Stand & Move at Work Program for Sedentary Lifestyle

(SMWII Trial)

Overseen By Arlene Fernandez

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Arizona State University

Disqualifiers: Previous interventions, Stand and Move I, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 3

4800 Participants Needed

Trial Summary

What is the purpose of this trial?

This is a 2-arm group-randomized hybrid effectiveness-implementation (HEI type 2) study to test an evidence-based intervention (EBI) known as Stand \& Move at Work(SMW) to reduce sedentary time in the workplace, and to test the role of expert facilitation (SMW+) for improving intervention fidelity.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Stand & Move at Work for reducing sedentary behavior?

Research shows that the Stand & Move at Work program, which includes strategies like sit-stand workstations, can successfully reduce the time people spend sitting at work. This reduction in sedentary behavior can lead to improvements in physical activity levels, mental well-being, and potentially enhance workplace productivity and satisfaction. ^{1 2 3 4 5}

Is the Stand & Move at Work Program safe for humans?

The available research on the Stand & Move at Work Program and similar interventions suggests they are generally safe for humans, as they focus on reducing sedentary behavior through activities like standing, walking, and stretching, which are typical and low-risk physical activities. ^{1 6 7 8 9}

How does the Stand & Move at Work Program differ from other treatments for a sedentary lifestyle?

The Stand & Move at Work Program is unique because it is a multicomponent, peer-led intervention specifically designed for the workplace to reduce sedentary time. Unlike other treatments that may focus solely on physical activity, this program emphasizes reducing sitting time at work and involves peer support, making it more tailored to the work environment. ^{1 3 9 10 11}

Research Team

Matthew Buman, PhD

Principal Investigator

Arizona State University College of Health Solutions

Mark Pereira, PhD

Principal Investigator

University of Minnesota

Eligibility Criteria

This trial is for full-time employees (30+ hours per week) who are 18 or older, work at a desk with sit-stand stations, and can be on-site at least three days weekly. Participants must consent to random assignment, allow surveys for research evaluation, wear an activity monitor periodically over two years, and have not been in similar interventions recently.

Inclusion Criteria

My job mainly involves working at a desk.

I am 18 years old or older.

My workplace has over 45 employees with sit-stand desks, and I work on-site at least 3 days a week.

Exclusion Criteria

Involved in the Stand and Move I intervention

Another worksite within the same organization is participating in the program and contamination across those worksites cannot be avoided

Involved in previous interventions to reduce sitting and increase standing and moving at work in the last 24 months

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants engage in the Stand & Move at Work program to reduce sedentary behavior using a web-based platform, with or without expert facilitation

12 months

Regular virtual meetings with worksite Champions

Follow-up

Participants are monitored for changes in sedentary behavior, posture, and intervention fidelity

12 months

Assessments at 3, 12, and 24 months

Long-term Follow-up

Assessment of cost-effectiveness and health-related quality of life over an extended period

24 months

Treatment Details

Interventions

• Stand & Move at Work
• Stand & Move at Work+

Trial Overview The study tests 'Stand & Move at Work' programs aimed at reducing sedentary behavior in the workplace. One group receives basic program guidance while another gets additional expert facilitation to see if it improves adherence to the program.

Participant Groups

Group I: Stand & Move at Work+ Experimental Treatment 1 Intervention

This arm will receive access to the same web-based platform and toolkit as the other arm. Additionally, worksites in this arm will be assigned and expert facilitator who will meet regularly with the worksite Champions to assist with implementation.

Group II: Stand & Move at Work Active Control 1 Intervention

Given an evidence-based workplace program to reduce sedentary behavior and increase standing and moving using a web-based platform. The web platform has a toolkit with strategies and guides for the worksite Champions to address changes at the environmental, social, and cultural levels.

Who Is Running the Clinical Trial?

