Reducing occupational sitting: Workers' perspectives on participation in a multi-component intervention.
Reducing occupational sitting: Workers' perspectives on participation in a multi-component intervention.
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DOI：
10.1186/s12966-017-0530-y
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发表时间：
2017-05-30
期刊：
影响因子：
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通讯作者：
Lawler SP
中科院分区：
文献类型：
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作者：
Hadgraft NT;Willenberg L;LaMontagne AD;Malkoski K;Dunstan DW;Healy GN;Moodie M;Eakin EG;Owen N;Lawler SP
办公室工作人员花很多时间坐着，现在被认为是几种慢性疾病的危险因素。这项定性研究检查了参与者的观点，他们参与了一项针对长时间工作场所静坐的多成分干预的随机对照试验（Stand Up维多利亚）。干预措施包括坐立工作站，个人健康指导和组织支持策略。该研究的目的是探讨干预措施的可接受性，减少工作场所久坐的障碍和促进因素，以及干预措施对工作场所文化，生产力和健康相关结果的影响。在12个月的试验结束时，对干预参与者进行了半结构化访谈（n = 21名参与者）和两个焦点小组（n = 7），并使用主题分析来分析数据。问题包括干预的可接受性，整体影响，减少工作场所坐着的障碍和促进因素，以及对生产力和工作场所文化的影响。总体而言，参与者有积极的干预经验，认为减少工作场所的坐姿与改善健康和福祉有关，对工作表现的负面影响有限。虽然坐立工作站似乎是变化的主要驱动力，工作站的设计和有限的适合性站在一些工作任务和情况被认为是他们的使用障碍。团队领导者和其他参与者的社会支持被认为有助于促进行为改变和规范转变，以提高对工作场所站立的接受度。减少工作场所久坐的多成分干预措施，包括坐立工作站，是可以接受的，也是可行的;但是，需要支持性的社会和环境条件来支持参与者的参与。减少工作场所久坐的最佳做法应解决对行为的多层次影响，包括可能阻碍行为改变的因素。本文的在线版本（doi：10.1186/s12966-017-0530-y）包含补充材料，可供授权用户使用。
Office workers spend much of their time sitting, which is now understood to be a risk factor for several chronic diseases. This qualitative study examined participants’ perspectives following their involvement in a cluster randomised controlled trial of a multi-component intervention targeting prolonged workplace sitting (Stand Up Victoria). The intervention incorporated a sit-stand workstation, individual health coaching and organisational support strategies. The aim of the study was to explore the acceptability of the intervention, barriers and facilitators to reducing workplace sitting, and perceived effects of the intervention on workplace culture, productivity and health-related outcomes. Semi-structured interviews (n = 21 participants) and two focus groups (n = 7) were conducted with intervention participants at the conclusion of the 12 month trial and thematic analysis was used to analyse the data. Questions covered intervention acceptability, overall impact, barriers and facilitators to reducing workplace sitting, and perceived impact on productivity and workplace culture. Overall, participants had positive intervention experiences, perceiving that reductions in workplace sitting were associated with improved health and well-being with limited negative impact on work performance. While sit-stand workstations appeared to be the primary drivers of change, workstation design and limited suitability of standing for some job tasks and situations were perceived as barriers to their use. Social support from team leaders and other participants was perceived to facilitate behavioural changes and a shift in norms towards increased acceptance of standing in the workplace. Multi-component interventions to reduce workplace sitting, incorporating sit-stand workstations, are acceptable and feasible; however, supportive social and environmental conditions are required to support participant engagement. Best practice approaches to reduce workplace sitting should address the multiple levels of influence on behaviour, including factors that may act as barriers to behavioural change. The online version of this article (doi:10.1186/s12966-017-0530-y) contains supplementary material, which is available to authorized users.