Abstract
BackgroundUPnGO with ParticipACTION (UPnGO) was a commercialized 12-month workplace physical activity intervention, aimed at encouraging employees to sit less and move more at work. Its design took advantage of the ubiquitous nature of mobile fitness trackers and aimed to be implemented in any office-based workplace in Canada. The program was available at cost from June 2017 to April 2020. The objectives of this study are to evaluate the program and identify key lessons from the commercialization of UPnGO.MethodsUsing a quasi-experimental design over 3 time points: baseline, 6 months, 12 months, five evaluation indicators were measured as guided by the RE-AIM framework. Reach was defined as the number and percentage of employees who registered for UPnGO and the number and percentage of sedentary participants registered. Effectiveness was assessed through average daily step count. Adoption was determined by workplace champion and senior leadership responses to the off-platform survey. Implementation was assessed as the percentage of participants who engaged with specific program elements at the 3-evaluation time points. Maintenance was assessed by the number of companies who renewed their contracts for UPnGO.ResultsReach across 17 organizations, 1980 employees participated in UPnGO, with 27% of participants identified as sedentary at baseline. Effectiveness Daily step count declined from 7,116 ± 3,558 steps at baseline to 6,969 ± 6,702 (p = <0.001) at 12 months. Adoption Workplace champion and senior leadership engagement declined from 189 to 21 and 106 to 5 from baseline to 12 months, respectively. Maintenance Two companies renewed their contracts beyond the first year.ConclusionsThe commercialization of UPnGO was an ambitious initiative that met with limited success; however, some key lessons can be generated from the attempt. The workplace remains an important environment for PA interventions but effective mHealth PA programs may be difficult to implement and sustain long-term.
Highlights
Being physically inactive, defined as not meeting physical activity (PA) guidelines (1), is a major risk factor for cardiovascular diseases, certain cancers, chronic respiratory diseases and type 2 diabetes (2)
When we looked at only the participants who had step data at all 3 time points, we observed a decline in step count at 12 months (Baseline: 7,915 ± 3,656 steps/day, 6 Months: 7,622 ± 3,312 steps/day, 12 Months: 6,905 ± 3,531 steps/day; p < 0.001)
This study demonstrated the feasibility of commercializing a workplace PA intervention with 17 companies participating
Summary
Being physically inactive, defined as not meeting physical activity (PA) guidelines (1), is a major risk factor for cardiovascular diseases, certain cancers, chronic respiratory diseases and type 2 diabetes (2). Increases in physical inactivity may be related to changes to the nature of work throughout the twentieth and twenty-first century. With workers spending ∼8.5 h per day working (5), the workplace, and the office-based workplace, is an important setting to promote PA. Mobile health (mHealth) interventions may be an effective way to promote PA in the workplace. Workplace PA interventions have demonstrated low-quality evidence and limited effectiveness (7, 8) with the effectiveness highly dependent on the type and content of the program, but the population, study characteristics, and methodology as well (7). UPnGO with ParticipACTION (UPnGO) was a commercialized 12-month workplace physical activity intervention, aimed at encouraging employees to sit less and move more at work. Its design took advantage of the ubiquitous nature of mobile fitness trackers and aimed to be implemented in any office-based workplace in Canada.
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