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Zerguine H, Healy GN, Goode AD, Abbott A, Johnston V. Co-design and development of the sit-stand e-guide: An e-training program for the optimal use of sit-stand workstations. APPLIED ERGONOMICS 2024; 116:104207. [PMID: 38128399 DOI: 10.1016/j.apergo.2023.104207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 12/03/2023] [Accepted: 12/11/2023] [Indexed: 12/23/2023]
Abstract
This paper describes the co-design and development process of an evidence-informed e-training program (Sit-Stand e-Guide) to support the safe and optimal use of sit-stand workstations from ergonomics and behavioural change perspectives. Using an instructional system design process, supported by a participatory design approach, data was collected through three workshops with workplace consumers (staff [n = 5] and managers [n = 5]), and subject matter experts (n = 5). Content and learning activities were developed based on behaviour change principles and optimal pedagogy. Key topics identified for the e-training were sedentary behaviour and health; workstation set-up; and strategies for behaviour change. Learning activities (scenarios and reflection) to enhance knowledge retention and skills implementation and an interactive one-page guide on completion were included in the e-training. The relevance and usefulness of the training prototype were reviewed through one-to-one think-aloud sessions with the workshop consumers (n = 5) and external health and safety professionals (n = 5) receiving positive feedback. The Sit-Stand e-Guide is readily available for workplace implementation and evaluation. This paper serves as a practical guide for future training development.
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Affiliation(s)
- Haroun Zerguine
- The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, Brisbane, QLD, Australia.
| | - Genevieve N Healy
- The University of Queensland, School of Human Movement and Nutrition Sciences, St Lucia, Brisbane, QLD, Australia; Baker Heart and Diabetes Institute, Melbourne, VIC, Australia; Curtin University, School of Physiotherapy and Exercise Science, Perth, WA, Australia
| | - Ana D Goode
- The University of Queensland, School of Human Movement and Nutrition Sciences, St Lucia, Brisbane, QLD, Australia
| | - Alison Abbott
- Workplace Health and Safety Queensland, Office of Industrial Relations, Queensland Government, Brisbane, QLD, Australia
| | - Venerina Johnston
- The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, Brisbane, QLD, Australia; University of Southern Queensland, School of Health and Medical Sciences, Ipswich, QLD, Australia
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Júdice PB, Silva H, Teno SC, Monteiro P, Silva MN, Carraça EV, Santos I, Pereira S, Luz F, Viegas PC, Oliveira J, Santos IF, Palmeira AL. Providing office workers with height-adjustable workstation to reduce and interrupt workplace sitting time: protocol for the Stand Up for Healthy Aging (SUFHA) cluster randomized controlled trial. Trials 2023; 24:381. [PMID: 37280683 DOI: 10.1186/s13063-023-07407-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 05/23/2023] [Indexed: 06/08/2023] Open
Abstract
BACKGROUND Sedentary behavior (SB) has been linked to several negative health outcomes. Therefore, reducing SB or breaking up prolonged periods of SB improves functional fitness, food consumption, job satisfaction, and productivity. Reducing SB can be achieved by introducing a health-enhancing contextual modification promoted by a sit-stand desk in the workplace. The primary goal will be to test the effectiveness of this intervention in reducing and breaking up SB, while improving health outcomes in office-based workers during a 6-month intervention. METHODS A two-arm (1:1), superiority parallel-group cluster RCT will be conducted to evaluate the effectiveness of this intervention in a sample of office-based workers from a university in Portugal. The intervention will consist of a psychoeducation session, motivational prompts, and contextual modification promoted by a sit-stand desk in the workplace for 6 months. The control group will work as usual in their workplace, with no contextual change or prompts during the 6-month intervention. Three assessment points will be conducted in both groups, pre-intervention (baseline), post-intervention, and a 3-month follow-up. The primary outcomes include sedentary and physical activity-related variables, which will be objectively assessed with 24 h monitoring using the ActivPAL for 7 days. The secondary outcomes include (a) biometric indices as body composition, body mass index, waist circumference, and postural inequalities; and (b) psychosocial variables such as overall and work-related fatigue, overall discomfort, life/work satisfaction, quality of life, and eating behavior. Both the primary and secondary outcomes will be assessed at each assessment point. DISCUSSION This study will lean on the use of a sit-stand workstation for 6 months, prompted by an initial psychoeducational session and ongoing motivational prompts. We will aim to contribute to this topic by providing robust data on alternating sitting and standing postures in the workplace. TRIAL REGISTRATION The trial was prospectively registered, and the details are at: https://doi.org/10.17605/OSF.IO/JHGPW ; Registered 15 November 2022. OSF Preregistration.
