Abstract

BackgroundProlonged sitting increases the risk of cardio-metabolic disease. Office-based employees are particularly susceptible to high rates of this sedentary behaviour during work hours. Laboratory studies indicate that regularly interrupting periods of prolonged sitting with short bouts (2 min) of physical activity can improve markers of cardio-metabolic health. This method of interrupting sitting time is yet to be tested in an occupational setting and may provide an alternative to providing sit-to-stand desks. Drawing on the Behaviour Change Wheel and evidence on the barriers and motivators to performing regular activity breaks, the Move More @ Work intervention was developed. The objectives of this pilot study are to examine the feasibility, and preliminary outcomes, of this intervention designed to encourage participants to perform 1–2 min of activity after every 30 min of continuous sitting throughout the work day. The study will inform if progress to a full effectiveness trial is warranted.MethodsAn interrupted time series design consisting of a 4-week baseline (control period), a 12-week intervention, and a 12-week follow-up will be utilised. At least 57 university employees who self-report spending > 5 h per day sitting at work on at least 3 days per week will be recruited to participate. The intervention consists of (1) a structured consultation with a Move More @ Work coach, containing a number of behaviour change techniques to create an individualised plan of how to incorporate the activity breaks into the working day, and (2) strategies to create a supportive workplace culture for performing the activity breaks. Feasibility will be assessed by recruitment and retention rates, and acceptability of the intervention. Pilot outcomes are the number of regular activity breaks taken during the workday, cardio-metabolic risk score and self-reported health, and work-related productivity outcomes.DiscussionIf the Move More @ Work intervention is shown to be feasible, acceptable, and shows evidence of effectiveness, this will provide justification for the progression to a full scale evaluation of the intervention. In the longer-term, this intervention may provide an alternative means of improving health outcomes through interrupting sedentary time than that offered by current sedentary behaviour interventions.Trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12620000354987. Registered on 12 March 2020

Highlights

  • Prolonged sitting increases the risk of cardio-metabolic disease

  • In the longer-term, this intervention may provide an alternative means of improving health outcomes through interrupting sedentary time than that offered by current sedentary behaviour interventions

  • Pre-intervention period In this interrupted time series design, we will assess participants’ usual pattern of physical activity behaviour over a 4-week period prior to the intervention being introduced. We have identified this as the pre-intervention period and will assess accelerometer-measured physical activity after participants have registered for the study (T1) and 3 weeks later (T2)

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Summary

Methods

Study design and setting An interrupted time series design will be utilised in this study [20, 21]. Pilot study primary outcome The primary outcome is workday physical activity behaviour, the change in the mean number of opportunities to move taken during a workday from the pre-intervention period (T1 and T2) to the end of the intervention (T3) and post-intervention (T4) periods. For the pilot study component, one stated aim is to investigate changes in the number of opportunities to move taken over the work day (by comparing data from the pre-intervention to post-intervention periods) and the extent of participant adherence to the intervention. We have identified this as the pre-intervention period and will assess accelerometer-measured physical activity after participants have registered for the study (T1) and 3 weeks later (T2) This essentially controls for any effects that may arise as a result of being in a study and any potential trends in physical activity across time.

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