Associations between building design, point-of-decision stair prompts, and stair use in urban worksites

Ruff, Ryan Richard; Rosenblum, Randi; Fischer, Sean; Meghani, Hamidah; Adamic, John; Lee, Karen K.

doi:10.1016/j.ypmed.2013.12.006

Cited by 25 publications

(33 citation statements)

References 26 publications

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“…Stairs and elevator are farther apart in the control building than in the intervention building, which can increase stair use [44]. The stairs in the control building were located openly in a large entrance foyer, leaving it exposed to natural lighting, which may also increase stair use [45]. In comparison, the intervention stairwell was without windows.…”

Section: Discussionmentioning

confidence: 99%

Promoting workplace stair climbing: sometimes, not interfering is the best

2017

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BackgroundStair climbing is a vigorous activity and can lead to several health benefits. Studies seeking to increase stair climbing in various public locations have shown positive effects, while results from similar studies conducted in the workplace are inconclusive. This study examined stair climbing in the workplace, and monitored effects from a single- and a combined intervention. Interventions were inspired by nudging, the libertarian method of influencing behavior.MethodsBy quasi-experimental design, stair- and elevator traffic in two office buildings was monitored preceding-, during- and following interventions with stair leading footprints alone, and combined with stair-riser banners. Chi square tests were applied to determine differences between baseline and the subsequent periods. Web-based questionnaires were distributed after follow-up period.ResultsElevators and stairs were used 45 237 times, of which 89.6% was stair use. Intervention site stair climbing at baseline (79.0%) was significantly reduced with footprints (-5.1%, p < 0.001), and footprints with stair-riser banners (-5.7%, p < 0.001) while baseline stair climbing at the control site (94.2%) remained stable (p > 0.027).ConclusionsStair climbing was significantly reduced during the intervention periods. Use of stair leading footprints alone, or combined with stair-riser banners in an attempt to influence stair climbing may be ineffective, or cause a negative reaction, when applied in a workplace with a pre-existing high amount of stair climbing.

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Section: Discussionmentioning

confidence: 99%

Promoting workplace stair climbing: sometimes, not interfering is the best

2017

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“…Commentators on workplace health and sedentary behaviour [1,[12][13][29][30][31] advocate that the workplace can lead to sustainable change, as organisational practice, policy, established communication channels, in-built social support from colleagues and management systems can all encourage healthy behaviour change. Our study identified that endorsement from the organisation was the key mediator in workplace behaviour change.…”

Section: Discussionmentioning

confidence: 99%

“…The lack of empirical research and effective workplace interventions suggests that greater evidence to inform future practice is warranted. Previous workplace interventions to decrease sitting time include but are not limited to height-adjustable workstations [9][10][11][12], educational interventions to increase manager and staff knowledge of prolonged sitting [13] and discouraging sedentary practices [14]. For example, Chau et al [10] explored perceptions of using sit-stand desk in a non-government health agency in Australia.…”

Section: Introductionmentioning

confidence: 99%

“It's not an Obvious Issue, Is It?” Office-Based Employees’ Perceptions of Prolonged Sitting at Work

Flint

Crank

Tew

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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“…The NYC Health Department has worked with the Department of Citywide Administrative Services to open stairwells in many publicly owned worksite buildings, coupled with posting of stair prompt signage encouraging people to “Burn Calories, Not Electricity. Take the Stairs!” Use of this signage is associated with stair use among occupants of multiple NYC buildings ( 24 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Sitting Time in New York City Adults, The Physical Activity and Transit Survey, 2010–2011

Yi¹,

Bartley²,

Firestone³

et al. 2015

Prev. Chronic Dis.

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IntroductionRecent studies have demonstrated the negative health consequences associated with extended sitting time, including metabolic disturbances and decreased life expectancy. The objectives of this study were to characterize sitting time in an urban adult population and assess the validity of a 2-question method of self-reported sitting time.MethodsThe New York City Health Department conducted the 2010–2011 Physical Activity and Transit Survey (N = 3,597); a subset of participants wore accelerometers for 1 week (n = 667). Self-reported sitting time was assessed from 2 questions on time spent sitting (daytime and evening hours). Sedentary time was defined as accelerometer minutes with less than 100 counts on valid days. Descriptive statistics were used to estimate the prevalence of sitting time by demographic characteristics. Validity of sitting time with accelerometer-measured sedentary time was assessed using Spearman’s correlation and Bland-Altman techniques. All data were weighted to be representative of the New York City adult population based on the 2006–2008 American Community Survey.ResultsMean daily self-reported sitting time was 423 minutes; mean accelerometer-measured sedentary time was 490 minutes per day (r = 0.32, P < .001). The mean difference was 49 minutes per day (limits of agreement: −441 to 343). Sitting time was higher in respondents at lower poverty and higher education levels and lower in Hispanics and people who were foreign-born.ConclusionParticipants of higher socioeconomic status, who are not typically the focus of health disparities–related research, had the highest sitting times; Hispanics had the lowest levels. Sitting time may be accurately assessed by self-report with the 2-question method for population surveillance but may be limited in accurately characterizing individual-level behavior.

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Associations between building design, point-of-decision stair prompts, and stair use in urban worksites

Cited by 25 publications

References 26 publications

Promoting workplace stair climbing: sometimes, not interfering is the best

Promoting workplace stair climbing: sometimes, not interfering is the best

“It's not an Obvious Issue, Is It?” Office-Based Employees’ Perceptions of Prolonged Sitting at Work

Self-Reported Sitting Time in New York City Adults, The Physical Activity and Transit Survey, 2010–2011

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