Qualitative comparative analysis of the implementation fidelity of a workplace sedentary reduction intervention.
Qualitative comparative analysis of the implementation fidelity of a workplace sedentary reduction intervention.
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DOI：
10.1186/s12889-022-13476-3
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发表时间：
2022-05-31
影响因子：
4.5
通讯作者：
Buman, Matthew P.
中科院分区：
文献类型：
--
作者：
Leonard, Krista S.;Mullane, Sarah L.;Golden, Caitlin A.;Rydell, Sarah A.;Mitchell, Nathan R.;Koskan, Alexis;Estabrooks, Paul A.;Pereira, Mark A.;Buman, Matthew P.
站立和移动工作是一项为期12个月，多组件，同行领导（干预交付人员）的工作场所干预，以减少久坐时间。虽然成功，但减少久坐时间的幅度因干预工作地点而异。本研究的目的是使用定性比较分析的方法来检查潜在的解释因素，这些因素可以根据减少的久坐时间来区分高绩效和低绩效的工作场所。我们在12个工作地点使用加速度计客观地评估了12个月内员工久坐时间的变化。我们根据久坐时间的变化幅度对工作场所进行了排名，并将工作场所分为高绩效和低绩效。在卫生服务研究实施综合促进行动框架的指导下，我们创建了一个与遵守协议和干预提供人员（即实施人员）能力相关的干预保真度指标。然后，我们从员工访谈和调查以及交付人员调查中收集信息。这些数据被聚合，输入到一个真值表中（即，一个包含实现结构存在与否的表），并用于检查高绩效和低绩效工作站点之间的差异。在高工作场所（-75.2分钟/8小时工作日，CI95: -93.7, -56.7）和低工作场所（-30.3分钟/8小时工作日，CI95: -38.3, -22.7），久坐时间的变化幅度存在实质性差异。在所有高绩效场所中存在的条件包括实现室内/室外步行路线的可达性，完成交付人员调查，以及支持休息的工作场所文化（即遵守协议）。在实施者继续角色的意愿和使用面对面互动/阶梯策略（即，交付人员能力）的员工中发现了类似的模式。然而，这些因素中的每一个也出现在一些表现较差的站点中，这表明我们无法确定足够的条件来预测项目的成功。更高的干预依从性和实施者的能力对于更大的项目成功是必要的。这些发现表明，需要进一步的研究来确定哪些因素可能影响干预的保真度，进而影响干预的有效性。ClinicalTrials.gov标识符：NCT02566317。2015年10月2日注册，第一位参与者于2016年1月11日注册。在线版本包含补充材料，可在10.1186/s12889-022-13476-3获得。
Stand and Move at Work was a 12-month, multicomponent, peer-led (intervention delivery personnel) worksite intervention to reduce sedentary time. Although successful, the magnitude of reduced sedentary time varied by intervention worksite. The purpose of this study was to use a qualitative comparative analysis approach to examine potential explanatory factors that could distinguish higher from lower performing worksites based on reduced sedentary time. We assessed 12-month changes in employee sedentary time objectively using accelerometers at 12 worksites. We ranked worksites based on the magnitude of change in sedentary time and categorized sites as higher vs. lower performing. Guided by the integrated-Promoting Action on Research Implementation in Health Services framework, we created an indicator of intervention fidelity related to adherence to the protocol and competence of intervention delivery personnel (i.e., implementer). We then gathered information from employee interviews and surveys as well as delivery personnel surveys. These data were aggregated, entered into a truth table (i.e., a table containing implementation construct presence or absence), and used to examine differences between higher and lower performing worksites. There were substantive differences in the magnitude of change in sedentary time between higher (-75.2 min/8 h workday, CI95: -93.7, -56.7) and lower (-30.3 min/8 h workday, CI95: -38.3, -22.7) performing worksites. Conditions that were present in all higher performing sites included implementation of indoor/outdoor walking route accessibility, completion of delivery personnel surveys, and worksite culture supporting breaks (i.e., adherence to protocol). A similar pattern was found for implementer willingness to continue role and employees using face-to-face interaction/stair strategies (i.e., delivery personnel competence). However, each of these factors were also present in some of the lower performing sites suggesting we were unable to identify sufficient conditions to predict program success. Higher intervention adherence and implementer competence is necessary for greater program success. These findings illustrate the need for future research to identify what factors may influence intervention fidelity, and in turn, effectiveness. ClinicalTrials.gov Identifier: NCT02566317. Registered 2 October 2015, first participant enrolled 11 January 2016. The online version contains supplementary material available at 10.1186/s12889-022-13476-3.
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影响因子：
3.5
作者：
Elliott, DS;Mihalic, S
通讯作者：
Mihalic, S
DOI：
10.1249/mss.0b013e31820ce174
发表时间：
2011-08-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Kozey-Keadle, Sarah;Libertine, Amanda;Freedson, Patty S.
通讯作者：
Freedson, Patty S.
影响因子：
3.4
作者：
Dy, SM;Garg, P;Wu, AW
通讯作者：
Wu, AW
影响因子：
7.2
作者：
Harvey, Gill;Kitson, Alison
通讯作者：
Kitson, Alison
DOI：
10.1186/s12966-017-0576-x
发表时间：
2017-08-31
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Mullane SL;Toledo MJL;Rydell SA;Feltes LH;Vuong B;Crespo NC;Pereira MA;Buman MP
通讯作者：
Buman MP