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Affiliation(s)
| | - Hélio Silva
- CIDEFES, Universidade Lusófona, Lisbon, Portugal
| | | | - Patrícia Monteiro
- Escola de Psicologia e Ciências da Vida, Universidade Lusófona, Lisbon, Portugal
| | - Marlene N Silva
- CIDEFES, Universidade Lusófona, Lisbon, Portugal
- Programa Nacional para a Promoção da Atividade Física- Direcção-Geral da Saúde, Lisbon, Portugal
| | | | - Inês Santos
- CIDEFES, Universidade Lusófona, Lisbon, Portugal
- Laboratório de Nutrição, Faculdade de Medicina, Centro Académico de Medicina de Lisboa, Universidade de Lisboa, Lisbon, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Sara Pereira
- CIDEFES, Universidade Lusófona, Lisbon, Portugal
- CIFI2D, Faculty of Sport, University of Porto, Porto, Portugal
| | - Filipe Luz
- Hei-Lab - Universidade Lusófona, Campo Grande, Lisbon, Portugal
| | - Patrícia C Viegas
- Center for Other Worlds - Universidade Lusófona, Campo Grande, Lisbon, Portugal
| | - Jorge Oliveira
- Escola de Psicologia e Ciências da Vida, Universidade Lusófona, Lisbon, Portugal
- Hei-Lab - Universidade Lusófona, Campo Grande, Lisbon, Portugal
| | - Isabel F Santos
- Escola de Psicologia e Ciências da Vida, Universidade Lusófona, Lisbon, Portugal
- Hei-Lab - Universidade Lusófona, Campo Grande, Lisbon, Portugal
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Bell AC, Richards J, Zakrzewski-Fruer JK, Smith LR, Bailey DP. Sedentary Behaviour-A Target for the Prevention and Management of Cardiovascular Disease. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:532. [PMID: 36612852 PMCID: PMC9819496 DOI: 10.3390/ijerph20010532] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/21/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
Cardiovascular disease (CVD) is highly prevalent and can lead to disability and premature mortality. Sedentary behaviour, defined as a low energy expenditure while sitting or lying down, has been identified as an independent risk factor for CVD. This article discusses (1) the association of total sedentary time and patterns of accumulating sedentary time with CVD risk markers, CVD incidence and mortality; (2) acute experimental evidence regarding the acute effects of reducing and breaking up sedentary time on CVD risk markers; and (3) the effectiveness of longer-term sedentary behaviour interventions on CVD risk. Findings suggest that under rigorously controlled laboratory and free-living conditions, breaking up sedentary time improves cardiovascular risk markers in individuals who are healthy, overweight or obese, or have impaired cardiovascular health. Breaking up sedentary time with walking may have the most widespread benefits, whereas standing breaks may be less effective, especially in healthy individuals. There is also growing evidence that sedentary behaviour interventions may benefit cardiovascular risk in the longer term (i.e., weeks to months). Reducing and breaking up sedentary time may, therefore, be considered a target for preventing and managing CVD. Further research is needed to determine the effectiveness of sedentary behaviour interventions over the long-term to appropriately inform guidelines for the management of CVD.
