Stand & Move at Work II: Effectiveness and Implementation

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• 批准号: 10478887
• 负责人: Matthew P Buman
• 金额: $ 57.67万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-10 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10478887
• 关键词: Address; Adherence; Adult; Behavior Therapy; Behavioral; Body Weight; Cardiovascular Diseases; Chronic Disease; Competence; Costs and Benefits; Dimensions; Effectiveness; Effectiveness of Interventions; Employee; Evidence based intervention; Government; Health; Health Benefit; Health Promotion; Health Services; Industry; Internet; Intervention; Interview; Investments; Knowledge; Maintenance; Malignant Neoplasms; Manufacturer Name; Measures; Musculoskeletal Pain; Non-Insulin-Dependent Diabetes Mellitus; Nonprofit Organizations; Occupations; Promoting Action on Research Implementation in Health Services framework; Public Health; Quality of life; Randomized; Reporting; Research; Risk; Risk Factors; Role; Societies; Speed; Testing; Time; Translating; Variant; Vendor; Work; Workplace; arm; base; behavioral health; cost; effectiveness evaluation; effectiveness implementation study; effectiveness testing; effectiveness trial; efficacy trial; flexibility; follow-up; implementation cost; implementation facilitation; implementation fidelity; implementation outcomes; implementation questions; implementation strategy; implementation trial; improved; innovation; intervention cost; intervention effect; mortality; post implementation; preservation; prevent; primary outcome; programs; public health intervention; public health priorities; randomized trial; sedentary; sedentary lifestyle; social; therapy design; treatment arm; trend; trial design; work-study

Project Summary Sedentary behavior (i.e., sitting) has emerged as an important risk factor for type 2 diabetes, cardiovascular disease, some cancers, and mortality. Working adults with desk-bound occupations accumulate large volumes of daily sedentary time. Sit-stand workstations are now the fastest growing employee benefit, yet evidence-based interventions are not being implemented to support their use. Our team has completed the largest and most definitive efficacy trial on the impact of an intervention to support use of sit-stand workstations and reduce sedentary behavior in the workplace. Stand & Move at Work (SMW) is a multicomponent, social-ecological behavioral intervention tested in 24 industry, government, and academic worksites (N=630 workers). Intervention effects included: (a) reductions in sedentary time at 12 months (~60 min/8 h workday) that were retained at 24- month follow-up (~30 min/8 h workday); (b) reduced body weight and improved chronic disease risk factors among those with high baseline risk; and (c) reduced musculoskeletal pain. We are now proposing a new trial that tests the role of expert-based facilitation to enhance effectiveness and implementation of the SMW intervention. We use the Integrated - Promoting Action on Research Implementation in Health Services (iPARIHS) framework to inform our new trial through: (a) organizing our implementation outcomes from our efficacy trial; (b) conducting industry-based discovery interviews; and (c) piloting our enhanced implementation strategy in new worksites. We propose a 2-arm group-randomized hybrid effectiveness-implementation (type 2) trial to test the effectiveness of SMW for reducing sedentary time in the workplace, and to test an implementation strategy (i.e., expert facilitation) for improving implementation fidelity. Worksites (N=24) will be observed over 3 months of sit-stand workstation use only, and will then be randomized to 12 months of either: (a) SMW (web- delivered); or (b) SMW+ (web-delivered + expert facilitation). Our dual primary outcomes will be reductions in objectively-measured sedentary time (effectiveness) and intervention fidelity (implementation) over 12 months. Because facilitation increases intervention cost, we will also assess incremental cost benefit of our interventions (secondary aim). Finally, we will explore fidelity as a driver of effectiveness, examine within-worksite differences in sedentary time pre- and post- implementation, and measure organizational sustainability of effectiveness and implementation at 24 months. The potential health benefits of sit-stand workstations and associated worksite health promotion programs will not be realized in the workforce at large until we test the most effective and efficient way to implement evidence-based interventions. This project is among the first initiatives to address this growing trend in worksite health, and will answer important questions related to effectiveness, implementation, and cost benefit. Optimal strategies for delivering the SMW intervention will be identified and new knowledge will be generated on how facilitation can enhance implementation fidelity of workplace health initiatives, both of which will increase the public health impact of evidence-based interventions.

项目摘要 久坐行为（即，2型糖尿病、心血管疾病和糖尿病的危险因素 疾病，某些癌症和死亡率。从事案头工作的成年人积累了大量的 每天久坐的时间。坐立工作站现在是增长最快的员工福利，但以证据为基础 尚未实施干预措施来支持其使用。我们的团队已经完成了世界上最大的 一项关于支持使用坐立工作站并减少 工作场所的久坐行为。Stand & Move at Work（SMW）是一个多成分的社会生态系统。 在24个工业、政府和学术工作场所（N=630名工人）进行行为干预测试。干预 影响包括：（a）12个月时久坐时间减少（约60分钟/8小时工作日），24- 1个月随访（约30分钟/8小时工作日）;（B）体重减轻，慢性疾病风险因素改善 在基线风险高的人群中;和（c）减少肌肉骨骼疼痛。我们现在提议重新审判 测试以专家为基础的促进工作在提高法定最低工资的成效和实施方面的作用 干预我们利用卫生服务研究实施综合促进行动 （iPARIHS）框架，通过以下方式为我们的新试验提供信息：（a）组织我们的 功效试验;（B）进行以行业为基础的发现访谈;以及（c）试行我们的强化实施 新工作场所的战略。我们提出了一个2臂组随机混合有效性实施（类型2） 进行试验，以测试法定最低工资在减少工作场所久坐时间方面的成效，并测试 策略（即，专家促进），以提高实现的保真度。将对工作场所（N=24）进行3次以上的观察 个月的坐立工作站使用，然后将被随机分配到12个月的以下任一种：（a）SMW（网络- （B）SMW+（网上提供+专家协助）。我们的双重主要结果将是减少 在12个月内客观测量久坐时间（有效性）和干预保真度（实施）。 由于促进会增加干预成本，我们还将评估干预的增量成本效益 （次要目标）。最后，我们将探讨忠诚度作为有效性的驱动力，检查工作场所内的差异， 在实施前和实施后静坐时间，并衡量组织有效性的可持续性， 实施24个月。坐立工作站及相关工作场所的潜在健康益处 在我们测试出最有效的、 有效的方法来实施基于证据的干预措施。该项目是解决这一问题的首批举措之一 日益增长的趋势，并将回答有关有效性，实施， 和成本效益。将确定实施法定最低工资干预措施的最佳策略， 就如何促进可以提高工作场所健康倡议的实施保真度，这两个 将增加循证干预措施对公共卫生的影响。