A Systematic Review of Interventions to Increase Stair Use

Jennings, Cally; Yun, Lira; Loitz, Christina C.; Lee, Eun-Young; Mummery, W. Kerry

doi:10.1016/j.amepre.2016.08.014

Cited by 41 publications

(39 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Point-of-decision prompts use text and images to encourage stair usage through messages of encouragement, motivation, and health claims of increased physical activity, representing a simple and low-cost method that has been shown to be an effective strategy of increasing stair usage [ 51 , 52 , 53 , 54 ]. Specifically, a systematic review by Jennings et al [ 55 ] reported that 89% of the 52 studies analyzed used prompts including text and images, which significantly increased stair climbing. Therefore, the effectiveness of point-of-decision prompts on increasing physical activity may have a large impact on health markers.…”

Section: Resultsmentioning

confidence: 99%

“…However, there appears to be caveats when analyzing the effectiveness of point-of-decision prompts. For example, Jennings and colleagues [ 55 ] also call attention to the lack of evidence of point-of-decision prompts ability to increase stair usage in the workplace when compared to public settings. Evidence shows that studies comparing stair use with escalators versus elevators more commonly reported effectiveness.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Healthy Behaviors through Behavioral Design–Obesity Prevention

Funderburk

Cardaci

Fink

et al. 2020

IJERPH

View full text Add to dashboard Cite

Evidence for behavior modification for improved health outcomes was evaluated for nutrition, physical activity (PA), and indoor environmental quality (IEQ). The databases searched included LISTA, PubMed, and Web of Science, with articles rated using an a priori baseline score of 70/100 to establish inclusion. The initial search produced 52,847 articles, 63 of which were included in the qualitative synthesis. Thirteen articles met inclusion for nutrition: cafeteria interventions, single interventions, and vending interventions. Seventeen articles on physical activity were included: stair use, walking, and adjustable desks. For IEQ, 33 articles met inclusion: circadian disruption, view and natural light, and artificial light. A narrative synthesis was used to find meaningful connections across interventions with evidence contributing to health improvements. Commonalities throughout the nutrition studies included choice architecture, increasing the availability of healthy food items, and point-of-purchase food labeling. Interventions that promoted PA included stair use, sit/stand furniture, workplace exercise facilities and walking. Exposure to natural light and views of natural elements were found to increase PA and improve sleep quality. Overexposure to artificial light may cause circadian disruption, suppressing melatonin and increasing risks of cancers. Overall, design that encourages healthy behaviors may lower risks associated with chronic disease.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Healthy Behaviors through Behavioral Design–Obesity Prevention

Funderburk

Cardaci

Fink

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…The next review assessed 50 studies, and reported that over two-thirds of these studies showed an increase in stair use following the promotional intervention (Bellicha et al, 2015). Other systematic reviews and syntheses of the evidence have reported similar results (Soler et al, 2010, Jennings et al, 2017. These studies typically demonstrated that on average, stair use signage increased stair usage by an absolute increase of 3 to 6%.…”

Section: Section Summarymentioning

confidence: 88%

Establishing the Effectiveness of Public Health Interventions Using Sequential Meta-Analysis: Case Study Using Stair-Promotion Interventions

Bauman¹,

Milton

2020

View full text Add to dashboard Cite

In this role she teaches medical students about the importance and principles of public health, and particularly the primary prevention of chronic disease. Her research area is physical activity and public health, where she aims to advance knowledge and understanding of 'what works' to get populations more active to reduce the burden of noncommunicable diseases. Karen's interest in this field spans the measurement of physical activity, population level interventions, evaluation and policy research. She has been involved in developing national and international physical activity recommendations as well as supporting a range of countries to develop national physical activity strategies. Karen spends her spare time being active and is a keen open water swimmer. Published ArticlesBauman A, Milton K, Kariuki M, Fedel K, Lewicka M. Is there sufficient evidence regarding signagebased stair-use interventions? A sequential meta-analysis. BMJ Open. 2017; 7: e012459. AbstractPrevention trials often generate significant health or risk factor improvements, but these improvements are limited to the selected samples of people enrolled in these studies. In order to make population health gains, we need to develop methods for translating evidence from these trials into practice at the broader community and population levels. One barrier to this process is researchers themselves, who conduct replications of small-scale trials, rather than conducting intervention research at scale. Our example of this is interventions to encourage short episodes of physical activity through signs promoting stair use. We pooled the evidence from these interventions from 1980 to 2014. We carried out a meta-analysis to estimate the proportion of people that changed from the elevator to the stairs following the introduction of signage. Our innovation was to use a sequential meta-analysis method, usually described in relation to clinical settings and trials. We used this method to estimate when there was sufficient evidence of stair-sign effectiveness for public health actions to be scaled-up, and we found this was around 2006. Studies since then have not contributed new evidence to the field. Methods here enabled us to see when policymakers should have implemented this intervention to the community at large, and researchers then should have focused their investigations on identifying barriers and facilitators to their implementation and assessing intervention effects at scale. Learning OutcomesDescribe the research evidence that is generated by individual studies in stair use promotion Outline the transferability of research methods across disciplines Explain the purpose and usefulness of sequential meta-analysis Discuss the applicability of sequential meta-analysis to public health interventions Appreciate the need for research translation of effective interventions Case Study

show abstract

“…It is a suitable topic of interest because multiple influencing factors might contribute to people's default choice. The variability of these unexplored factors among studies might have contributed to the mixed empirical results of this topic (Bellicha et al, 2015;Jennings et al, 2017).…”

Section: Choice Context Mapping In Practicementioning

confidence: 99%

Extending the Choice Architecture Toolbox: The Choice Context Mapping

Hajdú¹,

Aczél²

2020

Preprint

View full text Add to dashboard Cite

The role of context in behavioral interventions is indisputable, yet few intervention studies start with a systematic mapping of the influencing contextual factors. This is mostly due to the lack of a methodology that researchers can employ for this aim. Recognizing this current limitation of the field, we developed a procedure, the Choice Context Mapping, to provide researchers a tool to examine the contextual factors of a targeted behavior. We demonstrate the steps of Choice Context Mapping on the behavioural choice situation of stairs vs. elevator use. Potential contextual factors were collected from laypeople as well as experts, and two surveys were created to measure both the behavior and choice, as well as the beliefs of participants. We estimated the effect of contextual factors on the participants’ behavior and managed to identify the most influential ones regarding their contribution to the studied choice. Using Choice Context Mapping, we obtained an accurate prediction of whether one chooses the stairs or elevator based on contextual information in 93.26% of the cases, on previously unseen data. We also ascertained that participants differed in their beliefs about what influences them in this particular choice, and that they can be divided into different groups based on their beliefs. Our results indicate that Choice Context Mapping is a useful procedure for the collection and assessment of contextual factors in a given choice setting which can help the planning of behavioral interventions by considerably lowering the number of possible interventions that are plausibly effective.

show abstract

A Systematic Review of Interventions to Increase Stair Use

Cited by 41 publications

References 75 publications

Healthy Behaviors through Behavioral Design–Obesity Prevention

Healthy Behaviors through Behavioral Design–Obesity Prevention

Establishing the Effectiveness of Public Health Interventions Using Sequential Meta-Analysis: Case Study Using Stair-Promotion Interventions

Extending the Choice Architecture Toolbox: The Choice Context Mapping

Contact Info

Product

Resources

About