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The Feasibility of a Text-Messaging Intervention Promoting Physical Activity in Shift Workers: A Process Evaluation
Malebogo Monnaatsie1,2,3, Stuart J H Biddle3,4, Tracy Kolbe-Alexander1,3,5
1School of Health and Medical Sciences and Centre for Health Research, University of Southern Queensland, Ipswich, QLD 4305, Australia.
International Journal of Environmental Research and Public Health
|February 25, 2023
Summary
Workplace health promotion programs using text messages can boost physical activity in shift workers. This study found high adherence and optimism, suggesting potential for wider adoption with improved recruitment.
Area of Science:
- Occupational Health
- Health Promotion
- Behavioral Science
Background:
- Workplace health promotion programs (WHPPs) are recognized for their potential to enhance physical activity among shift workers.
- Shift work schedules often present unique challenges to maintaining healthy lifestyles, including physical activity levels.
Purpose of the Study:
- To conduct a process evaluation of a text messaging-based health promotion intervention tailored for mining shift workers.
- To assess the intervention's effectiveness using the RE-AIM framework (Reach, Efficacy, Adoption, Implementation, Maintenance) over a 24-day shift cycle.
Main Methods:
- Utilized a mixed-methods approach including logbooks (n=25), exit interviews (n=7), and online surveys (n=17) from intervention participants.
- Applied the RE-AIM framework to systematically evaluate the intervention's reach, efficacy, adoption, implementation, and maintenance.
- Collected data throughout a 24-day shift cycle specific to the mining industry's operational demands.
Main Results:
- The intervention reached 66% of workers across three departments, with a 15% dropout rate.
- High participant adherence was observed, with facilitators including text messaging, behavioral feedback, and incentives.
- Work-related fatigue emerged as a significant barrier to program implementation.
Conclusions:
- Shift workers demonstrated optimism towards health promotion initiatives.
- The program shows potential for adoption and scale-up, contingent upon improved recruitment strategies, particularly involving management.
- Future programs should consider long-term evaluation and direct company management involvement for successful scaling.
