Effectiveness of a Worksite-Based Lifestyle Intervention on Employees’ Obesity Control and Prevention in China: A Group Randomized Experimental Study

Kong, Jingxia; Chen, Ying; Zheng, Yingjing; Zhu, Lin; Chen, Boyan; Cheng, Xiaoming; Song, Mengna; Patrick, Donald L.; Beresford, Shirley A.A.; Wang, Hongmei

doi:10.3390/ijerph19116738

Cited by 2 publications

(11 citation statements)

References 91 publications

(93 reference statements)

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“…A total of 38% (3/8) of the included studies were pilot studies [ 35 - 37 ] that did not randomize participants and used a pretest-posttest [ 35 , 36 ] or a posteriori quasi-experimental study design [ 37 ], whereas 50% (4/8) were cluster-randomized trials [ 16 , 18 , 38 , 39 ]. The final study had a longitudinal pretest-posttest study design [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…The sample size ranged from 5 [ 36 ] to 585 [ 16 ] across the included studies, and they were conducted in various countries, such as the United Kingdom [ 35 , 36 ], Australia [ 18 , 37 ], China [ 38 , 39 ], Sweden [ 40 ], and Singapore [ 16 ]. One of the included studies sampled women only [ 16 ], whereas the rest were mixed-sex studies [ 18 , 35 - 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some participants were office workers in desk-based occupations (education or research, administration, human resources, accountancy, sales, and IT) [ 36 ]; worked within a department in an academic institution (university) [ 35 ]; and were part of a singular organization that serviced a municipality with 56,000 inhabitants and carried out assignments such as running and developing schools, providing social services, and conducting urban planning [ 40 ]. The final study did not provide specific occupations but stated that the included worksites were located in the Yangtze River Delta in China and comprised primarily desk-based occupations [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…“An employee advisory board, which consisted of four to seven employees from all occupational sectors in the work site, was established in each work site and worked closely with the research team to design and implement intervention activities.” [ 39 ]…”

Section: Resultsmentioning

confidence: 99%

“…In total, 50% (4/8) of the studies were evaluated and determined to have provided citizen power, where the participants discussed and developed the WHP intervention and the planning and decision-making were shared between the researchers and the participants [ 18 , 35 , 36 , 39 ]. While the level of participation in 75% (3/4) of these studies was evaluated as “citizen power,” their level of participation was found to be at the lowest rung under “citizen power” of the ladder by Arnstein [ 27 ], “partnership.” They were determined to be at the “partnership” rung as the researcher facilitated the discussions and communicated with team leaders and management concerning the implementation of the WHP study [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

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Participatory Approaches in the Context of Research Into Workplace Health Promotion to Improve Physical Activity Levels and Reduce Sedentary Behavior Among Office-Based Workers: Scoping Review

Buffey,

Langley,

Carson

et al. 2024

JMIR Public Health Surveill

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Background Participatory research (PR) involves engaging in cocreation with end users and relevant stakeholders throughout the research process, aiming to distribute power equitably between the end users and research team. Engagement and adherence in previous workplace health promotion (WHP) studies have been shown to be lacking. By implementing a PR approach, the insights of end users and stakeholders are sought in the co-design of feasible and acceptable intervention strategies, thereby increasing the relevance of the research. Objective This scoping review aims to explore, identify, and map PR techniques and their impact when used in office-based WHP interventions designed to improve physical activity (PA) or reduce sedentary behavior (SB). Methods The reporting of this scoping review followed the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews). A systematic literature search of 5 electronic databases—Web of Science, PubMed, Scopus, Google Scholar, and OpenGrey—was conducted, searching from January 1, 1995, to February 8, 2023. In total, 2 independent reviewers first screened the retrieved articles by title and abstract, and then assessed the full texts based on the inclusion and exclusion criteria. The search strategy and eligibility criteria were developed and guided by an a priori population (office-based working adults), intervention (a PA WHP intervention that took a PR approach), comparison (no comparison required), and outcome (PA or SB) framework. Data were charted and discussed via a narrative synthesis, and a thematic analysis was conducted. The included studies were evaluated regarding the degree of end user engagement throughout the research process and power shared by the researchers, using Arnstein’s ladder of citizen participation. Results The search retrieved 376 records, of which 8 (2.1%) met the inclusion criteria. Four key strategies were identified: (1) end user focus groups, (2) management involvement, (3) researcher facilitators, and (4) workplace champions. The degree of engagement and power shared was relatively low, with 25% (2/8) of the studies determined to be nonparticipation studies, 25% (2/8) determined to be tokenistic, and 50% (4/8) determined to provide citizen power. Conclusions This review provides a foundation of evidence on the current practices when taking a PR approach, highlighting that previous office-based PA WHP studies have been largely tokenistic or nonparticipative, and identified that the end user is only engaged with in the conception and implementation of the WHP studies. However, a positive improvement in PA and reduction in SB were observed in the included studies, which were largely attributed to implementing a PR approach and including the end user in the design of the WHP intervention. Future studies should aim to collaborate with workplaces, building capacity and empowering the workforce by providing citizen control and letting the end users “own” the research for a sustainable WHP intervention. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2021-054402

