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The effectiveness of a web-based computer-tailored intervention on workplace sitting: a randomized controlled trial
de Cocker K, de Bourdeaudhuij I, Cardon G, Vandelanotte C
Journal of Medical Internet Research 2016 May 31;18(5):e96
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Effective interventions to influence workplace sitting are needed, as office-based workers demonstrate high levels of continued sitting, and sitting too much is associated with adverse health effects. Therefore, we developed a theory-driven, web-based, interactive, computer-tailored intervention aimed at reducing and interrupting sitting at work. OBJECTIVE: The objective of our study was to investigate the effects of this intervention on objectively measured sitting time, standing time, and breaks from sitting, as well as self-reported context-specific sitting among Flemish employees in a field-based approach. METHODS: Employees (n = 213) participated in a 3-group randomized controlled trial that assessed outcomes at baseline, 1-month follow-up, and 3-month follow-up through self-reports. A subsample (n = 122) were willing to wear an activity monitor (activPAL) from Monday to Friday. The tailored group received an automated web-based, computer-tailored intervention including personalized feedback and tips on how to reduce or interrupt workplace sitting. The generic group received an automated web-based generic advice with tips. The control group was a wait-list control condition, initially receiving no intervention. Intervention effects were tested with repeated-measures multivariate analysis of variance. RESULTS: The tailored intervention was successful in decreasing self-reported total workday sitting (time x group: p < 0.001), sitting at work (time x group p < 0.001), and leisure time sitting (time x group p = 0.03), and in increasing objectively measured breaks at work (time x group p = 0.07); this was not the case in the other conditions. The changes in self-reported total nonworkday sitting, sitting during transport, television viewing, and personal computer use, objectively measured total sitting time, and sitting and standing time at work did not differ between conditions. CONCLUSIONS: Our results point out the significance of computer tailoring for sedentary behavior and its potential use in public health promotion, as the effects of the tailored condition were superior to the generic and control conditions. TRIAL REGISTRATION: ClinicalTrials.gov NCT02672215.

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