksites. Prev Med. 2013;60:60–4.CrossRefPubMed
46.
go back to reference Solbraa AK, Mamen A, Resaland GK, et al. Level of physical activity, cardiorespiratory fitness and cardiovascular disease risk factors in a rural adult population in Sogn og Fjordane. Norsk Epidemiologi. 2011;20(2):179-88. Solbraa AK, Mamen A, Resaland GK, et al. Level of physical activity, cardiorespiratory fitness and cardiovascular disease risk factors in a rural adult population in Sogn og Fjordane. Norsk Epidemiologi. 2011;20(2):179-88.
48.
go back to reference Breivik G, Rafoss K. Fysisk aktivitet; omfang, tilrettelegging og sosial ulikhet – en oppdatering og revisjon. Oslo/Alta: Helsedirektoratet (The Norwegian Directorate of Health); 2012. Breivik G, Rafoss K. Fysisk aktivitet; omfang, tilrettelegging og sosial ulikhet – en oppdatering og revisjon. Oslo/Alta: Helsedirektoratet (The Norwegian Directorate of Health); 2012.
49.
go back to reference Adams J, White M. A systematic approach to the development and evaluation of an intervention promoting stair use. Health Educ J. 2002;61(3):272.CrossRef Adams J, White M. A systematic approach to the development and evaluation of an intervention promoting stair use. Health Educ J. 2002;61(3):272.CrossRef
Metadata
Title
Promoting workplace stair climbing: sometimes, not interfering is the best
Authors
Andreas Åvitsland
Ane Kristiansen Solbraa
Amund Riiser
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Archives of Public Health / Issue 1/2017
Electronic ISSN: 2049-3258
DOI
https://doi.org/10.1186/s13690-016-0170-8

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