The use of point-of-decision prompts to increase stair climbing in Singapore

Int J Environ Res Public Health. 2013 Jan 7;10(1):210-8. doi: 10.3390/ijerph10010210.

Abstract

Physical inactivity is a significant contributor to worldwide mortality and morbidity associated with non-communicable diseases. An excellent avenue to incorporate lifestyle physical activity into regular routine is to encourage the use of stairs during daily commutes. We evaluated the effectiveness of point-of-decision prompts (PODPs) in promoting the use of stairs instead of the escalators in a Singapore Mass Rapid Transit (MRT) station. We measured the number of stair climbers before the PODPs were put up, during the 4 weeks that they were in use, and 2 weeks after they were removed. Measurements at a no intervention control site were additionally taken. The use of stair-riser banners was associated with an increase in the number of people using the stairs by a factor of 1.49 (95% CI 1.34-1.64). After the banners were removed, the number of stair climbers at the experimental station dropped to slightly below baseline levels. The Singapore MRT serves a diverse multi-ethnic population with an average daily ridership of over 2 million and 88 stations island-wide. An increase of physical activity among these MRT commuters would have a large impact at the population level. Our findings can be translated into part of the national strategy to encourage an active lifestyle in Singaporeans.

Publication types

  • Evaluation Study

MeSH terms

  • Elevators and Escalators
  • Exercise
  • Health Behavior*
  • Health Promotion / methods*
  • Humans
  • Persuasive Communication
  • Singapore
  • Social Marketing
  • Walking*