Promoting Stair Use in a US–Mexico Border Community

Coleman, Karen J.; Gonzalez, Eugenia C.

doi:10.2105/ajph.91.12.2007

Cited by 82 publications

(103 citation statements)

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“…Motivational messages and paintings designed to boost stair use were printed on posters and stair-riser banners. In most of these studies, an increase in stair use was correlated with the use of these signs [5][6][7][8][9][10][11][12][13][14][15]. Kerr et al [9] reported increased levels of stair use by a study cohort of elderly people in a shopping mall with an escalator and adjacent 24-step flight of stairs.…”

Section: Introductionmentioning

confidence: 99%

Changing behavioral patterns to promote physical activity with motivational signs

Nomura

Yoshimoto

Akezaki

et al. 2008

Environ Health Prev Med

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Objectives We have evaluated the effectiveness of motivational signs in promoting stair use instead of escalators, in terms of gender and age, at a train station with a 37-step staircase. We also examined whether a newspaper article, or booster, had any effect on augmenting the impact of the signs. Methods In a serial cross-sectional survey with prompted signs, the subjects were coded by gender and age (over 65 years, under 65 years), and students (13-18 years old and school uniforms). We used a 2-week baseline period, followed by a 4-week intervention in which a total of 45 posters and banners with motivational messages were used to encourage stair use. As a booster, we published a news release of this study on a web site and in a local newspaper during the intervention period. Results A total of 43,241 escalator/stair-choice observations were made. Stair use increased significantly from 3.58 to 4.93% during the intervention period of 1-2 weeks for all subjects. In addition, stair use had a significantly high value of 5.80% during the intervention period of 3-4 weeks. Stair use also increased in subgroups during the intervention periods with the exception of women 65 and older. Attempts to publicize the study had no effect on the increase in stair use. Conclusions The use of signs was effective in changing behavior during the period of sign use, but this effectiveness was limited by gender, age, and the physical ability (e.g., muscle strength) and energy required to climb the stairs. The possible synergistic effects of publicity were inconclusive but are worthy of further investigation.

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Section: Introductionmentioning

confidence: 99%

Changing behavioral patterns to promote physical activity with motivational signs

Nomura

Yoshimoto

Akezaki

et al. 2008

Environ Health Prev Med

View full text Add to dashboard Cite

show abstract

“…Despite reasons for optimism, evidence is limited regarding longevity of effects, relative efficacy in sub-groups (e.g. men vs. women [Coleman and Gonzalez, 2001;Eves et al, 2006]), optimal message content, value of culturally-tailored prompts and benefits of additional initiatives (e.g. stairwell renovation).…”

Section: Resultsmentioning

confidence: 99%

“…inside shops/banks [Coleman and Gonzalez, 2001]). It is unclear, however, if such establishments would host large-scale campaigns.…”

Section: Resultsmentioning

confidence: 99%

“…Here, elevator use is the target behaviour, often accounting for >80% of ascents (Bungum et al, 2007). Consequently, all work/community interventions bar one involved stairs/elevator POCs (Coleman and Gonzalez, 2001). Public-access interventions are more frequently successful than work/community interventions (27/31 vs. 3/10) and produce larger absolute increases in rates of stair climbing (maximum=10.6% vs. 9.2%) [Nocon et al, 2010].…”

Section: Introductionmentioning

confidence: 99%

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Promoting stair climbing in public-access settings: An audit of intervention opportunities in England

Webb

Smith

2011

Preventive Medicine

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Results 5% of venues had ≥1 true POC (quasi POC=3%). Aggregating across areas, there was a true and quasi POC for every 243,924 and 379,437 people, respectively. There were regional variations; one area had 10 true/quasi POCs, whilst 10/24 remaining areas had none. POCs were more common in airports (4/6 venues) than malls (11/85) and train stations (4/215). ConclusionAlthough public-access POCs reach sizeable audiences, their availability in England is sporadic, precluding nationwide campaigns. Interventions should be considered locally, based on available POCs. Work/community venues (e.g. offices, hospitals), where pedestrians choose between stairs and elevators, may provide greater intervention opportunities.

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“…[11][12][13][14][15][16][17][18][19][20][21][22] Few studies report lack of improvement during and/or after an intervention. 23,24 A more recent form of health promotion is emphasis on the use of point-of-choice prompts to encourage stair climbing in the workplace.…”

Section: Hat's In It For You?mentioning

confidence: 99%

Are point-of-decision prompts in a sports science and medicine centre effective in changing the prevalence of stair usage? A preliminary study

Pillay¹

2009

SA J. Sports Med.

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IntroductionPhysical activity is recognised as a central component of overall approaches to primary prevention in reducing morbidity and mortality and improving well-being. 1 However, current societal trends have led to decreases in energy expenditure. 2 Encouraging the sedentary person to be more active is a public health priority and the health promotion agenda for the 21st century includes promoting incidental physical activity as part of an overall plan for active living. 3 Therefore, the current emphasis in physical activity promotion is on the accumulation of lifestyle activity. [4][5][6] Consistent with the current recommendations for physical activity, people should be encouraged to accumulate physical activity throughout the day.7 Even small amounts of activity may lead to the accumulation of an adequate level of energy expenditure over the course of the day. 8 An option easily accessible and feasible to most people for accumulating incidental physical activity is the use of stairs instead of an escalator or lift, particularly in an occupational setting where there are likely to be multiple trips during the day.Stair climbing is a physiologically vigorous physical activity shown to require 8.6 times more energy expenditure than the resting state. 9Regular stair climbing also has well-documented health dividends such as increased fitness and strength, weight loss, improved lipid profiles and reduced risk of osteoporosis. 10 In addition, stair climbing is free and readily available to most people. Most studies that have attempted to increase the use of stairs compared with an orIgInal research arTIcle are point-of-decision prompts in a sports science and medicine centre effective in changing the prevalence of stair usage? a preliminary study abstract objective. To determine the impact of a signed intervention on promoting stair versus lift usage in a health and fitness facility. Design.A 3-week observational study in which a simple timeseries design of collecting data before, during and after the introduction of an intervention was used.setting. The Sports Science Institute of South Africa (SSISA): a 5-storey building with a centrally located lift lobby and internal stairwell.Method. Observers were placed unobtrusively on the ground floor, with good visibility of lift/stairwell, to observe ascending movement of students, staff, tenants, visitors and patients 4 hours/day (07h00 -09h00, 16h00 -18h00), 4 days/week for 3 weeks. During week 2, motivational signs were displayed on the wall next to the lift and stairs and on the floor leading to the stairwell. In week 3, signage was removed. Factors considered in predicting stair use were gender, phase of intervention, and whether persons were staff/students or visitors. to 53% during the intervention to 50% after the intervention. Odds of using the stairs during the intervention increased by 45% (odds ratio (OR) 1.45, 95% confidence interval (CI) 1.25 -1.68) (p<0.00001), were 41% higher for staff/students compared with visitors (p<0.00001) and were 55% greater ...

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Promoting Stair Use in a US–Mexico Border Community

Abstract: These results underscore the importance of considering the physical characteristics of the environments targeted for health promotion campaigns.

Cited by 82 publications

References 19 publications

Changing behavioral patterns to promote physical activity with motivational signs

Changing behavioral patterns to promote physical activity with motivational signs

Promoting stair climbing in public-access settings: An audit of intervention opportunities in England

Are point-of-decision prompts in a sports science and medicine centre effective in changing the prevalence of stair usage? A preliminary study

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