A multistage controlled intervention to increase stair climbing at work: effectiveness and process evaluation

International Journal of Behavioral Nutrition and Physical Activity

Research

Hélène Charreire¹  Nane Copin²  Alice Bellicha²  Aurélie Kieusseian²  Jean-Michel Oppert³  Antonio Tataranni⁴  Anne-Marie Fontvieille⁴ 

[1] Department of Geography, Lab-Urba, Urbanism Institute of Paris, University Paris-Est, Creteil, France;Institute of Cardiometabolism and Nutrition (ICAN), University Pierre et Marie Curie-Paris 6, Paris, France;Institute of Cardiometabolism and Nutrition (ICAN), University Pierre et Marie Curie-Paris 6, Paris, France;Department of Nutrition, Pitie-Salpetriere University Hospital (AP-HP) University Pierre et Marie Curie-Paris 6, Center for Research on Human Nutrition Ile-de-France (CRNH IdF), Paris, France;Sanofi, 54 rue La Boetie, 75008, Paris, France;

关键词: Intervention Phase;    Control Site;    Project Team;    Intervention Site;    Directional Sign;   

DOI  :  10.1186/s12966-016-0371-0

 received in 2015-11-10, accepted in 2016-04-04,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundStair climbing helps to accumulate short bouts of physical activity throughout the day as a strategy for attaining recommended physical activity levels. There exists a need for effective long-term stair-climbing interventions that can be transferred to various worksite settings. The aims of this study were: 1) to evaluate short- and long-term effectiveness of a worksite stair-climbing intervention using an objective measurement of stair climbing and a controlled design; and 2) to perform a process evaluation of the intervention.MethodsWe performed a controlled before-and-after study. The study was conducted in two corporate buildings of the same company located in Paris (France), between September, 2013 and September, 2014. The status of either “intervention site” or “control site” was assigned by the investigators. Participants were on-site employees (intervention site: n = 783; control site: n = 545 at baseline). Two one-month intervention phases using signs (intervention phase 1) and enhancement of stairwell aesthetics (intervention phase 2) were performed. The main outcome was the change in stair climbing, measured with automatic counters and expressed in absolute counts/day/100 employees and percent change compared to baseline. Qualitative outcomes were used to describe the intervention process.ResultsStair climbing significantly increased at the intervention site (+18.7 %) but decreased at the control site (-13.3 %) during the second intervention phase (difference between sites: +4.6 counts/day/100 employees, p < 0.001). After the intervention and over the long term, stair climbing returned to baseline levels at the intervention site, but a significant difference between sites was found (intervention site vs. control site: +2.9 counts/day/100 employees, p < 0.05). Some important facets of the intervention were implemented as intended but other aspects had to be adapted. The main difficulty reported by the company’s staff members lay in matching the internal communications rules with critical intervention criteria. The program was maintained at the setting level after the end of the study.ConclusionsThis study shows a successful stair-climbing intervention at the worksite. The main barriers to adoption and implementation were related to location and visibility of posters. Process evaluation was useful in identifying these barriers throughout the study, and in finding appropriate solutions.

【 授权许可】

CC BY   
© Bellicha et al. 2016