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Participatory Approaches in the Context of Research Into Workplace Health Promotion to Improve Physical Activity Levels and Reduce Sedentary Behavior Among Office-Based Workers: Scoping Review

Buffey,

Langley,

Carson

et al. 2024

JMIR Public Health Surveill

View full text Add to dashboard Cite

show abstract

Participatory Approaches in the Context of Research Into Workplace Health Promotion to Improve Physical Activity Levels and Reduce Sedentary Behavior Among Office-Based Workers: Scoping Review (Preprint)

Buffey,

Langley,

Carson

et al. 2023

Preprint

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BACKGROUND Participatory research (PR) involves engaging in cocreation with end users and relevant stakeholders throughout the research process, aiming to distribute power equitably between the end users and research team. Engagement and adherence in previous workplace health promotion (WHP) studies have been shown to be lacking. By implementing a PR approach, the insights of end users and stakeholders are sought in the co-design of feasible and acceptable intervention strategies, thereby increasing the relevance of the research. OBJECTIVE This scoping review aims to explore, identify, and map PR techniques and their impact when used in office-based WHP interventions designed to improve physical activity (PA) or reduce sedentary behavior (SB). METHODS The reporting of this scoping review followed the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews). A systematic literature search of 5 electronic databases—Web of Science, PubMed, Scopus, Google Scholar, and OpenGrey—was conducted, searching from January 1, 1995, to February 8, 2023. In total, 2 independent reviewers first screened the retrieved articles by title and abstract, and then assessed the full texts based on the inclusion and exclusion criteria. The search strategy and eligibility criteria were developed and guided by an a priori population (office-based working adults), intervention (a PA WHP intervention that took a PR approach), comparison (no comparison required), and outcome (PA or SB) framework. Data were charted and discussed via a narrative synthesis, and a thematic analysis was conducted. The included studies were evaluated regarding the degree of end user engagement throughout the research process and power shared by the researchers, using Arnstein’s ladder of citizen participation. RESULTS The search retrieved 376 records, of which 8 (2.1%) met the inclusion criteria. Four key strategies were identified: (1) end user focus groups, (2) management involvement, (3) researcher facilitators, and (4) workplace champions. The degree of engagement and power shared was relatively low, with 25% (2/8) of the studies determined to be nonparticipation studies, 25% (2/8) determined to be tokenistic, and 50% (4/8) determined to provide citizen power. CONCLUSIONS This review provides a foundation of evidence on the current practices when taking a PR approach, highlighting that previous office-based PA WHP studies have been largely tokenistic or nonparticipative, and identified that the end user is only engaged with in the conception and implementation of the WHP studies. However, a positive improvement in PA and reduction in SB were observed in the included studies, which were largely attributed to implementing a PR approach and including the end user in the design of the WHP intervention. Future studies should aim to collaborate with workplaces, building capacity and empowering the workforce by providing citizen control and letting the end users “own” the research for a sustainable WHP intervention. INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2021-054402

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Effectiveness of a Worksite-Based Lifestyle Intervention on Employees’ Obesity Control and Prevention in China: A Group Randomized Experimental Study

Cited by 2 publications

References 91 publications

Participatory Approaches in the Context of Research Into Workplace Health Promotion to Improve Physical Activity Levels and Reduce Sedentary Behavior Among Office-Based Workers: Scoping Review

Participatory Approaches in the Context of Research Into Workplace Health Promotion to Improve Physical Activity Levels and Reduce Sedentary Behavior Among Office-Based Workers: Scoping Review

Participatory Approaches in the Context of Research Into Workplace Health Promotion to Improve Physical Activity Levels and Reduce Sedentary Behavior Among Office-Based Workers: Scoping Review (Preprint)

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