Understanding and Influencing Occupational Sedentary Behavior: A Mixed-Methods Approach in a Multiethnic Asian Population
We aim to assess sedentary behavior (SB) and its determinants, as well as potential strategies to reduce SB among employees in a tertiary hospital in Singapore, using a mixed-methods approach grounded in the socioecological framework. All employees with email and security guards of a tertiary hospit...
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| Veröffentlicht in: | Health education & behavior 2020-06, Vol.47 (3), p.419-429 |
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| creator | Wang, Nan Xin Chen, Jiaxuan Wagner, Norbert L. Rebello, Salome A. Petrunoff, Nicholas Alexander Owen, Neville Müller-Riemenschneider, Falk |
| description | We aim to assess sedentary behavior (SB) and its determinants, as well as potential strategies to reduce SB among employees in a tertiary hospital in Singapore, using a mixed-methods approach grounded in the socioecological framework. All employees with email and security guards of a tertiary hospital in Singapore were invited to complete a questionnaire that captured sociodemographics and self-reported domain-specific SB. Environmental influences of occupational SB were assessed using an adapted version of the Checklist for Health Promotion Environments at the Worksite (CHEW). Focus group discussion (FGD) addressed perceptions, barriers, and strategies toward reducing workplace SB. Analyses were performed separately and integrated using an inductive comparative approach. The median occupational sitting time (n = 938) was 300 minutes/day, and highest among administrative staff (administrative, 421 minutes/day; allied health, 300 minutes/day; ancillary, 300 minutes/day; nursing, 120 minutes/day; medical/dental/others, 240 minutes/day; p value: |
| doi_str_mv | 10.1177/1090198119885431 |
| format | Article |
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All employees with email and security guards of a tertiary hospital in Singapore were invited to complete a questionnaire that captured sociodemographics and self-reported domain-specific SB. Environmental influences of occupational SB were assessed using an adapted version of the Checklist for Health Promotion Environments at the Worksite (CHEW). Focus group discussion (FGD) addressed perceptions, barriers, and strategies toward reducing workplace SB. Analyses were performed separately and integrated using an inductive comparative approach. The median occupational sitting time (n = 938) was 300 minutes/day, and highest among administrative staff (administrative, 421 minutes/day; allied health, 300 minutes/day; ancillary, 300 minutes/day; nursing, 120 minutes/day; medical/dental/others, 240 minutes/day; p value: <.001). The CHEW assessment identified poor physical and information environment contributing to occupational SB. FGDs confirmed an unsupportive environment and elicited barriers such as low SB awareness, nature of work, and workplace norms. Besides environmental approaches, participants suggested having face-to-face communication and social modelling to promote more breaks from sitting. This mixed-methods study among diverse professional groups of a tertiary hospital indicated a large amount of occupational SB, particularly among administrative staff. Raising awareness of the health risks of SB and building a supportive organizational culture, information, and physical environment emerged as significant factors. To reduce occupational SB, multicomponent interventions addressing these diverse factors are warranted.</description><identifier>ISSN: 1090-1981</identifier><identifier>EISSN: 1552-6127</identifier><identifier>DOI: 10.1177/1090198119885431</identifier><identifier>PMID: 31661980</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Allied Health Personnel ; Attitudes ; Barriers ; Built environment ; Check Lists ; Comparative analysis ; Email ; Employees ; Environmental aspects ; Environmental Influences ; Focus Groups ; Foreign Countries ; Group Discussion ; Guards ; Health Behavior ; Health promotion ; Health risks ; Hospitals ; Knowledge Level ; Life Style ; Mixed methods research ; Norms ; Nursing ; Organizational aspects ; Organizational Culture ; Physical Activity Level ; Physical Environment ; Responsibility ; Risk Management ; Security personnel ; Sedentary ; Sedentary behavior ; Sociodemographics ; Work site programmes ; Workplaces</subject><ispartof>Health education & behavior, 2020-06, Vol.47 (3), p.419-429</ispartof><rights>2019 Society for Public Health Education</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-b74edbe024648b034211f170e20f2557a4baa4ea8ddcd732d143cd2bb0a370043</citedby><cites>FETCH-LOGICAL-c387t-b74edbe024648b034211f170e20f2557a4baa4ea8ddcd732d143cd2bb0a370043</cites><orcidid>0000-0003-1402-7477</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1090198119885431$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1090198119885431$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1254417$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31661980$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Nan Xin</creatorcontrib><creatorcontrib>Chen, Jiaxuan</creatorcontrib><creatorcontrib>Wagner, Norbert L.