Sedentary behaviour in office workers, using pragmatic evaluation and the RE-AIM framework to improve potential for impact in the real world

  • Bradley MacDonald

Student thesis: Doctoral Thesis


Background: To reduce the burden of disease associated with sedentary behaviour (SB), interventions targeting a reduction in SB in office workers need to have impact in the real world. The thesis aimed to use pragmatic evaluation and the RE-AIM framework to inform and improve understanding of dissemination (reporting) and implementation of interventions targeting SB in office workers in order to guide interventions towards having real world public health impact. Methods: The thesis presents three studies. Study one is an integrative systematic review which aimed to collate and synthesise the published research which reported on at least one aspect of the reach, effectiveness, adoption, implementation and maintenance of an intervention. In the second study the RE-AIM QuEST framework was used to evaluate the potential for further implementation and scale-up of a consultation based single site workplace intervention which aimed to reduce SB. The third study used mixed methods to evaluate a digital intervention in the workplace across multiple workplace settings.;Results: In study one, 61 interventions were included in the systematic review. Reporting within included studies varied across reach (59%), effectiveness (49%), adoption (13%), implementation (44%) and maintenance (8%) and recommendations for improved reporting were given. In study two findings suggested that significant barriers to scale-up existed including lack of management support and time and cost of the intervention. Results from study three suggest that improvements could be made across the RE-AIM framework to facilitate improved effectiveness of the application while maintaining and improving reach, adoption, implementation and maintenance. Conclusion: The studies presented in this thesis will inform and improve the dissemination and implementation of SB interventions in the workplace for impact in the real world. Future research in this area should look to: implement testing for potential public health impact in early phases of research; further investigate the resources for health promotion in the real world and the stakeholder's perceptions of costs and benefits of interventions; investigate the manager's role as a gatekeeper to behaviour change in the workplace.
Date of Award2 Oct 2020
Original languageEnglish
Awarding Institution
  • University Of Strathclyde
SupervisorAlison Kirk (Supervisor) & Ann-Marie Gibson (Supervisor)

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