BeUpstanding™ 的全国实施试验:工人少坐多动的在线倡议。

IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS
Genevieve N Healy, Ana D Goode, Lisa Ulyate, Alison Abbott, David W Dunstan, Elizabeth G Eakin, Nicholas D Gilson, Lynn Gunning, Jodie Jetann, Anthony D LaMontagne, Marj Moodie, Samantha Mulcahy, Neville Owen, Trevor Shilton, Leanne Sweeny, Leon Straker, Elisabeth A H Winkler
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引用次数: 0

摘要

背景:在线 BeUpstanding™ 计划是一项为期八周、由工作场所提供的干预措施,适用于坐办公桌的工作人员,旨在提高他们对少坐多动好处的认识,并建立一种支持变革的文化。该计划由一名工作场所代表("倡导者")负责实施,其中包括一个研讨会,由团队集体选择少坐/多动策略。工具包为 "倡导者 "提供了分步指南和相关资源,以支持计划的吸收、实施和评估。在此,我们将报告 BeUpstanding 澳大利亚全国实施试验的主要结果:招募工作(2019 年 6 月 12 日至 2021 年 9 月 30 日)得到了五个政策和实践合作伙伴的支持,目标群体是澳大利亚各地的案头工作团队。通过单臂、重复测量试验来衡量有效性。通过在线调查、工具包分析以及与倡导者的电话联系收集数据。在 RE-AIM 框架的指导下进行评估,包括采用/推广(数量和特征);有效性(主要:自我报告的工作场所久坐时间);实施(完成核心组件;成本);以及在此报告的维护意愿。线性混合模型对群组进行了校正,并对有效性、覆盖范围、采用、实施和维护结果进行了描述:在招募期间注册 BeUpstanding 的 1640 名网站用户中,有 233 人符合条件,198 人(85%)提供了初步同意书,118 名冠军(50.6%)同意并开始试验,其中 94%(n = 111 名冠军)完成了试验。参与试验的员工来自澳大利亚各地和各行各业,共有 2,761 名员工,其中 2,248 人参与了员工调查:65% 为女性;64% 接受过大学教育;17% 来自非英语背景。该计划有效地改变了工作场所的坐姿(-38.5 [95%CI -46.0 to -28.7]分钟/8小时工作日)和 "杰出 "计划的所有目标结果(行为和文化),并观察到小到中等程度的统计学显著效果。所有参与团队(n = 94)至少完成了 5/7 个核心步骤;72.4% 的团队完成了全部 7 个步骤。大多数冠军团队的每位成员花费为 0 美元(72%)或大于 0-5 美元(10%);大多数团队(67/70 96%)打算继续或重复参加该计划:结论:BeUpstanding 可被各种工作场所采用并成功实施,可惠及不同的员工,并能有效地为办公桌前的员工团队创造一种少坐多动的支持性文化。通过学习,我们将对该计划进行优化,以实现长期可持续性:ACTRN12617000682347。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
National implementation trial of BeUpstanding™: an online initiative for workers to sit less and move more.

Background: The online BeUpstanding™ program is an eight-week workplace-delivered intervention for desk-based workers to raise awareness of the benefits of sitting less and moving more and build a supportive culture for change. A workplace representative (the "champion") delivers the program, which includes a workshop where teams collectively choose their sit less/move more strategies. A toolkit provides the champion with a step-by-step guide and associated resources to support program uptake, delivery, and evaluation. Here we report on the main findings from the Australian national implementation trial of BeUpstanding.

Methods: Recruitment (12/06/2019 to 30/09/2021) was supported by five policy and practice partners, with desk-based work teams from across Australia targeted. Effectiveness was measured via a single arm, repeated-measures trial. Data were collected via online surveys, toolkit analytics, and telephone calls with champions. The RE-AIM framework guided evaluation, with adoption/reach (number and characteristics); effectiveness (primary: self-reported workplace sitting time); implementation (completion of core components; costs); and, maintenance intentions reported here. Linear mixed models, correcting for cluster, were used for effectiveness, with reach, adoption, implementation, and maintenance outcomes described.

Results: Of the 1640 website users who signed-up to BeUpstanding during the recruitment period, 233 were eligible, 198 (85%) provided preliminary consent, and 118 (50.6%) champions consented and started the trial, with 94% (n = 111 champions) completing. Trial participation was from across Australia and across industries, and reached 2,761 staff, with 2,248 participating in the staff survey(s): 65% female; 64% university educated; 17% from a non-English speaking background. The program effectively changed workplace sitting (-38.5 [95%CI -46.0 to -28.7] minutes/8-hour workday) and all outcomes targeted by BeUpstanding (behaviours and culture), with small-to-moderate statistically-significant effects observed. All participating teams (n = 94) completed at least 5/7 core steps; 72.4% completed all seven. Most champions spent $0 (72%) or >$0-$5 (10%) per team member; most (67/70 96%) intended to continue or repeat the program.

Conclusions: BeUpstanding can be adopted and successfully implemented by a range of workplaces, reach a diversity of staff, and be effective at creating a supportive culture for teams of desk-based workers to sit less and move more. Learnings will inform optimisation of the program for longer-term sustainability.

Trial registration: ACTRN12617000682347.

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来源期刊
CiteScore
13.80
自引率
3.40%
发文量
138
审稿时长
4-8 weeks
期刊介绍: International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain. IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.
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