</creatorcontrib><creatorcontrib>Rebello, Salome A.</creatorcontrib><creatorcontrib>Petrunoff, Nicholas Alexander</creatorcontrib><creatorcontrib>Owen, Neville</creatorcontrib><creatorcontrib>Müller-Riemenschneider, Falk</creatorcontrib><title>Understanding and Influencing Occupational Sedentary Behavior: A Mixed-Methods Approach in a Multiethnic Asian Population</title><title>Health education & behavior</title><addtitle>Health Educ Behav</addtitle><description>We aim to assess sedentary behavior (SB) and its determinants, as well as potential strategies to reduce SB among employees in a tertiary hospital in Singapore, using a mixed-methods approach grounded in the socioecological framework. All employees with email and security guards of a tertiary hospital in Singapore were invited to complete a questionnaire that captured sociodemographics and self-reported domain-specific SB. Environmental influences of occupational SB were assessed using an adapted version of the Checklist for Health Promotion Environments at the Worksite (CHEW). Focus group discussion (FGD) addressed perceptions, barriers, and strategies toward reducing workplace SB. Analyses were performed separately and integrated using an inductive comparative approach. The median occupational sitting time (n = 938) was 300 minutes/day, and highest among administrative staff (administrative, 421 minutes/day; allied health, 300 minutes/day; ancillary, 300 minutes/day; nursing, 120 minutes/day; medical/dental/others, 240 minutes/day; p value: <.001). The CHEW assessment identified poor physical and information environment contributing to occupational SB. FGDs confirmed an unsupportive environment and elicited barriers such as low SB awareness, nature of work, and workplace norms. Besides environmental approaches, participants suggested having face-to-face communication and social modelling to promote more breaks from sitting. This mixed-methods study among diverse professional groups of a tertiary hospital indicated a large amount of occupational SB, particularly among administrative staff. Raising awareness of the health risks of SB and building a supportive organizational culture, information, and physical environment emerged as significant factors. To reduce occupational SB, multicomponent interventions addressing these diverse factors are warranted.</description><subject>Allied Health Personnel</subject><subject>Attitudes</subject><subject>Barriers</subject><subject>Built environment</subject><subject>Check Lists</subject><subject>Comparative analysis</subject><subject>Email</subject><subject>Employees</subject><subject>Environmental aspects</subject><subject>Environmental Influences</subject><subject>Focus Groups</subject><subject>Foreign Countries</subject><subject>Group Discussion</subject><subject>Guards</subject><subject>Health Behavior</subject><subject>Health promotion</subject><subject>Health risks</subject><subject>Hospitals</subject><subject>Knowledge Level</subject><subject>Life Style</subject><subject>Mixed methods research</subject><subject>Norms</subject><subject>Nursing</subject><subject>Organizational aspects</subject><subject>Organizational Culture</subject><subject>Physical Activity Level</subject><subject>Physical Environment</subject><subject>Responsibility</subject><subject>Risk Management</subject><subject>Security personnel</subject><subject>Sedentary</subject><subject>Sedentary behavior</subject><subject>Sociodemographics</subject><subject>Work site programmes</subject><subject>Workplaces</subject><issn>1090-1981</issn><issn>1552-6127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kMtP3DAQxq2qqDzaey-tLPUcmHGcONvbgngsYrWVWs6RY09Yo-CkdlLBf4-X5SEh9WCNx79vPs8MY18RDhGVOkKYAc4qTKcqZI4f2B4WhchKFOpjuiecbfgu24_xFgDKGRSf2G6OZZneYY89XHtLIY7aW-dveAp84dtuIm82-cqYadCj673u-G-y5EcdHvgxrfU_14effM6X7p5stqRx3dvI58MQem3W3Hmu-XLqRpeId4bPo9Oe_-qHqXsy_Mx2Wt1F-vIcD9j12emfk4vsanW-OJlfZSav1Jg1SpJtCIQsZdVALgViiwpIQCuKQmnZaC1JV9Yaq3JhUebGiqYBnSsAmR-wH1vf1NjfieJY3_ZTSPPEWkgoZKWSW1LBVmVCH2Ogth6Cu0uz1gj1Ztf1-12nku_PxlNzR_a14GW5SfBtK6DgzCs-vURRSIkq8WzLo76ht67---EjFY6QQg</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Wang, Nan Xin</creator><creator>Chen, Jiaxuan</creator><creator>Wagner, Norbert L.</creator><creator>Rebello, Salome A.