Stand & Move at Work II: Effectiveness and Implementation

站立

• 批准号: 10737769
• 负责人: Matthew P Buman
• 金额: $ 12.12万
• 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/10737769
• 关键词: Address; Adherence; Adult; Behavior Therapy; Behavioral; Binding; Body Weight; Cardiovascular Diseases; Chronic Disease; Competence; Costs and Benefits; Dimensions; Effectiveness; Employee; Evidence based intervention; Government; Health; Health Benefit; Health Promotion; Health Services; Industry; Internet; Intervention; Interview; Investments; Knowledge; Maintenance; Malignant Neoplasms; Manufacturer; 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; cost; effectiveness evaluation; effectiveness testing; effectiveness trial; effectiveness/implementation hybrid; efficacy trial; ergonomics; flexibility; follow-up; implementation cost; implementation facilitation; implementation fidelity; implementation outcomes; implementation questions; implementation strategy; implementation trial; implementation/effectiveness; improved; incremental cost; innovation; intervention cost; intervention effect; intervention program; 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(即久坐)已成为2型糖尿病、心血管疾病的重要危险因素 疾病、某些癌症和死亡率。坐在办公桌前工作的成年人积累了大量的 每天久坐的时间。坐立式工作站现在是增长最快的员工福利，而且是基于证据的 没有采取干预措施来支持它们的使用。我们的团队已经完成了最大和最多的 关于支持使用坐立式工作站的干预措施的最终疗效试验 工作场所的久坐行为。工作中的站立和移动(SMW)是一个多组件的社会生态 在24个行业、政府和学术工作场所(N=630名工人)进行了行为干预测试。干预 影响包括：(A)12个月(~60分钟/工作日8小时)的久坐时间减少，24个月后保持不动。 一个月的随访(约30分钟/工作日8小时)；(B)减轻体重并改善慢性病风险因素 在基线风险较高的人群中；以及(C)减少肌肉骨骼疼痛。我们现在提议重新审判 这考验了以专家为基础的促进作用，以加强SMW的效力和执行 干预。我们在卫生服务中使用研究实施的综合促进行动 (IPARIHS)框架，通过以下方式为我们的新试验提供信息：(A)从我们的 药效试验；(B)进行以行业为基础的发现访谈；以及(C)试验我们增强的实施 新工地的战略。我们提出了一种两臂组-随机混合有效性实现(类型2) 测试SMW在减少工作场所久坐时间方面的有效性，并测试其实施情况 提高执行保真度的战略(即专家促进)。将观察超过3个工地(N=24个) 只使用坐立式工作站的12个月，然后随机选择以下任一项：(A)SMW(网络- 交付)；或(B)SMW+(网络交付+专家促进)。我们的双重主要成果将是减少 客观测量12个月的久坐时间(有效性)和干预保真度(实施)。 由于便利化会增加干预成本，我们还将评估干预措施的增量成本收益 (次要目标)。最后，我们将探讨忠诚度作为效率的驱动力，检查工作场所内的差异 在实施前和实施后的固定时间内，衡量组织的有效性和可持续性 实施时间为24个月。坐立式工作站及其相关工作场所的潜在健康益处 直到我们测试了最有效和最有效的 实施循证干预的有效方式。该项目是解决这一问题的首批倡议之一。 工作场所健康的增长趋势，并将回答与有效性、实施情况、 和成本效益。将确定提供SMW干预的最佳战略，并将提供新的知识 关于便利化如何提高工作场所健康倡议的执行忠诚度，这两项倡议 将增加循证干预对公共卫生的影响。

项目成果

Effect of Weight Goals on Sitting and Moving During a Worksite Sedentary Time Reduction Intervention.

减少工作场所久坐时间干预期间体重目标对坐姿和运动的影响。

• DOI: 10.1249/tjx.0000000000000210
• 发表时间: 2022
• 期刊: Translational journal of the American College of Sports Medicine
• 影响因子: 0.9
• 作者: Leonard,KristaS;deBrito,JuniaN;Larouche,MirandaL;Rydell,SarahA;Mitchell,NathanR;Pereira,MarkA;Buman,MatthewP
• 通讯作者: Buman,MatthewP

Qualitative comparative analysis of the implementation fidelity of a workplace sedentary reduction intervention.

• DOI: 10.1186/s12889-022-13476-3
• 发表时间: 2022-05-31
• 期刊: BMC PUBLIC HEALTH
• 影响因子: 4.5
• 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.
• 通讯作者: Buman, Matthew P.

Cost and cost-effectiveness of the 'Stand and Move at Work' multicomponent intervention to reduce workplace sedentary time and cardiometabolic risk.

• DOI: 10.5271/sjweh.4022
• 发表时间: 2022-07-01
• 期刊: Scandinavian journal of work, environment & health
• 作者: Michaud TL;You W;Estabrooks PA;Leonard K;Rydell SA;Mullane SL;Pereira MA;Buman MP
• 通讯作者: Buman MP