|Title||Enrollment Strategies, Barriers to Participation, and Reach of a Workplace Intervention Targeting Sedentary Behavior.|
|Publication Type||Journal Article|
|Year of Publication||2019|
|Authors||Mullane, SL, Rydell, SA, Larouche, ML, Toledo, MJ, Feltes, LH, Vuong, B, Crespo, NC, Gaesser, GA, Estabrooks, PA, Pereira, MA, Buman, MP|
|Journal||Am J Health Promot|
|Date Published||2019 02|
|Keywords||Counseling, Cross-Sectional Studies, Environment Design, Exercise, Female, Health Promotion, Humans, Male, Occupational Health, Retrospective Studies, Sedentary Behavior, United States, Workplace|
PURPOSE: To review enrollment strategies, participation barriers, and program reach of a large, 2-year workplace intervention targeting sedentary behavior.
APPROACH: Cross-sectional, retrospective review.
SETTING: Twenty-four worksites balanced across academic, industry, and government sectors in Minneapolis/Saint Paul (Minnesota) and Phoenix (Arizona) regions.
PARTICIPANTS: Full-time (≥30+ h/wk), sedentary office workers.
METHODS: Reach was calculated as the proportion of eligible employees who enrolled in the intervention ([N enrolled/(proportion of eligible employees × N total employees)] × 100). Mean (1 standard deviation) and median worksite sizes were calculated at each enrollment step. Participation barriers and modifications were recorded by the research team. A survey was sent to a subset of nonparticipants (N = 57), and thematic analyses were conducted to examine reasons for nonparticipation, positive impacts, and negative experiences.
RESULTS: Employer reach was 65% (56 worksites invited to participate; 66% eligible of 56 responses; 24 enrolled). Employee reach was 58% (1317 invited to participate, 83% eligible of 906 responses; 632 enrolled). Postrandomization, on average, 59% (15%) of the worksites participated. Eighteen modifications were developed to overcome participant-, context-, and research-related participation barriers.
CONCLUSION: A high proportion of worksites and employees approached to participate in a sedentary behavior reduction intervention engaged in the study. Interventions that provide flexible enrollment, graded participant engagement options, and adopt a participant-centered approach may facilitate workplace intervention success.
|Alternate Journal||Am J Health Promot|
|PubMed Central ID||PMC7702267|
|Grant List||R01 CA198971 / CA / NCI NIH HHS / United States|