Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More at (SMArT) Work cluster randomised controlled trial Health behavior, health promotion and society

O'Connell, S. E., Jackson, B. R., Edwardson, C. L., Yates, T., Biddle, S. J. H., Davies, M. J., Dunstan, D., Esliger, D., Gray, L., Miller, P. and Munir, F. (2015) Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More at (SMArT) Work cluster randomised controlled trial Health behavior, health promotion and society. BMC Public Health, 15 1: 1-12. doi:10.1186/s12889-015-2532-5


Author O'Connell, S. E.
Jackson, B. R.
Edwardson, C. L.
Yates, T.
Biddle, S. J. H.
Davies, M. J.
Dunstan, D.
Esliger, D.
Gray, L.
Miller, P.
Munir, F.
Title Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More at (SMArT) Work cluster randomised controlled trial Health behavior, health promotion and society
Formatted title
Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More at (SMArT) Work cluster randomised controlled trial Health behavior, health promotion and society
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2015-12-09
Year available 2015
Sub-type Article (original research)
DOI 10.1186/s12889-015-2532-5
Open Access Status DOI
Volume 15
Issue 1
Start page 1
End page 12
Total pages 12
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
Background
High levels of sedentary behaviour (i.e., sitting) are a risk factor for poor health. With high levels of sitting widespread in desk-based office workers, office workplaces are an appropriate setting for interventions aimed at reducing sedentary behaviour. This paper describes the development processes and proposed intervention procedures of Stand More AT (SMArT) Work, a multi-component randomised control (RCT) trial which aims to reduce occupational sitting time in desk-based office workers within the National Health Service (NHS).

Methods/Design
SMArT Work consists of 2 phases: 1) intervention development: The development of the SMArT Work intervention takes a community-based participatory research approach using the Behaviour Change Wheel. Focus groups will collect detailed information to gain a better understanding of the most appropriate strategies, to sit alongside the provision of height-adjustable workstations, at the environmental, organisational and individual level that support less occupational sitting. 2) intervention delivery and evaluation: The 12 month cluster RCT aims to reduce workplace sitting in the University Hospitals of Leicester NHS Trust. Desk-based office workers (n = 238) will be randomised to control or intervention clusters, with the intervention group receiving height-adjustable workstations and supporting techniques based on the feedback received from the development phase. Data will be collected at four time points; baseline, 3, 6 and 12 months. The primary outcome is a reduction in sitting time, measured by the activPALTM micro at 12 months. Secondary outcomes include objectively measured physical activity and a variety of work-related health and psycho-social measures. A process evaluation will also take place.

Discussion
This study will be the first long-term, evidence-based, multi-component cluster RCT aimed at reducing occupational sitting within the NHS. This study will help form a better understanding and knowledge base of facilitators and barriers to creating a healthier work environment and contribute to health and wellbeing policy.
Keyword Sedentary behaviour
Sit-stand
Workplace sitting
RCT
Physical activity
Behaviour change
Intervention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
 
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