Abstract
BackgroundHigh levels of sedentary behaviour (SB) are associated with non-communicable diseases. In 2016, the estimated total healthcare expenditure from physical activity (PA) in Thailand added up to $190 million in international dollars. The challenge to reduce SB and increase PA among office workers is more urgent now than ever as Thailand is transforming itself from a predominantly rural country to an increasingly urban one. This study will investigate the effectiveness of a multicomponent short break intervention on the reduction of SB during office hours.Methods/designThis two-armed Physical Activity at Work (PAW) cluster randomised controlled trial will recruit 360 office workers from 18 offices in the Thailand’s Ministry of Public Health (MOPH). Offices will be randomised to either the intervention group or the control group. The multicomponent intervention is informed by the Social Ecological Model and Behaviour Change Techniques (BCTs) and contains four components: (i) organisational, including heads of the participating divisions leading exercises, sending encouragement text messages and acknowledging efforts; (ii) social, including team movement breaks and team-based incentives; (iii) environmental, including posters to encourage exercise; and (iv) individual components including real-time PA feedback via an individual device. The main intervention component will be a short break intervention. The primary outcome of this study is the sedentary time of office workers. Secondary outcomes include time spent on PA, cardiometabolic outcomes, work productivity, musculoskeletal pain, and quality of life. The study also includes process and economic evaluations from the individual and societal perspective.DiscussionThe study will be the first experimental study in Thailand to investigate the effect of a short-break intervention at the workplace on SBs of office workers and health outcomes. The study will also include a cost-effectiveness analysis to inform investments on short break interventions under the Universal Healthcare Coverage in Thailand, which includes health promotion and disease prevention component.Trial registrationThe PAW study has been registered at the Thai Clinical Trials Registry (TCTR) under the study ID TCTR20200604007. Registered 02 June 2020,
Highlights
High levels of sedentary behaviour (SB) are associated with non-communicable diseases
We aim to conduct a person-level economic evaluation to report a short-term economic impact of the Physical Activity at Work (PAW) program using the data from the trial within the study period
This paper describes the design of a cluster randomised trial that will evaluate the effects of the multicomponent PAW behavioural intervention on SB and other outcomes in desk-based office workers in a low- and middle-income country
Summary
High levels of sedentary behaviour (SB) are associated with non-communicable diseases. In 2016, the estimated total healthcare expenditure from physical activity (PA) in Thailand added up to $190 million in international dollars. The negative effects of sedentary behaviour (SB) and a lack of physical activity (PA) on health have been well documented [1,2,3,4,5,6,7,8]. 6.3% of all-cause mortality in Thailand is due to physical inactivity [12]. The estimated total healthcare costs from physical inactivity in Thailand accounted for $190 million in international dollars (INT$ was calculated using purchasing power parity conversion factors from 2013) [13]. According to the Thai Health Promotion Foundation, Thais spend on average 2 h a day engaging in PA and about 13 h in SB [14]
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