4 research outputs found
Acceptability and feasibility of a low-cost, theory-based and co-produced intervention to reduce workplace sitting time in desk-based university employees
BACKGROUND: Prolonged sedentary time is linked with poor health, independent of physical activity levels. Workplace sitting significantly contributes to sedentary time, but there is limited research evaluating low-cost interventions targeting reductions in workplace sitting. Current evidence supports the use of multi-modal interventions developed using participative approaches. This study aimed to explore the acceptability and feasibility of a low-cost, co-produced, multi-modal intervention to reduce workplace sitting. METHODS: The intervention was developed with eleven volunteers from a large university department in the UK using participative approaches and âbrainstormingâ techniques. Main components of the intervention included: emails suggesting ways to âsit lessâ e.g. walking and standing meetings; free reminder software to install onto computers; social media to increase awareness; workplace champions; management support; and point-of-decision prompts e.g. by lifts encouraging stair use. All staff (nâ=â317) were invited to take part. Seventeen participated in all aspects of the evaluation, completing pre- and post-intervention sitting logs and questionnaires. The intervention was delivered over four weeks from 7th July to 3rd August 2014. Pre- and post-intervention difference in daily workplace sitting time was presented as a meanâ±âstandard deviation. Questionnaires were used to establish awareness of the intervention and its various elements, and to collect qualitative data regarding intervention acceptability and feasibility. RESULTS: Mean baseline sitting time of 440 min/workday was reported with a mean reduction of 26â±â54 min/workday post-intervention (nâ=â17, 95 % CIâ=ââ2 to 53). All participants were aware of the intervention as a whole, although there was a range of awareness for individual elements of the intervention. The intervention was generally felt to be both acceptable and feasible. Management support was perceived to be a strength, whilst specific strategies that were encouraged, including walking and standing meetings, received mixed feedback. CONCLUSIONS: This small-scale pilot provides encouragement for the acceptability and feasibility of low-cost, multi-modal interventions to reduce workplace sitting in UK settings. Evaluation of this intervention provides useful information to support participatory approaches during intervention development and the potential for more sustainable low-cost interventions. Findings may be limited in terms of generalisability as this pilot was carried out within a health-related academic setting
Acceptability and feasibility of a low-cost, theory-based and co-produced intervention to reduce workplace sitting time in desk-based university employees
Interfacility transfer for mechanical thrombectomy â Direct to neuroangiography or CT angiography first?
Highly Visible WallâTimer to Reduce Endovascular Treatment Time for Stroke
Background Endovascular therapy for acute ischemic stroke has revolutionized clinical care for patients with stroke and large vessel occlusion, but treatment remains time sensitive. At our stroke center, up to half of the doorâtoâgroin time is accounted for after the patient arrives in the angioâsuite. Here, we apply the concept of a highly visible timer in the angioâsuite to quantify the impact on endovascular treatment time. Methods This was a singleâcenter prospective pseudorandomized study conducted over a 32âweek period. Pseudorandomization was achieved by turning the timer on and off in 2âweek intervals. The primary outcome was angioâsuiteâtoâgroin time, and secondary outcomes were angioâsuiteâtoâintubation time, groinâtoârecanalization time, and 90âday modified Rankin scale. A stratified analysis was performed based on type of anesthesia (ie, endotracheal intubation versus not). Results During the 32âweek study period, 97 mechanical thrombectomies were performed. The timer was on and off for 38 and 59 cases, respectively. The timer resulted in faster angioâsuiteâtoâgroin time (28 versus 33Â minutes; P=0.02). The 5âminute reduction in angioâsuiteâtoâgroin was maintained after adjusting for intubation status in a multivariate regression (P=0.02). There was no difference in the 90âday modified Rankin scale between groups. The timer impact was consistent across the 32âweek study period. Conclusions A highly visible timer in the angioâsuite achieved a meaningful, albeit modest, reduction in endovascular treatment time for patients with stroke. Given the lack of risk and low cost, it is reasonable for stroke centers to consider a highly visible timer in the angioâsuite to improve treatment times