Abstract
Background: Prolonged sedentary behaviour (SB) is associated with risk of chronic diseases. Digital interventions in SB require mixed method evaluations to understand potential for impact in real-world settings. In this study, the RE-AIM QuEST evaluation framework will be used to understand the potential of a digital health promotion application which targets reducing and breaking up SB across multiple workplace settings. Methods: Four companies and 80 employees were recruited to use a digital application. Questionnaires were used to measure SB, and additional health and work-related outcomes at baseline, one month, three month and six month follow-up. Qualitative data was collected through focus groups with employees and interviews with stakeholders. Questionnaire data was analysed using Wilcoxon Sign Rank tests and qualitative data was thematically analysed. Results: The digital application significantly increased standing time at one month for the total group and transitions per hour in one of the companies. Facilitators and barriers were identified across RE-AIM. Conclusions: Addressing the barriers which have been identified, while maintaining the positive attributes will be critical to producing an effective digital application which also has the potential for impact in the real world.
Highlights
Sedentary behaviour or sitting time is any waking behaviour which is under 1.5 metabolic equivalents done whilst seated or in a recline position [1]
Digital interventions to reduce sitting time in office workers may have the potential to reach large populations of employees for minimal resources; little is known of this potential as most interventions report only on the effect on behaviour; and very few evaluate for wider potential for impact across settings, under real-world conditions [8,9,10]
Histograms were generated and visually inspected for skewness and kurtosis. These analyses showed the majority of the data was not normally distributed, and non-parametric Wilcoxon Sign Rank tests were conducted [28,29,30,31,32]
Summary
Sedentary behaviour or sitting time is any waking behaviour which is under 1.5 metabolic equivalents done whilst seated or in a recline position [1]. Digital interventions to reduce sitting time in office workers may have the potential to reach large populations of employees for minimal resources; little is known of this potential as most interventions report only on the effect on behaviour; and very few evaluate for wider potential for impact across settings, under real-world conditions [8,9,10]. Experts have suggested that these evaluations should be performed in early phases of research [13,14,15], and evaluate multiple indicators of real-world potential, to enable early understanding of the adaptations which may be needed to have large scale, real-world impact [8,13,15,16,17]
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