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Co-Production at Work: The Process of Breaking Up Sitting Time to Improve Cardiovascular Health. A Pilot Study

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  • Thomas D. Griffiths

    (Centre for Health, Activity and Wellbeing Research (CAWR), School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff CF5 2YB, UK)

  • Diane Crone

    (Centre for Health, Activity and Wellbeing Research (CAWR), School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff CF5 2YB, UK)

  • Mike Stembridge

    (Centre for Health, Activity and Wellbeing Research (CAWR), School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff CF5 2YB, UK)

  • Rachel N. Lord

    (Centre for Health, Activity and Wellbeing Research (CAWR), School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff CF5 2YB, UK)

Abstract

Prolonged sitting negatively affects several cardiovascular disease biomarkers. Current workplace physical activity interventions to reduce sitting result in inconsistent uptake and adherence rates. Co-production attempts to improve the translation of evidence to practice through engaging the participants within the intervention design, improving the context sensitivity and acceptability of the intervention. A needs analysis questionnaire was initially conducted ( n = 157) to scope workplace behaviours and attitudes. A development group ( n = 11) was consulted in focus groups around the needs analysis findings and asked to comment on the feasibility of a proposed intervention. A pilot intervention was then carried out ( n = 5). The needs analysis indicated that only 1.8% ( n = 4) engaged in occupational physical activity, and 68.7% ( n = 103) sat for ≥6 h during their working day. Through the focus groups, an intervention breaking up sitting time hourly with five-minute walking breaks was co-produced. Cultural and pragmatic issues concerning the implementation of frequent physical activity breaks from sitting and the subsequent impact on work productivity were highlighted. The pilot intervention increased the number of breaks from sedentary behaviour from 2 to 11. The co-production methodology resulted in a research- and stakeholder-guided compromise. Large-scale intervention implementation is required before firm effectiveness conclusions can be made.

Suggested Citation

  • Thomas D. Griffiths & Diane Crone & Mike Stembridge & Rachel N. Lord, 2021. "Co-Production at Work: The Process of Breaking Up Sitting Time to Improve Cardiovascular Health. A Pilot Study," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:361-:d:714274
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    References listed on IDEAS

    as
    1. Kelly Mackenzie & Elizabeth Such & Paul Norman & Elizabeth Goyder, 2021. "Using Co-Production to Develop “Sit Less at Work” Interventions in a Range of Organisations," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    2. Kelly Mackenzie & Elizabeth Such & Paul Norman & Elizabeth Goyder, 2021. "Understanding the Implementation of “Sit Less at Work” Interventions in Three Organisations: A Mixed Methods Process Evaluation," IJERPH, MDPI, vol. 18(14), pages 1-16, July.
    3. Glasgow, R.E. & Lichtenstein, E. & Marcus, A.C., 2003. "Why Don't We See More Translation of Health Promotion Research to Practice? Rethinking the Efficacy-to-Effectiveness Transition," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1261-1267.
    4. Sophie E. Carter & Richard Draijer & Joseph D. Maxwell & Abigail S. Morris & Scott J. Pedersen & Lee E. F. Graves & Dick H. J. Thijssen & Nicola D. Hopkins, 2020. "Using an e-Health Intervention to Reduce Prolonged Sitting in UK Office Workers: A Randomised Acceptability and Feasibility Study," IJERPH, MDPI, vol. 17(23), pages 1-21, December.
    5. Lidewij R. Renaud & Maaike A. Huysmans & Hidde P. van der Ploeg & Erwin M. Speklé & Allard J. van der Beek, 2020. "Natural Patterns of Sitting, Standing and Stepping During and Outside Work—Differences between Habitual Users and Non-Users of Sit–Stand Workstations," IJERPH, MDPI, vol. 17(11), pages 1-12, June.
    6. Cornwall, Andrea & Jewkes, Rachel, 1995. "What is participatory research?," Social Science & Medicine, Elsevier, vol. 41(12), pages 1667-1676, December.
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