Abstract

Prolonged sitting has been linked to adverse health outcomes; therefore, we developed and examined a web-based, computer-tailored workplace sitting intervention. As we had previously shown good effectiveness, the next stage was to conduct a dissemination study. This study reports on the dissemination efforts of a health promotion organisation, associated costs, reach achieved, and attributes of the website users. The organisation systematically registered all the time and resources invested to promote the intervention. Website usage statistics (reach) and descriptive statistics (website users’ attributes) were also assessed. Online strategies (promotion on their homepage; sending e-mails, newsletters, Twitter, Facebook and LinkedIn posts to professional partners) were the main dissemination methods. The total time investment was 25.6 h, which cost approximately 845 EUR in salaries. After sixteen months, 1599 adults had visited the website and 1500 (93.8%) completed the survey to receive personalized sitting advice. This sample was 38.3 ± 11.0 years, mainly female (76.9%), college/university educated (89.0%), highly sedentary (88.5% sat >8 h/day) and intending to change (93.0%) their sitting. Given the small time and money investment, these outcomes are positive and indicate the potential for wide-scale dissemination. However, more efforts are needed to reach men, non-college/university educated employees, and those not intending behavioural change.

Highlights

  • The increasing prevalence of sedentary behaviours (i.e., any waking behaviour characterized by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining or lying posture; [1]) in modern society [2], is an emerging public health concern

  • This study aimed to investigate: (i) how a health promotion organisation promoted the evidence-based, computer-tailored Start to Stand intervention to reduce workplace sitting, (ii) what investments were made, and (iii) who was reached by the dissemination efforts

  • The evidence-based, computer-tailored website for reducing workplace sitting that was promoted by the local health promotion organisation is called ‘Start to Stand’

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Summary

Introduction

The increasing prevalence of sedentary behaviours (i.e., any waking behaviour characterized by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining or lying posture; [1]) in modern society [2], is an emerging public health concern. Current evidence links sedentary behaviours to several adverse physical and mental health outcomes [3,4], and high levels of sitting are common in many workplaces [5,6,7]. Res. Public Health 2018, 15, 1049; doi:10.3390/ijerph15051049 www.mdpi.com/journal/ijerph

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