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Stand Up for Health: Programme theory for an intervention to reduce sedentary behaviour in contact centres
Laura Tirman1, Hannah Biggs2, Kathleen Morrison1
1Scottish Collaboration for Public Health Research and Policy (SCPHRP), University of Edinburgh, 5 Forrest Hill, EH1 2QL, Edinburgh, UK.
Background:
Contact centre staff spend up to 95 % of their day seated, which can lead to a range of negative health outcomes. The aim of this study was to develop a programme theory for a complex intervention to reduce sedentary behaviour in contact centres.
Methods:
The 6SQuID model was used. A literature review, and focus groups at one contact centre were used to: understand the problem (step 1); identify modifiable factors (step 2); and develop a theory of change (step 3). A workshop shaped a theory of action (step 4), and the programme theory was refined after testing activities over 6 months (step 5). The intervention is currently undergoing further evaluation and feasibility testing in a larger scale stepped wedge randomised controlled study in 11 contact centres (Step 6).
Results:
Step 1: Limited opportunity to sit less, and move more at work was identified as the main problem. Step 2: Modifiable factors were identified at four levels of the centre. Step 3: A theory of change was developed around cultural norms and individual behaviour change. Step 4: Actions were developed to 'activate' the theory of change. Step 5: Activities were implemented, and adapted over 6 months and the programme theory was refined.
Conclusion:
The programme theory behind this intervention is robust, evidence based, adaptive and transferable.
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