Should we scale-up? A mixed methods process evaluation of an intervention targeting sedentary office workers using the RE-AIM QuEST framework

Journal article


MacDonald, Bradley, Gibson, Ann-Marie, Janssen, Xanne, Hutchinson, Jasmin, Headley, Samuel, Matthews, Tracey and Kirk, Alison. (2020). Should we scale-up? A mixed methods process evaluation of an intervention targeting sedentary office workers using the RE-AIM QuEST framework. International Journal of Environmental Research and Public Health. 17(1), p. Article 239. https://doi.org/10.3390/ijerph17010239
AuthorsMacDonald, Bradley, Gibson, Ann-Marie, Janssen, Xanne, Hutchinson, Jasmin, Headley, Samuel, Matthews, Tracey and Kirk, Alison
Abstract

Background: Interventions targeting a reduction in sedentary behaviour in office workers need to be scaled-up to have impact. In this study, the RE-AIM QuEST framework was used to evaluate the potential for further implementation and scale-up of a consultation based workplace intervention which targeted both the reduction, and breaking up of sitting time. Methods: To evaluate the Springfield College sedentary behaviour intervention across multiple RE-AIM QuEST indicators; intervention participant, non-participant (employees who did not participate) and key informant (consultation delivery team; members of the research team and stakeholders in workplace health promotion) data were collected using interviews, focus groups and questionnaires. Questionnaires were summarized using descriptive statistics and interviews and focus groups were transcribed verbatim, and thematically analysed. Results: Barriers to scale-up were: participant burden of activity monitoring; lack of management support; influence of policy; flexibility (scheduling/locations); time and cost. Facilitators to scale up were: visible leadership; social and cultural changes in the workplace; high acceptability; existing health and wellbeing programmes; culture and philosophy of the participating college. Conclusions: There is potential for scale-up, however adaptations will need to be made to address the barriers to scale-up. Future interventions in office workers should evaluate for scalability during the pilot phases of research.

Keywordssedentary; sitting; office workers; workplace health; process evaluation; RE-AIM; scale-up
Year2020
JournalInternational Journal of Environmental Research and Public Health
Journal citation17 (1), p. Article 239
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph17010239
PubMed ID31905751
Scopus EID2-s2.0-85077619604
PubMed Central IDPMC6981814
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-18
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online29 Dec 2019
Publication process dates
Accepted25 Dec 2019
Deposited25 Aug 2022
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