Arizona State University

Lead Sponsor

Trials

311

Recruited

109,000+

University of Utah

Collaborator

Trials

1,169

Recruited

1,623,000+

University of Virginia

Collaborator

Trials

802

Recruited

1,342,000+

National Cancer Institute (NCI)

Collaborator

Trials

14,080

Recruited

41,180,000+

The University of Queensland

Collaborator

Trials

149

Recruited

71,700+

University of Minnesota

Collaborator

Trials

1,459

Recruited

1,623,000+

University of Nebraska

Collaborator

Trials

563

Recruited

1,147,000+

Findings from Research

The 'Stand and Move at Work' intervention significantly reduced sedentary time, with higher performing worksites achieving an average reduction of 75.2 minutes per 8-hour workday compared to only 30.3 minutes at lower performing sites, based on a 12-month study involving 12 worksites.

Key factors for success included adherence to the intervention protocol, such as providing accessible walking routes and fostering a supportive work culture for breaks, along with the competence and willingness of delivery personnel, highlighting the importance of implementation fidelity in achieving better outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Qualitative comparative analysis of the implementation fidelity of a workplace sedentary reduction intervention. Leonard, KS., Mullane, SL., Golden, CA., et al.[2023]

This study will evaluate the effectiveness of a mobile health (mHealth) program designed to reduce sedentary behavior and increase physical activity among 220 office workers with type 2 diabetes over a 12-month period, potentially improving their health outcomes.

The intervention group will receive real-time feedback and strategies through a smartphone app for 13 weeks, while the control group will continue with usual care, allowing for a comparison of changes in physical activity, glycaemic control, and overall well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of a healthcare-based mobile intervention on sedentary patterns, physical activity, mental well-being and clinical and productivity outcomes in office employees with type 2 diabetes: study protocol for a randomized controlled trial. Alòs, F., Colomer, MÀ., Martin-Cantera, C., et al.[2022]

In a study of 24 office workers using sit-stand workstations for over 10 months, it was found that, on average, workers spent 68% of their work time sitting, indicating that simply having access to these workstations may not significantly reduce sedentary behavior.

The study revealed substantial variability in sedentary behavior from day to day for individual workers, suggesting that personalized interventions may be necessary to encourage more frequent use of sit-stand workstations and reduce overall sitting time.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Consistency of Sedentary Behavior Patterns among Office Workers with Long-Term Access to Sit-Stand Workstations. Huysmans, MA., Srinivasan, D., Mathiassen, SE.[2020]

The SMArT Work trial is a 12-month randomized controlled trial involving 238 desk-based office workers aimed at reducing sedentary behavior by providing height-adjustable workstations and tailored strategies based on community feedback.

This study is significant as it is the first long-term, evidence-based trial within the NHS to address occupational sitting, which could lead to improved health policies and workplace environments.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More AT (SMArT) Work cluster randomised controlled trial. O'Connell, SE., Jackson, BR., Edwardson, CL., et al.[2019]

This study will evaluate the effectiveness of two interventions aimed at reducing sedentary behavior and increasing light-intensity physical activity among 720 workers across 24 worksites over 12 months.

The MOVE+ intervention focuses on promoting light-intensity activity, while the STAND+ intervention adds sit-stand workstations, allowing researchers to assess their impact on health outcomes, workplace productivity, and job satisfaction.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An intervention to reduce sitting and increase light-intensity physical activity at work: Design and rationale of the 'Stand & Move at Work' group randomized trial. Buman, MP., Mullane, SL., Toledo, MJ., et al.[2022]

A 4-week workstation wellness intervention for healthcare workers significantly increased participants' knowledge about ergonomics and the effects of prolonged sitting (p = .0034).

The program, which included activities like stretching and walking, was found to be sustainable and effective in promoting healthier behaviors among employees with sedentary jobs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A New Threat to the Nursing Workforce: Take a Stand! Koehne, K.[2019]

Employees with long-term access to sit-stand desks sat significantly less and stood more during work hours compared to those with traditional sitting desks, indicating that sit-stand desks can effectively reduce sedentary behavior.

The study found inverse correlations between increased physical activity (like walking and standing) and improved cardiometabolic health markers, such as lower blood pressure and BMI, suggesting that using sit-stand desks may contribute to better overall health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cross-sectional Examination of Long-term Access to Sit-Stand Desks in a Professional Office Setting. Carr, LJ., Swift, M., Ferrer, A., et al.[2022]

In an 18-month study involving 86 participants, relocating to a flex office led to a 21% increase in daily steps and a 42% increase in moderate to vigorous physical activity (MVPA) during work hours, compared to a 3% increase in the cell office group.

