What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?

Abstract Background Office workers demonstrate high levels of sitting on workdays. As sitting is positively associated with adverse health risks in adults, a theory-driven web-based computer-tailored intervention to influence workplace sitting, named ‘Start to Stand,’ was developed. The intervention...

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Main Authors: Katrien De Cocker, Ilse De Bourdeaudhuij, Greet Cardon, Corneel Vandelanotte
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4325-5
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author Katrien De Cocker
Ilse De Bourdeaudhuij
Greet Cardon
Corneel Vandelanotte
author_facet Katrien De Cocker
Ilse De Bourdeaudhuij
Greet Cardon
Corneel Vandelanotte
author_sort Katrien De Cocker
collection DOAJ
description Abstract Background Office workers demonstrate high levels of sitting on workdays. As sitting is positively associated with adverse health risks in adults, a theory-driven web-based computer-tailored intervention to influence workplace sitting, named ‘Start to Stand,’ was developed. The intervention was found to be effective in reducing self-reported workplace sitting among Flemish employees. The aim of this study was to investigate through which mechanisms the web-based computer-tailored intervention influenced self-reported workplace sitting. Methods Employees (n = 155) participated in a clustered randomised controlled trial and reported socio-demographics (age, gender, education), work-related (hours at work, employment duration), health-related (weight and height, workplace sitting and physical activity) and psychosocial (knowledge, attitudes, self-efficacy, social support, intention regarding (changing) sitting behaviours) variables at baseline and 1-month follow-up. The product-of-coefficients test of MacKinnon based on multiple linear regression analyses was conducted to examine the mediating role of five psychosocial factors (knowledge, attitudes, self-efficacy, social support, intention). The influence of one self-regulation skill (action planning) in the association between the intervention and self-reported workplace sitting time was investigated via moderation analyses. Results The intervention had a positive influence on knowledge (p = 0.040), but none of the psychosocial variables did mediate the intervention effect on self-reported workplace sitting. Action planning was found to be a significant moderator (p < 0.001) as the decrease in self-reported workplace sitting only occurred in the group completing an action plan. Conclusions Future interventions aimed at reducing employees’ workplace sitting are suggested to focus on self-regulatory skills and promote action planning when using web-based computer-tailored advice. Trial registration Clinicaltrials.gov NCT02672215 ; (Archived by WebCite at https://clinicaltrials.gov/ct2/show/NCT02672215 ).
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spelling doaj.art-e5703f26989942a4b0f7ad694676b13c2022-12-22T02:04:56ZengBMCBMC Public Health1471-24582017-05-0117111010.1186/s12889-017-4325-5What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?Katrien De Cocker0Ilse De Bourdeaudhuij1Greet Cardon2Corneel Vandelanotte3Department of Movement and Sports Sciences, Ghent UniversityDepartment of Movement and Sports Sciences, Ghent UniversityDepartment of Movement and Sports Sciences, Ghent UniversityPhysical Activity Research Group, School for Health, Medical and Applied Sciences, Central Queensland UniversityAbstract Background Office workers demonstrate high levels of sitting on workdays. As sitting is positively associated with adverse health risks in adults, a theory-driven web-based computer-tailored intervention to influence workplace sitting, named ‘Start to Stand,’ was developed. The intervention was found to be effective in reducing self-reported workplace sitting among Flemish employees. The aim of this study was to investigate through which mechanisms the web-based computer-tailored intervention influenced self-reported workplace sitting. Methods Employees (n = 155) participated in a clustered randomised controlled trial and reported socio-demographics (age, gender, education), work-related (hours at work, employment duration), health-related (weight and height, workplace sitting and physical activity) and psychosocial (knowledge, attitudes, self-efficacy, social support, intention regarding (changing) sitting behaviours) variables at baseline and 1-month follow-up. The product-of-coefficients test of MacKinnon based on multiple linear regression analyses was conducted to examine the mediating role of five psychosocial factors (knowledge, attitudes, self-efficacy, social support, intention). The influence of one self-regulation skill (action planning) in the association between the intervention and self-reported workplace sitting time was investigated via moderation analyses. Results The intervention had a positive influence on knowledge (p = 0.040), but none of the psychosocial variables did mediate the intervention effect on self-reported workplace sitting. Action planning was found to be a significant moderator (p < 0.001) as the decrease in self-reported workplace sitting only occurred in the group completing an action plan. Conclusions Future interventions aimed at reducing employees’ workplace sitting are suggested to focus on self-regulatory skills and promote action planning when using web-based computer-tailored advice. Trial registration Clinicaltrials.gov NCT02672215 ; (Archived by WebCite at https://clinicaltrials.gov/ct2/show/NCT02672215 ).http://link.springer.com/article/10.1186/s12889-017-4325-5Sedentary behaviourComputer-tailoringEmployeesE-healthMediation analyses
spellingShingle Katrien De Cocker
Ilse De Bourdeaudhuij
Greet Cardon
Corneel Vandelanotte
What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
BMC Public Health
Sedentary behaviour
Computer-tailoring
Employees
E-health
Mediation analyses
title What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
title_full What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
title_fullStr What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
title_full_unstemmed What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
title_short What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
title_sort what are the working mechanisms of a web based workplace sitting intervention targeting psychosocial factors and action planning
topic Sedentary behaviour
Computer-tailoring
Employees
E-health
Mediation analyses
url http://link.springer.com/article/10.1186/s12889-017-4325-5
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