Should We Scale-Up? A Mixed Methods Process Evaluation of an Intervention Targeting Sedentary Office Workers Using the RE-AIM QuEST Framework

Int J Environ Res Public Health. 2019 Dec 29;17(1):239. doi: 10.3390/ijerph17010239.

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.

Keywords: RE-AIM; office workers; process evaluation; scale-up; sedentary; sitting; workplace health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Focus Groups
  • Guidelines as Topic*
  • Health Promotion / standards*
  • Health Promotion / statistics & numerical data*
  • Humans
  • Male
  • Massachusetts
  • Middle Aged
  • Occupational Health / standards*
  • Occupational Health / statistics & numerical data
  • Sedentary Behavior*
  • Sitting Position*
  • Workplace / standards*
  • Workplace / statistics & numerical data