Abstract

Sedentary behaviour is associated with poor health outcomes, and office-based workers are at significant health risk, as they accumulate large proportions of their overall sitting time at work. The aim of this integrated systematic review was to collate and synthesize published research on sedentary behaviour interventions in the workplace that have reported on at least one an aspect of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. Studies were included if they involved adult office workers, were conducted in an office setting, and changes in sedentary behaviour had been measured as a primary outcome. Five electronic databases were searched yielding 7234 articles, with 75 articles (61 individual interventions) meeting the inclusion criteria. Reach indicators were the most frequently reported RE-AIM dimensions, which were reported on average 59% of the time. Efficacy/effectiveness was the second most reported dimension at 49% reporting across all of the indicators. Implementation indicators were reported an average of 44% of the time, with indicators of adoption and maintenance reported as the lowest of all indicators at 13% and 8%, respectively. Recommendations are provided to improve reporting across all RE-AIM dimensions, which is an important first step to enable the effective translation of interventions into real world settings.

Highlights

  • Sedentary behaviour (SB), or sitting time, is associated with an increased risk of chronic diseases, such as metabolic syndrome, cardiovascular disease, and diabetes mellitus, in addition to increased all-cause mortality in adults [1,2,3]

  • Research suggests that office-based workers are at significant health risk, as they accumulate large proportions of their overall sitting time at work [7,8,9]

  • The purpose of this review is to provide an understanding of the depth of reporting of indicators across the RE-AIM dimensions

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Summary

Introduction

Sedentary behaviour (SB), or sitting time, is associated with an increased risk of chronic diseases, such as metabolic syndrome, cardiovascular disease, and diabetes mellitus, in addition to increased all-cause mortality in adults [1,2,3]. Research suggests that office-based workers are at significant health risk, as they accumulate large proportions of their overall sitting time at work [7,8,9]. There has been an increase in interventions targeting sedentary office workers [12,13,14,15], and a number of reviews of the intervention work have followed [16,17,18,19] The majority of these reviews have provided an evaluation of these interventions in relation to indicators of “efficacy” [16,17,18,19]. Public Health 2018, 15, 2876; doi:10.3390/ijerph15122876 www.mdpi.com/journal/ijerph

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