Understanding the Implementation of "Sit Less at Work" Interventions in Three Organisations: A Mixed Methods Process
Kelly Mackenzie1, Elizabeth Such1, Paul Norman2
1School of Health and Related Research, University of Sheffield, Regent Street, Sheffield S1 4DA, UK.
Workplace interventions to reduce sitting time had variable impacts. A process evaluation found interventions were not implemented as intended, highlighting organizational culture and workload pressures as key barriers to reducing sedentary behavior.
Area of Science:
- Occupational Health
- Behavioral Science
- Public Health Interventions
Background:
- Prolonged workplace sitting is linked to adverse health outcomes.
- Previous interventions to decrease sedentary behavior at work show inconsistent results.
- Understanding implementation barriers is crucial for effective workplace health promotion.
Purpose of the Study:
- To evaluate the intervention fidelity of "sit less at work" initiatives.
- To identify barriers and enablers affecting the implementation of these interventions.
- To inform future strategies for reducing workplace sitting time.
Main Methods:
- Mixed-methods "before and after" study design.
- Online questionnaires, objective sitting time measures (activPAL3™), and focus groups.
- Inclusion of staff participants and intervention implementers from diverse organizations.
Main Results:
- None of the "sit less at work" interventions were implemented with high fidelity.
- No consistent reductions in workplace sitting time were observed across the sites.
- Key barriers included workload, organizational culture, social norms, and lack of management support.
Conclusions:
- Current "sit less at work" interventions face significant implementation challenges.
- Organizational culture and social norms surrounding sitting require substantial shifts.
- Future initiatives necessitate comprehensive, multi-level organizational change for success.
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