| Title: |
Implementation and engagement of the SMART Work & Life sitting reduction intervention: an exploratory analysis on intervention effectiveness |
| Authors: |
Edwardson, Charlotte L; Abell, Lucy; Clarke-Cornwell, Alex; Dunstan, David W; Gray, Laura J; Healy, Genevieve N; Hadjiconstantinou, Michelle; Wilson, Panna; Maylor, Benjamin; Munir, Fehmidah; Biddle, Stuart JH |
| Publisher Information: |
Springer |
| Publication Year: |
2023 |
| Collection: |
University of Southern Queensland: USQ ePrints |
| Subject Terms: |
Engagement; Fidelity; Sitting; Intervention; Workplace |
| Description: |
Background To enhance the impact of interventions, it is important to understand how intervention engagement relates to study outcomes. We report on the level of implementation and engagement with the SMART Work & Life (SWAL) programme (delivered with (SWAL plus desk) and without a height-adjustable desk (SWAL)) and explore the effects of different levels of this on change in daily sitting time in comparison to the control group. Methods The extent of intervention delivery by workplace champions and the extent of engagement by champions and participants (staff) with each intervention activity was assessed by training attendance logs, workplace champion withdrawal dates, intervention activities logs and questionnaires. These data were used to assess whether a cluster met defined criteria for low, medium, or high implementation and engagement or none of these. Mixed effects linear regression analyses tested whether change in sitting time varied by: (i) the number of intervention activities implemented and engaged with, and (ii) the percentage of implementation and engagement with all intervention strategies. Results Workplace champions were recruited for all clusters, with 51/52 (98%) attending training. Overall, 12/27 (44.4%) SWAL and 9/25 (36.0%) SWAL plus desk clusters implemented all main intervention strategies. Across remaining clusters, the level of intervention implementation varied. Those in the SWAL (n = 8 (29.6%) clusters, 80 (32.1%) participants) and SWAL plus desk (n = 5 (20.0%) clusters, 41 (17.1%) participants) intervention groups who implemented and engaged with the most intervention strategies and had the highest percentage of cluster implementation and engagement with all intervention strategies sat for 30.9 (95% CI -53.9 to -7.9, p = 0.01) and 75.6 (95% CI -103.6 to -47.7, p < 0.001) fewer minutes/day respectively compared to the control group at 12 month follow up. These differences were larger than the complete case analysis. The differences in sitting time observed for the medium and ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
https://research.usq.edu.au/download/9290bfb95eead36b679f6189f2e3a0799ae79b065ba3bd49a5ee34eb0662f845/1548089/s12966-023-01548-5.pdf; https://doi.org/10.1186/s12966-023-01548-5; Edwardson, Charlotte L, Abell, Lucy, Clarke-Cornwell, Alex, Dunstan, David W, Gray, Laura J, Healy, Genevieve N, Hadjiconstantinou, Michelle, Wilson, Panna, Maylor, Benjamin, Munir, Fehmidah and Biddle, Stuart JH. 2023. "Implementation and engagement of the SMART Work & Life sitting reduction intervention: an exploratory analysis on intervention effectiveness." International Journal of Behavioral Nutrition and Physical Activity. 20 (1). https://doi.org/10.1186/s12966-023-01548-5 |
| Availability: |
https://research.usq.edu.au/item/zq2zy/implementation-and-engagement-of-the-smart-work-life-sitting-reduction-intervention-an-exploratory-analysis-on-intervention-effectiveness |
| Rights: |
CC BY 4.0 |
| Accession Number: |
edsbas.A894E5BE |
| Database: |
BASE |