Abstract

BackgroundProlonged sitting, a significant risk factor for increased morbidity and mortality, is accumulated mostly in the workplace. There is limited research targeting specific at-risk populations to reduce occupational sedentary behaviour. A recent study found that professional males have the longest workplace sitting times. Current evidence supports the use of multi-level interventions developed using participative approaches. This study’s primary aims are to test the viability of a future definitive intervention trial using a randomised pilot study, with secondary aims to explore the acceptability and feasibility of a multicomponent intervention to reduce workplace sitting.MethodsTwo professional companies in Dublin, Ireland, will take part in a cluster randomised crossover pilot study. Office-based males will be recruited and randomised to the control or the intervention arms. The components of the intervention target multiple levels of influence including individual determinants (via mHealth technology to support behaviour change techniques), the physical work environment (via provision of an under-desk pedal machine), and the organisational structures and culture (via management consultation and recruitment to the study). The outcomes measured are recruitment and retention, minutes spent sedentary, and physical activity behaviours, work engagement, and acceptability and feasibility of the workplace intervention.DiscussionThis study will establish the acceptability and feasibility of a workplace intervention which aims to reduce workplace SB and increase PA. It will identify key methodological and implementation issues that need to be addressed prior to assessing the effectiveness of this intervention in a definitive cluster randomised controlled trial.

Highlights

  • MethodsTwo professional companies in Dublin, Ireland, will take part in a cluster randomised crossover pilot study

  • Prolonged periods of daily sedentary behaviour (SB) are associated with increased mortality, cardiovascular morbidity, diabetes [1,2,3], some cancers [4, 5], depression [6], and decreased self-rated health [7]

  • Assessing the acceptability and feasibility of complex interventions in terms of what works, for whom and under what circumstances, and aiming to refine hypotheses about potential mechanisms of action and how these might vary by context has been suggested as more appropriate to better develop interventions [66] and can be integrated to the Medical Research Council (MRC) framework [65, 67]

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Summary

Methods

Design Intervention development process This intervention was developed using guidance from the Medical Research Council (MRC) [64, 65] and encompasses three distinct phases. EMA involves repeated sampling of participants’ current behaviours and experiences in real time and in their natural environments This is useful to specify the type of activity or contextual factors (e.g., physical, social, temporal, affective) surrounding these behaviours which are important factors to consider when developing interventions and that cannot be provided by objective measures [79]. Evaluation of participants’ perspectives of the intervention will be assessed via focus groups and/or semistructured interviews using the following themes: Pilot outcomes Trial-related outcomes will be explored within the focus groups and/or semi-structured interviews which includes: Experience of using the under-desk pedal machines, including factors perceived as affecting the pedal machine, issues (e.g. contextual, practical, individual, or others), and adverse consequences (e.g. work, health, or otherwise related) Experiences of the mHealth intervention components (e.g. Garmin watch) Organisational-level and management perspectives on using the pedal machine Acceptability of the overall intervention by the users, from a management and employee perspective. The main analysis of this study will include thematic analysis, and no software package will be used to analyse the data

Discussion
Introduction
Findings
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