Stair-use interventions in worksites and public settings — A systematic review of effectiveness and external validity

Bellicha, Alice; Kieusseian, Aurélie; Fontvieille, Anne-Marie; Tataranni, Antonio; Charreire, Hélène; Oppert, Jean‐Michel

doi:10.1016/j.ypmed.2014.11.001

Cited by 70 publications

(97 citation statements)

References 71 publications

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“…This finding is consistent with other reviews that have primarily focused on individual-level behavioral approaches. 33,36–38,42,44 Our findings indicate that studies utilizing environmental/policy strategies consistently had lower reporting across individual-level RE-AIM indicators, making it difficult to determine the impact of these intervention strategies at a population level. This finding reinforces the cautionary advice of Jilcott and colleagues, who warn against assuming adopted policies or environmental changes reach everyone within a setting.…”

Section: Discussionmentioning

confidence: 85%

A Systematic Review to Assess Sugar-Sweetened Beverage Interventions for Children and Adolescents across the Socioecological Model

Lane¹,

Porter²,

Estabrooks³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Sugar-sweetened beverage (SSB) consumption among children and adolescents is a determinant of childhood obesity. Many programs to reduce consumption across the socio-ecological model report significant positive results; however, the generalizability of the results, including whether reporting differences exist among socio-ecological strategy levels, is unknown. Objectives This systematic review aims to (1) examine the extent to which studies reported internal and external validity indicators defined by RE-AIM (reach, effectiveness, adoption, implementation, maintenance) and (2) assess reporting differences by socio-ecological level: intrapersonal/interpersonal (Level 1), environmental/policy (Level 2), multi-level (Combined Level). Methods Six major databases (PubMed, Web of Science, Cinahl, CAB Abstracts, ERIC, and Agiricola) systematic literature review was conducted to identify studies from 2004–2015 meeting inclusion criteria (targeting children aged 3–12, adolescents 13–17, and young adults 18 years, experimental/quasi-experimental, substantial SSB component). Interventions were categorized by socio-ecological level, and data were extracted using a validated RE-AIM protocol. A one-way ANOVA assessed differences between levels. Results There were 55 eligible studies (N) accepted, including 21 Level 1, 18 Level 2, and 16 Combined Level studies. Thirty-six (65%) were conducted in the USA, 19 (35%) internationally, and 39 (71%) were implemented in schools. Across levels, reporting averages were low for all RE-AIM dimensions (reach=29%, efficacy/effectiveness=45%, adoption=26%, implementation=27%, maintenance=14%). Level 2 studies had significantly lower reporting on reach and effectiveness (10% and 26%, respectively) compared to Level 1 (44%, 57%) or Combined Level studies (31%, 52%) (p<0.001). Adoption, implementation, and maintenance reporting did not vary among levels. Conclusion Interventions to reduce SSB in children and adolescents across the socio-ecological spectrum do not provide the necessary information for dissemination and implementation in community nutrition settings. Future interventions should address both internal and external validity to maximize population impact.

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Section: Discussionmentioning

confidence: 85%

A Systematic Review to Assess Sugar-Sweetened Beverage Interventions for Children and Adolescents across the Socioecological Model

Lane¹,

Porter²,

Estabrooks³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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“…A recent systematic review suggested that stair-prompts increased stair use in 64% of studies conducted in worksite settings. Specifically, combining motivational and directional signs in worksites showed increased stair use in 83% of reviewed studies (Bellicha et al, 2015). Given that our data are cross-sectional, it is not possible to determine the causality of the observed association.…”

Section: Discussionmentioning

confidence: 99%

Work-related correlates of occupational sitting in a diverse sample of employees in Midwest metropolitan cities

