This pilot randomized controlled trial (RCT) will examine the effect of a tailored workplace intervention based on interrupting sitting on work productivity, well-being and cardio-metabolic risk in office workers. The experimental group in the 8-week intervention will be prompted to alternate between sitting and standing while working. The ratio between sitting and standing will begin at 3:1 (two hours per day in an eight-hour day) and increase to 1:1 (four hours per day in an eight-hour day) by the end of the second week of the eight-week intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
46
A three-part behaviour change intervention, including: 1. Supportive organisational culture and knowledge of consequence of prolonged sitting 2. Environmental Modification 3. Behavioural Changes
Bedford Borough Council
Bedford, Bedfordshire, United Kingdom
University of Bedfordshire
Luton, Bedfordshire, United Kingdom
Change in sitting time (objective)
Evaluation of change in sitting time in the workplace using wearable accelerometers (ActivPAL3; PAL Technologies Ltd., Glasgow, UK). The ActivPAL will be worn on the right thigh.
Time frame: Change from baseline sitting time at 8 weeks
Change in physical activity level (objective)
Evaluation of physical activity time in the workplace using wearable accelerometers (ActivPAL3; PAL Technologies Ltd., Glasgow, UK). The ActivPAL will be worn on the right thigh.
Time frame: Change from baseline physical activity level at 8 weeks
Change in sitting time (subjective)
The International Physical Activity Questionnaire (IPAQ) will be used to provide a subjective measure of sitting. The scale provides a measure of reported sitting time in minutes.
Time frame: Change from baseline sitting time at 8 weeks
Change in physical activity level (subjective)
The International Physical Activity Questionnaire (IPAQ) will be used to provide a subjective measure of physical activity level. The scale provides a measure of reported sitting time in minutes for each of three types of physical activity (vigorous, moderate, and walking).
Time frame: Change from baseline physical activity level at 8 weeks
Absenteeism
Participants will be asked to respond to questions on the Gaudine and Gregory questionnaire on unsanctioned absence. Self-reported absenteeism will be calculated by adding the number of days reported for all the three questions.
Time frame: Change from baseline absenteeism at 8 weeks
Presenteeism
Presenteeism will be measured using Work Limitations Questionnaire (WLQ). The WLQ requires employees to self-report their level of difficulty (or ability) to perform 25 specific job demands in the last 2 weeks. Answers generated for the 25 items will be grouped into four work limitation scales including Time Management; Physical Demands; Mental/Interpersonal and Output Demands. The scores for each subscale range from 0-100%, with 0 equivalent to no limitation and 100 equivalent to complete limitation.
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Time frame: Change from baseline presenteeism at 8 weeks
Ecological momentary assessment (EMA)
Participants will be prompted at random four times between 9am to 5pm from Monday to Friday to complete a short questionnaire which will only take them 60 seconds to complete whilst in sitting position, standing and /or in walking position to enter their level of productivity.
Time frame: Eight weeks
Height
Measurement of height
Time frame: Once at baseline
Change in weight
Measurement of weight
Time frame: Change from baseline weight at 8 weeks
Change in waist circumference
Measurement waist circumference
Time frame: Change from baseline waist circumference at 8 weeks
Blood pressure
Systolic and diastolic blood pressure on the right arm after resting for at least 10 min in a seated position using an automated blood pressure monitor (Omron HEM705 CP, Omron Healthcare UK Limited, Milton Keynes, UK).
Time frame: Change from baseline blood pressure at 8 weeks
Change in fasting total cholesterol
Blood samples will be collected in capillary tubes after an overnight fast using a finger prick method with lancet. Measures of total cholesterol will be made.
Time frame: Change from baseline fasting total cholesterol at 8 weeks
Change in fasting high-density lipoprotein
Blood samples will be collected in capillary tubes after an overnight fast using a finger prick method with lancet. Measures of high-density lipoprotein will be made.
Time frame: Change from baseline fasting high-density lipoprotein at 8 weeks
Change in fasting triglycerides
Blood samples will be collected in capillary tubes after an overnight fast using a finger prick method with lancet. Measures of triglycerides will be made.
Time frame: Change from baseline fasting triglycerides at 8 weeks
Change in fasting blood glucose levels
Blood samples will be collected in capillary tubes after an overnight fast using a finger prick method with lancet. Measures of blood glucose levels will be made.
Time frame: Change from baseline fasting blood glucose levels at 8 weeks
Stress
Cohen Perceived Stress questionnaire will be used to assess perception of stress. It primarily evaluates the unpredictability, uncontrollability and overload of an individual's life.
Time frame: Change from baseline stress at 8 weeks
Mood
The positive and negative affect schedule (PANAS) questionnaire is a 20-item self-report measure of both positive and negative affect.
Time frame: Change from baseline mood at 8 weeks
Mental Wellbeing
The Warwick-Edinburgh Mental well-being Scale will be used to determine whether mental wellbeing changes. This scale has 14 questions, with each question scored from 1-5, giving a total score from 14-70.
Time frame: Change from baseline mental wellbeing at 8 weeks
Self-efficacy
A generalised four-point Likert scale questionnaire will be used to measure the self-efficacy of the participants.
Time frame: Change from baseline self-efficacy at 8 weeks