Accepted for/Published in: JMIR Formative Research
Date Submitted: Jun 5, 2019
Date Accepted: Mar 23, 2020
Sedentary work in desk-dominated environments: Design of a data-driven intervention using Intervention Mapping
ABSTRACT
Background:
Since desk-dominated work environments facilitate sedentary behavior, office workers sit for 66% of their working days, and only 8% succeed in interrupting their prolonged periods of sitting within the first 55 minutes. Yet stretches of long and uninterrupted sitting increase the likelihood of several chronic metabolic and cardiovascular diseases.
Objective:
We therefore developed a computer-based application designed to interrupt periods of prolonged sitting among office employees.
Methods:
The intervention, UPcomplish, consists of tailored, half-automatized motivational components delivered by a coach. To register sedentary behavior, the VitaBit (VitaBit Software International B.V., Eindhoven, The Netherlands) toolkit is used - a wearable accelerometry based monitoring device. When developing the intervention, we applied the Intervention Mapping protocol. This consists of six steps: creation of a logic model of the problem, creation of a logic model of change, program design, program production, design of an implementation plan, and, finally, development of an evaluation plan.
Results:
Working through all six steps has resulted in a theory- and evidence-based, individually adaptable intervention to reduce sedentary behavior at work.
Conclusions:
Intervention Mapping is a useful protocol, not only for the systematic development of a comprehensive intervention to reduce sedentary behavior, but also for planning program adherence, program implementation and program maintenance. It facilitates obtaining the participation of relevant stakeholders at different ecological levels in the development process of the intervention, and anticipating facilitators to and barriers of program implementation and maintenance. Clinical Trial: NL7503 – registered 1 February 2019, see section: Intervention Mapping Step 6: Evaluation Plan
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