Yang

Hipp

Lee

et al. 2017

Preventive Medicine Reports

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The worksite serves as an ideal setting to reduce sedentary time. Yet little research has focused on occupational sitting, and few have considered factors beyond the personal or socio-demographic level. The current study i) examined variation in occupational sitting across different occupations, ii) explored whether worksite level factors (e.g., employer size, worksite supports and policies) may be associated with occupational sitting.Between 2012 and 2013, participants residing in four Missouri metropolitan areas were interviewed via telephone and provided information on socio-demographic characteristics, schedule flexibility, occupation, work related factors, and worksite supports and policies. Occupational sitting was self-reported (daily minutes spent sitting at work), and dichotomized. Occupation-stratified analyses were conducted to identify correlates of occupational sitting using multiple logistic regressions.A total of 1668 participants provided completed data. Those employed in business and office/administrative support spent more daily occupational sitting time (median 330 min) compared to service and blue collar employees (median 30 min). Few worksite supports and policies were sitting specific, yet factors such as having a full-time job, larger employer size, schedule flexibility, and stair prompt signage were associated with occupational sitting. For example, larger employer size was associated with higher occupational sitting in health care, education/professional, and service occupations.Work-related factors, worksite supports and policies are associated with occupational sitting. The pattern of association varies among different occupation groups. This exploratory work adds to the body of research on worksite level correlates of occupational sitting. This may provide information on priority venues for targeting highly sedentary occupation groups.

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“…As suggested by its focus on production, the present review only considers interventions in the field and does not address experimental studies, such as those included in the reviews by TudorLocke et al (29) and Neuhaus et al (30). Also, the present review searched for any kind of intervention that can be practiced as part of productive work, ie, not restricting the literature search to interventions focusing on workstations (29)(30)(31)(32) or stair use (33). The present review shares Chau et al's (34) focus on "workplace setting" but expands on it by reporting data not only on the occurrence or temporal structure of SB and/or PA but also on outcomes such as work performance and metabolic and physiological responses, to the extent that they are included in studies reporting SB and PA.…”

mentioning

confidence: 99%

Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review

Commissaris¹,

Huysmans²,

Mathiassen³

et al. 2015

Scand J Work Environ Health

107

122

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Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review by Commissaris DACM, Huysmans MA, Mathiassen SE, Srinivasan D, Koppes LLJ, Hendriksen IJM This systematic review on interventions intended to change workers' sedentary behavior or physical activity is the first to focus on initiatives that can be implemented during productive work and that change behavior while workers perform their usual jobs. Thus, the review offers decision support when selecting effective interventions for improved health and well-being that are compatible with maintained production.Key terms: activity-permissive workstation; alternative workstation; best-evidence synthesis; intervention; personalized behavioral intervention; physical activity; physical inactivity; productive work; review; sedentary behavior; sitting; stair use; systematic review; workplace This article in PubMed: www.ncbi.nlm.nih.gov/pubmed/26683116 Additional materialPlease note that there is additional material available belonging to this article on the Scandinavian Journal of Work, Environment & Health -website. Scand J Work Environ Health 2016, vol 42, no 3 181Review Scand J Work Environ Health 2016;42(3):181-191. doi:10.5271/sjweh.3544 Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review by Dianne ACM Commissaris, PhD,1,2,3 Maaike A Huysmans, PhD,4, 5 Svend Erik Mathiassen, Professor, 2 Divya Srinivasan, PhD, 2 Lando LJ Koppes, PhD,1,6 Ingrid JM Hendriksen, PhD 1,5 Commissaris DACM, Huysmans MA, Mathiassen SE, Srinivasan D, Koppes LLJ, Hendriksen IJM. Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review. Scand J Work Environ Health. 2016;42(3): 181-191. doi:10.5271/sjweh.3544 Objectives Many current jobs are characterized by sedentary behavior (SB) and lack of physical activity (PA).This review addresses the effectiveness of workplace interventions that are implemented during productive work and are intended to change workers' SB and/or PA. MethodsWe searched Scopus for articles published from 1992 until 12 March 2015. Relevant studies were evaluated using the Quality Assessment Tool for Quantitative Studies and summarized in a best-evidence synthesis. Primary outcomes were SB and PA, both at work and overall (ie, during the whole day); work performance and health-related parameters were secondary outcomes. ResultsThe review included 40 studies describing 41 interventions organized into three categories: alternative workstations (20), interventions promoting stair use (11), and personalized behavioral interventions (10). Alternative workstations were found to decrease overall SB (strong evidence; even for treadmills separately); interventions promoting stair use were found to increase PA at work while personalized behavioral interventions increased overall PA (both with moderate evidence). There was moderate evidence to show alternative workstations influenced neithe...

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Stair-use interventions in worksites and public settings — A systematic review of effectiveness and external validity

Cited by 70 publications

References 71 publications

A Systematic Review to Assess Sugar-Sweetened Beverage Interventions for Children and Adolescents across the Socioecological Model

A Systematic Review to Assess Sugar-Sweetened Beverage Interventions for Children and Adolescents across the Socioecological Model

Work-related correlates of occupational sitting in a diverse sample of employees in Midwest metropolitan cities

Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review

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