The Effect of an e-Health Intervention Designed to Reduce Prolonged Occupational Sitting on Mean Arterial Pressure

Mainsbridge, Casey; Cooley, Paul D.; Fraser, Sharon; Pedersen, Scott J.

doi:10.1097/jom.0000000000000243

Cited by 46 publications

(62 citation statements)

References 41 publications

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“…This study also reported that participants could still recall the benefits of healthy lifestyle behaviours and contents of intervention sessions in detail at 24 months, suggesting that participants were aware of, and potentially still using, the behaviour change techniques and advice provided over the long term 35. The other, a 13-week computer software program to prompt reducing sedentary behaviour, resulted in a large (ES=0.67) reduction in mean arterial blood pressure (from 100.9±12 mm Hg to 90.6±11.5 mm Hg), compared with those not provided with this software (ES=0.01, from 102.0±10.6 mm Hg to 102.1±10.6 mm Hg) 42. Across the remaining multigroup studies with higher risk of bias ratings (in ≥7 items) the most commonly reported outcomes were fitness and weight.…”

Section: Resultsmentioning

confidence: 99%

“…All but two multigroup studies (n=11) reported improvements in at least one outcome. The two studies with the lowest risk of bias found improvements in mean arterial blood pressure (large effect after 13 weeks) in a sedentary behaviour intervention42 and in healthy eating, sleep quality, stress and tobacco use (small effects 24 months after a 12-week programme) following peer-led wellness support 34 35. Details on findings from the remaining multigroup studies with higher risk of bias ratings can be found in the Results and table 2.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of health promotion intervention studies in the police force: study characteristics, intervention design and impacts on health

et al. 2017

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To systematically review studies of health promotion intervention in the police force. Four databases were searched for articles reporting on prepost single and multigroup studies in police officers and trainees. Data were extracted and bias assessed to evaluate study characteristics, intervention design and the impact of interventions on health. Database searching identified 25 articles reporting on 21 studies relevant to the aims of this review. Few studies (n=3) were of long duration (≥6 months). Nine of 21 studies evaluated structured physical activity and/or diet programmes only, 5 studies used education and behaviour change support-only interventions, 5 combined structured programmes with education and behaviour change support, and 2 studies used computer prompts to minimise sedentary behaviour. A wide array of lifestyle behaviour and health outcomes was measured, with 11/13 multigroup and 8/8 single-group studies reporting beneficial impacts on outcomes. High risk of bias was evident across most studies. In those with the lowest risk of bias (n=2), a large effect on blood pressure and small effects on diet, sleep quality, stress and tobacco use, were reported. Health promotion interventions can impact beneficially on health of the police force, particularly blood pressure, diet, sleep, stress and tobacco use. Limited reporting made comparison of findings challenging. Combined structured programmes with education and behaviour change support and programmes including peer support resulted in the most impact on health-related outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A systematic review of health promotion intervention studies in the police force: study characteristics, intervention design and impacts on health

et al. 2017

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“…Despite the researchers' concern over self-selection, at a second participant meeting, only three (Mage = 44.00 ± 19.00 years) chose the active prompt condition, whereas eleven participants chose to be in the passive prompt condition (Mage = 47.18 ± 10.51 years). As researchers, we were aware of which condition had resulted in compliance in previous studies [3] [5] [6]; nonetheless, we were asked questions about the effectiveness of each condition. The researchers were all present and ensured that questions were answered neutrally as possible to further avoid contaminating the sample.…”

Section: Methodsmentioning

confidence: 99%

“…Currently there is an emphasis in workplace health messages to decrease sitting time and increase incidental workday movement as a means of reducing sedentariness in the population. This emphasis is the result of a confluence of studies showing that prolonged bouts of sitting are a factor in the incidence of poor health outcomes [1], and that small periods of non-exercise physical activity (NEPA) offer health benefits [2] [3]. It has been suggested that sitting is a habit due to employees typically performing the majority of occupational tasks while desk-bound, in a repeated and consistent manner [4].…”

Section: Introductionmentioning

confidence: 99%

“…The benefit of this automatic process is efficiency [12]. We have argued elsewhere that sitting is a habit because it is routinely performed, reinforced, and occurs in the presence of environmental cues [3]. Thus, interventions based on theories of choice and attitude (i.e., Theory of Reasoned Action) are bound to reflect the same adherence issues because specific strategies are needed to break unwanted habits and create new wanted habits [14] [15].…”

Section: Introductionmentioning

confidence: 99%

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A Longitudinal Look at Habit Strength as a Measure of Success in Decreasing Prolonged Occupational Sitting: An Evidence-Based Public Health Initiative

Pedersen¹,

Cooley²,

Mainsbridge³

et al. 2018

OJSST

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Background: Sitting to perform desk-based work is considered to be a habit. To test this hypothesis, desk-based workers volunteered to be part of a yearlong pilot study utilising an e-health intervention designed to interrupt prolonged workplace sitting with movement breaks. Methods: Participants in a passive-prompt group had to engage with an e-health software programme on an hourly basis during work hours, while participants in an active-prompt group were allowed to postpone the prompt each hour. Daily adherence data and self-reported sitting habit strength were measured every 13 weeks for one year. A mixed design ANOVA was used to determine significant differences at the p < 0.05 level. Results: Passive-prompt participants reported significant improvements in reducing sitting habit strength over time, compared to active-prompt participants who actually reported increased sitting habit strength. Conclusions: This study provided preliminary evidence that changing desk-based workers' sitting habits might be more difficult than previously estimated and that passive-based interventions could be one solution.

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A scoping review of workplace health promotion interventions for chronic diseases in Australia

Arnold

Harris

Weale

2023

Journal of Occupational Health

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ObjectiveThe aim of this study is to systematically chart and summarize the literature pertaining to workplace health promotion (WHP) interventions targeting the five main modifiable lifestyle risk factors for chronic disease, including smoking, nutrition, alcohol, physical activity, overweight/obesity (SNAPO) in Australian workers.MethodsA scoping review was performed using the framework of Arksey and O'Malley. MEDLINE, EMBASE, CINAHL, and SCOPUS were searched to identify peer‐reviewed publications that evaluated primary or secondary WHP interventions which targeted one or more modifiable risk factor (SNAPO).ResultsA total of fifty‐six articles were included in the review. The findings revealed a heterogeneous nature of WHP intervention design and evaluation. The majority of the interventions focussed on physical activity, with fewer targeting the other four main modifiable risk factors. Health care and white‐collar workers were most frequently targeted, with less attention paid to other worker groups. The review also found that many interventions had a duration of three months or less.ConclusionsSignificant gaps have been identified in relation to the occupational role, risk factors targeted, and intervention length. This review also highlights the need for further research to be conducted to determine the efficacy of interventions to facilitate the development of a framework for WHP interventions to reduce the risk and prevalence of chronic disease.

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The Effect of an e-Health Intervention Designed to Reduce Prolonged Occupational Sitting on Mean Arterial Pressure

Cited by 46 publications

References 41 publications

A systematic review of health promotion intervention studies in the police force: study characteristics, intervention design and impacts on health

A systematic review of health promotion intervention studies in the police force: study characteristics, intervention design and impacts on health

A Longitudinal Look at Habit Strength as a Measure of Success in Decreasing Prolonged Occupational Sitting: An Evidence-Based Public Health Initiative

A scoping review of workplace health promotion interventions for chronic diseases in Australia

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