What works to reduce sedentary behavior in the office, and could these intervention components transfer to the home working environment?: A rapid review and transferability appraisal.

What works to reduce sedentary behavior in the office, and could these intervention components transfer to the home working environment?: A rapid review and transferability appraisal.
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DOI:
10.3389/fspor.2022.954639
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发表时间:
2022
影响因子:
2.7
通讯作者:
Niven, Ailsa
Niven, Ailsa
中科院分区:
其他
文献类型:
--
作者:
Morton, Sarah;Fitzsimons, Claire;Jepson, Ruth;Saunders, David H.;Sivaramakrishnan, Divya;Niven, Ailsa

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由于新冠肺炎的存在,工作模式发生了巨大变化,许多员工现在至少有一部分工作时间是在家里度过的。办公室环境已经与高水平的久坐行为联系在一起,越来越多的证据表明,在家工作会进一步提高这些水平。这项快速评估(Propero CRD42021278539)的目的是建立在现有证据的基础上,以确定什么方法能有效地减少办公室环境中的久坐行为,并考虑这些证据是否可以转移到支持在家工作的人。对2017年8月10日至2021年9月6日期间的中央数据库、MEDLINE数据库、Embase数据库、SqucINFO数据库、CINHAL数据库和SportDiscus数据库进行系统搜索的结果被添加到2018年Cochrane对基于办公室的久坐干预措施的参考文献中。这些参考文献经过筛选和对照,同行评议的英语语言研究显示了办公室干预对健康成年人久坐行为结果的有益影响方向。对于每项研究,五位作者中的两位筛选了标题和摘要,全文,进行了数据提取,并评估了纳入研究的偏见风险。在行为改变轮的指导下,从提取的数据中识别出最常用的干预功能和行为改变技术。最后,研究人员和利益相关者对常见干预策略的样本进行了评估,以确定是否有可能转移到在家工作环境中。纳入了22项研究,其中包括29项干预措施,显示了对久坐结果有益的影响方向。最常用的干预功能是培训(n=21)、环境重组(n=21)、教育(n=15)和使能(n=15)。其中常用的行为改变技术是关于如何执行行为的指令(n=21),向环境中添加对象(n=20),以及重组物理环境(n=19)。那些最有希望转移到家庭环境的策略包括教育材料、使用榜样、激励和提示。这篇综述的特点是,干预措施显示了减少办公室久坐行为的有益效果方向,并确定了在世界适应新的工作环境时支持家庭环境中工作人员的有前途的战略。系统评审注册:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021278539,标识CRD42021278539。
Working patterns have changed dramatically due to COVID-19, with many workers now spending at least a portion of their working week at home. The office environment was already associated with high levels of sedentary behavior, and there is emerging evidence that working at home further elevates these levels. The aim of this rapid review (PROSPERO CRD42021278539) was to build on existing evidence to identify what works to reduce sedentary behavior in an office environment, and consider whether these could be transferable to support those working at home. The results of a systematic search of databases CENTRAL, MEDLINE, Embase, PsycInfo, CINHAL, and SportDiscus from 10 August 2017 to 6 September 2021 were added to the references included in a 2018 Cochrane review of office based sedentary interventions. These references were screened and controlled peer-reviewed English language studies demonstrating a beneficial direction of effect for office-based interventions on sedentary behavior outcomes in healthy adults were included. For each study, two of five authors screened the title and abstract, the full-texts, undertook data extraction, and assessed risk of bias on the included studies. Informed by the Behavior Change Wheel, the most commonly used intervention functions and behavior change techniques were identified from the extracted data. Finally, a sample of common intervention strategies were evaluated by the researchers and stakeholders for potential transferability to the working at home environment. Twenty-two studies including 29 interventions showing a beneficial direction of effect on sedentary outcomes were included. The most commonly used intervention functions were training (n = 21), environmental restructuring (n = 21), education (n = 15), and enablement (n = 15). Within these the commonly used behavior change techniques were instructions on how to perform the behavior (n = 21), adding objects to the environment (n = 20), and restructuring the physical environment (n = 19). Those strategies with the most promise for transferring to the home environment included education materials, use of role models, incentives, and prompts. This review has characterized interventions that show a beneficial direction of effect to reduce office sedentary behavior, and identified promising strategies to support workers in the home environment as the world adapts to a new working landscape. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021278539, identifier CRD42021278539.
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