Despite the increase in physical activity in the flex office, there was no change in sitting time at work, and the flex office group experienced a weight increase, indicating that while activity levels rose, it did not translate to weight loss.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of a multicomponent physical activity promoting program on sedentary behavior, physical activity and body measures: a longitudinal study in different office types. Wahlström, V., Bergman, F., Öhberg, F., et al.[2020]

The 13-week 'Walk@WorkApp' intervention led to an increase in daily breaks and shorter sedentary bouts during weekends for desk-based employees, indicating that the program's benefits extended beyond the workplace.

No significant changes in physical activity or sitting patterns were observed during work hours, suggesting that while the app was effective in promoting movement outside of work, its impact on workday behavior was limited.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An mHealth Workplace-Based "Sit Less, Move More" Program: Impact on Employees' Sedentary and Physical Activity Patterns at Work and Away from Work. Bort-Roig, J., Chirveches-Pérez, E., Giné-Garriga, M., et al.[2021]

The Stand Up Victoria study is a cluster-randomized controlled trial involving 16 worksites and 160 participants per arm, aiming to reduce prolonged sitting time in office workers through a multi-component intervention, including height-adjustable workstations and behavioral strategies.

The study will objectively measure changes in sitting time and cardio-metabolic health markers, providing valuable insights into the effectiveness and cost-effectiveness of interventions to improve workplace health.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Reducing office workers' sitting time: rationale and study design for the Stand Up Victoria cluster randomized trial. Dunstan, DW., Wiesner, G., Eakin, EG., et al.[2022]

The Stand More AT Work (SMArT Work) intervention was developed using the Behaviour Change Wheel framework and involved 39 NHS office workers to identify effective strategies for reducing sitting time in the workplace.

Ten behavior change strategies were identified, including providing height-adjustable desks and face-to-face coaching, with the Darma cushion being the most practical and acceptable device for self-monitoring sitting time.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Stand More AT Work (SMArT Work): using the behaviour change wheel to develop an intervention to reduce sitting time in the workplace. Munir, F., Biddle, SJH., Davies, MJ., et al.[2022]

References

1. England pubmed.ncbi.nlm.nih.gov

Qualitative comparative analysis of the implementation fidelity of a workplace sedentary reduction intervention. [2023]

2. England pubmed.ncbi.nlm.nih.gov

Effectiveness of a healthcare-based mobile intervention on sedentary patterns, physical activity, mental well-being and clinical and productivity outcomes in office employees with type 2 diabetes: study protocol for a randomized controlled trial. [2022]

3. England pubmed.ncbi.nlm.nih.gov

Consistency of Sedentary Behavior Patterns among Office Workers with Long-Term Access to Sit-Stand Workstations. [2020]

4. England pubmed.ncbi.nlm.nih.gov

Providing NHS staff with height-adjustable workstations and behaviour change strategies to reduce workplace sitting time: protocol for the Stand More AT (SMArT) Work cluster randomised controlled trial. [2019]

5. United States pubmed.ncbi.nlm.nih.gov

An intervention to reduce sitting and increase light-intensity physical activity at work: Design and rationale of the 'Stand & Move at Work' group randomized trial. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

A New Threat to the Nursing Workforce: Take a Stand! [2019]

7. Netherlands pubmed.ncbi.nlm.nih.gov

Cross-sectional Examination of Long-term Access to Sit-Stand Desks in a Professional Office Setting. [2022]

8. Finland pubmed.ncbi.nlm.nih.gov

Effects of a multicomponent physical activity promoting program on sedentary behavior, physical activity and body measures: a longitudinal study in different office types. [2020]

9. Switzerland pubmed.ncbi.nlm.nih.gov

An mHealth Workplace-Based "Sit Less, Move More" Program: Impact on Employees' Sedentary and Physical Activity Patterns at Work and Away from Work. [2021]

10. England pubmed.ncbi.nlm.nih.gov

Reducing office workers' sitting time: rationale and study design for the Stand Up Victoria cluster randomized trial. [2022]

11. England pubmed.ncbi.nlm.nih.gov

Stand More AT Work (SMArT Work): using the behaviour change wheel to develop an intervention to reduce sitting time in the workplace. [2022]