</creator><creator>Petrunoff, Nicholas Alexander</creator><creator>Owen, Neville</creator><creator>Müller-Riemenschneider, Falk</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0003-1402-7477</orcidid></search><sort><creationdate>202006</creationdate><title>Understanding and Influencing Occupational Sedentary Behavior: A Mixed-Methods Approach in a Multiethnic Asian Population</title><author>Wang, Nan Xin ; Chen, Jiaxuan ; Wagner, Norbert L. ; Rebello, Salome A. ; Petrunoff, Nicholas Alexander ; Owen, Neville ; Müller-Riemenschneider, Falk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-b74edbe024648b034211f170e20f2557a4baa4ea8ddcd732d143cd2bb0a370043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Allied Health Personnel</topic><topic>Attitudes</topic><topic>Barriers</topic><topic>Built environment</topic><topic>Check Lists</topic><topic>Comparative analysis</topic><topic>Email</topic><topic>Employees</topic><topic>Environmental aspects</topic><topic>Environmental Influences</topic><topic>Focus Groups</topic><topic>Foreign Countries</topic><topic>Group Discussion</topic><topic>Guards</topic><topic>Health Behavior</topic><topic>Health promotion</topic><topic>Health risks</topic><topic>Hospitals</topic><topic>Knowledge Level</topic><topic>Life Style</topic><topic>Mixed methods research</topic><topic>Norms</topic><topic>Nursing</topic><topic>Organizational aspects</topic><topic>Organizational Culture</topic><topic>Physical Activity Level</topic><topic>Physical Environment</topic><topic>Responsibility</topic><topic>Risk Management</topic><topic>Security personnel</topic><topic>Sedentary</topic><topic>Sedentary behavior</topic><topic>Sociodemographics</topic><topic>Work site programmes</topic><topic>Workplaces</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Nan Xin</creatorcontrib><creatorcontrib>Chen, Jiaxuan</creatorcontrib><creatorcontrib>Wagner, Norbert L.</creatorcontrib><creatorcontrib>Rebello, Salome A.</creatorcontrib><creatorcontrib>Petrunoff, Nicholas Alexander</creatorcontrib><creatorcontrib>Owen, Neville</creatorcontrib><creatorcontrib>Müller-Riemenschneider, Falk</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Health education & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Nan Xin</au><au>Chen, Jiaxuan</au><au>Wagner, Norbert L.</au><au>Rebello, Salome A.</au><au>Petrunoff, Nicholas Alexander</au><au>Owen, Neville</au><au>Müller-Riemenschneider, Falk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1254417</ericid><atitle>Understanding and Influencing Occupational Sedentary Behavior: A Mixed-Methods Approach in a Multiethnic Asian Population</atitle><jtitle>Health education & behavior</jtitle><addtitle>Health Educ Behav</addtitle><date>2020-06</date><risdate>2020</risdate><volume>47</volume><issue>3</issue><spage>419</spage><epage>429</epage><pages>419-429</pages><issn>1090-1981</issn><eissn>1552-6127</eissn><abstract>We aim to assess sedentary behavior (SB) and its determinants, as well as potential strategies to reduce SB among employees in a tertiary hospital in Singapore, using a mixed-methods approach grounded in the socioecological framework. 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FGDs confirmed an unsupportive environment and elicited barriers such as low SB awareness, nature of work, and workplace norms. Besides environmental approaches, participants suggested having face-to-face communication and social modelling to promote more breaks from sitting. This mixed-methods study among diverse professional groups of a tertiary hospital indicated a large amount of occupational SB, particularly among administrative staff. Raising awareness of the health risks of SB and building a supportive organizational culture, information, and physical environment emerged as significant factors. To reduce occupational SB, multicomponent interventions addressing these diverse factors are warranted.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>31661980</pmid><doi>10.1177/1090198119885431</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-1402-7477</orcidid></addata></record> |
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| ispartof | Health education & behavior, 2020-06, Vol.47 (3), p.419-429 |
| issn | 1090-1981 1552-6127 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; SAGE Complete; Alma/SFX Local Collection |
| subjects | Allied Health Personnel Attitudes Barriers Built environment Check Lists Comparative analysis Employees Environmental aspects Environmental Influences Focus Groups Foreign Countries Group Discussion Guards Health Behavior Health promotion Health risks Hospitals Knowledge Level Life Style Mixed methods research Norms Nursing Organizational aspects Organizational Culture Physical Activity Level Physical Environment Responsibility Risk Management Security personnel Sedentary Sedentary behavior Sociodemographics Work site programmes Workplaces |
| title | Understanding and Influencing Occupational Sedentary Behavior: A Mixed-Methods Approach in a Multiethnic Asian Population |
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