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Affiliation(s)
- Abbie C. Bell
- Institute for Sport and Physical Activity Research, School of Sport Science and Physical Activity, University of Bedfordshire, Bedford MK41 9EA, UK
| | - Joanna Richards
- Institute for Sport and Physical Activity Research, School of Sport Science and Physical Activity, University of Bedfordshire, Bedford MK41 9EA, UK
| | - Julia K. Zakrzewski-Fruer
- Institute for Sport and Physical Activity Research, School of Sport Science and Physical Activity, University of Bedfordshire, Bedford MK41 9EA, UK
| | - Lindsey R. Smith
- Institute for Sport and Physical Activity Research, School of Sport Science and Physical Activity, University of Bedfordshire, Bedford MK41 9EA, UK
| | - Daniel P. Bailey
- Centre for Physical Activity in Health and Disease, Brunel University London, Uxbridge UB8 3PH, UK
- Division of Sport, Health and Exercise Sciences, Department of Life Sciences, Brunel University London, Uxbridge UB8 3PH, UK
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Brakenridge CJ, Salim A, Healy GN, Grigg R, Carver A, Rickards K, Owen N, Dunstan DW. Associations of COVID-19 lockdown restrictions with longer-term activity levels of working adults with type 2 diabetes (Preprint). JMIR Diabetes 2022; 7:e36181. [PMID: 35486904 PMCID: PMC9119394 DOI: 10.2196/36181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 04/12/2022] [Accepted: 04/20/2022] [Indexed: 11/15/2022] Open
Abstract
Background Lockdown restrictions reduce COVID-19 community transmission; however, they may pose challenges for noncommunicable disease management. A 112-day hard lockdown in Victoria, Australia (commencing March 23, 2020) coincided with an intervention trial of reducing and breaking up sitting time in desk workers with type 2 diabetes who were using a provided consumer-grade activity tracker (Fitbit). Objective This study aims to compare continuously recorded activity levels preceding and during COVID-19 lockdown restrictions among working adults with type 2 diabetes participating in a sitting less and moving more intervention. Methods A total of 11 participants (n=8 male; mean age 52.8, SD 5 years) in Melbourne, Australia had Fitbit activity tracked before (mean 122.7, SD 47.9 days) and during (mean 99.7, SD 62.5 days) citywide COVID-19 lockdown restrictions. Regression models compared device (Fitbit Inspire HR)–derived activity (steps; metabolic equivalent tasks [METs]; mean time in sedentary, lightly, fairly, and very active minutes; and usual bout durations) during restrictions to prerestrictions. Changes in activity were statistically significant when estimates (Δ%) did not intercept zero. Results Overall, there was a decrease in mean steps (–1584 steps/day; Δ% –9%, 95% CI –11% to –7%); METs (–83 METs/day; Δ% –5%, 95% CI –6% to –5%); and lightly active (Δ% –4%, 95% CI –8% to –1%), fairly active (Δ% –8%, 95% CI –21% to –15%), and very active (Δ% –8%, 95% CI –11% to –5%) intensity minutes per day, and increases in mean sedentary minutes per day (51 mins/day; Δ% 3%, 95% CI 1%-6%). Only very active (+5.1 mins) and sedentary (+4.3 mins) bout durations changed significantly. Conclusions In a convenience sample of adults with type 2 diabetes, COVID-19 lockdown restrictions were associated with decreases in overall activity levels and increases in very active and sedentary bout durations. A Fitbit monitor provided meaningful continuous long-term data in this context. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12618001159246; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12618001159246
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Affiliation(s)
- Christian John Brakenridge
- Baker Heart and Diabetes Institute, Melbourne, Australia
- Mary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - Agus Salim
- Baker Heart and Diabetes Institute, Melbourne, Australia
- School of Population and Global Health, The University of Melbourne, Melbourne, Australia
| | - Genevieve Nissa Healy
- School of Human Movement and Nutrition Sciences, The University of Queensland, Queensland, Australia
| | - Ruth Grigg
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | - Alison Carver
- Mary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - Kym Rickards
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | - Neville Owen
- Baker Heart and Diabetes Institute, Melbourne, Australia
- Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Australia
| | - David Wayne Dunstan
- Baker Heart and Diabetes Institute, Melbourne, Australia
- School of Exercise and Nutrition Sciences, Institute for Physical Activity and Nutrition, Deakin University, Melbourne, Australia
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