Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: a cluster randomised controlled trial

BMC Public Health

Study Protocol

Jean Adams¹  Emma McIntosh²  Alberto Longo³  George Hutchinson³  David P. French⁴  Lindsay Prior⁵  Ruth F. Hunter⁶  Jennifer Murray⁷  Jianjun Tang⁷  Chris Patterson⁷  Mark A. Tully⁷  Oliver J. Smith⁷  Frank Kee⁷  Sarah F. Brennan⁷ 

[1] Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge, Cambridge, England;Health Economics and Health Technology Assessment, University of Glasgow, Glasgow, Scotland;School of Biological Sciences/UKCRC Centre of Excellence for Public Health Research (NI), Queen’s University Belfast, Belfast, Northern Ireland;School of Psychological Sciences, University of Manchester, Manchester, England;School of Sociology, Social Policy and Social Work/UKCRC Centre of Excellence for Public Health Research (NI), Queen’s University Belfast, Belfast, Northern Ireland;UKCRC Centre of Excellence for Public Health Research (NI)/Centre for Public Health, Institute of Clinical Sciences B, Royal Victoria Hospital, Queen’s University Belfast, Grosvenor Road, BT12 6BJ, Belfast, Northern Ireland;UKCRC Centre of Excellence for Public Health Research (NI)/Centre for Public Health, Queen’s University Belfast, Belfast, Northern Ireland;

关键词: Physical activity;    Workplace;    Intervention;    Cluster RCT;    Behaviour change maintenance;    Financial incentives;    Economic evaluation;    Behavioural economics;    Mediation analyses;   

DOI  :  10.1186/s12889-016-3244-1

 received in 2016-06-12, accepted in 2016-06-29,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundIncreasing physical activity in the workplace can provide employee physical and mental health benefits, and employer economic benefits through reduced absenteeism and increased productivity. The workplace is an opportune setting to encourage habitual activity. However, there is limited evidence on effective behaviour change interventions that lead to maintained physical activity. This study aims to address this gap and help build the necessary evidence base for effective, and cost-effective, workplace interventions.Methods/designThis cluster randomised control trial will recruit 776 office-based employees from public sector organisations in Belfast and Lisburn city centres, Northern Ireland. Participants will be randomly allocated by cluster to either the Intervention Group or Control Group (waiting list control). The 6-month intervention consists of rewards (retail vouchers, based on similar principles to high street loyalty cards), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of participating workplaces will promote and monitor minutes of physical activity undertaken by participants. Both groups will complete all outcome measures. The primary outcome is steps per day recorded using a pedometer (Yamax Digiwalker CW-701) for 7 consecutive days at baseline, 6, 12 and 18 months. Secondary outcomes include health, mental wellbeing, quality of life, work absenteeism and presenteeism, and use of healthcare resources. Process measures will assess intervention “dose”, website usage, and intervention fidelity. An economic evaluation will be conducted from the National Health Service, employer and retailer perspective using both a cost-utility and cost-effectiveness framework. The inclusion of a discrete choice experiment will further generate values for a cost-benefit analysis. Participant focus groups will explore who the intervention worked for and why, and interviews with retailers will elucidate their views on the sustainability of a public health focused loyalty card scheme.DiscussionThe study is designed to maximise the potential for roll-out in similar settings, by engaging the public sector and business community in designing and delivering the intervention. We have developed a sustainable business model using a ‘points’ based loyalty platform, whereby local businesses ‘sponsor’ the incentive (retail vouchers) in return for increased footfall to their business.Trial registrationISRCTN17975376 (Registered 19/09/2014).

【 授权许可】

CC BY   
© The Author(s). 2016