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|Title: ||Evaluation of the implementation of a whole-workplace walking programme using the RE-AIM framework|
|Authors: ||Adams, Emma J.|
Chalkley, Anna E.
Esliger, Dale W.
Sherar, Lauren B.
|Issue Date: ||2017|
|Publisher: ||BioMed Central © The Author(s)|
|Citation: ||ADAMS, E.J. ... et al, 2017. Evaluation of the implementation of a whole-workplace walking programme using the RE-AIM framework. BMC Public Health, 17:466.|
Promoting walking for the journey to/from work and during the working day is one potential approach to increase physical activity in adults. Walking Works was a practice-led, whole-workplace walking programme delivered by employees (walking champions). This study aimed to evaluate the implementation of Walking Works using the RE-AIM framework and provide recommendations for future delivery of whole-workplace walking programmes.
Two cross sectional surveys were conducted; 1,544 (28%) employees completed the baseline survey and 918 employees (21%) completed the follow-up survey. Effectiveness was assessed using baseline and follow-up data; reach, implementation and maintenance were assessed using follow-up data only. For categorical data, Chi square tests were conducted to assess differences between surveys or groups. Continuous data were analysed to test for significant differences using a Mann-Whitney U test. Telephone interviews were conducted with the lead organisation co-ordinator, eight walking champions and three business
representatives at follow-up. Interviews were transcribed verbatim and analysed to identify key themes related to adoption, implementation and maintenance.
Adoption: Five workplaces participated in Walking Works. Reach: 480 (52.3%) employees were aware of activities and 221 (24.1%) participated. Implementation: A variety of walking activities were delivered. Some programme components were not delivered as planned which was partly due to barriers in using walking champions to deliver activities. These included the walking champions’ capacity, skills, support needs, ability to engage senior management, and the number and type of activities they could deliver. Other barriers included lack of management support, difficulties communicating information about activities and challenges embedding the programme into normal business activities. Effectiveness: No significant changes in walking to/from work or walking during the working day were observed. Maintenance: Plans to continue activities were mainly dependent on identifying continued funding.
RE-AIM provided a useful framework for evaluating Walking Works. No changes in walking behaviour were observed. This may have been due to barriers in using walking champions to deliver activities, programme components not being delivered as intended, the types of activities delivered, or lack of awareness and participation by employees. Recommendations are provided for researchers and practitioners implementing future whole-workplace walking programmes.|
|Description: ||This is an Open Access Article. It is published by BioMed Central under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/|
|Sponsor: ||EA was commissioned by Living Streets (www.livingstreets.org.uk) to undertake an independent evaluation of the Walking Works Employers Scheme. Walking Works was managed and delivered by Living Streets as part of a portfolio of projects being delivered by a consortium of the leading walking, cycling and health organisations in England and funded through the Big Lottery Fund's Wellbeing Programme (www.biglotteryfund.org.uk) (Grant number WB/2/010250147).|
|Publisher Link: ||https://doi.org/10.1186/s12889-017-4376-7|
|Appears in Collections:||Published Articles (Sport, Exercise and Health Sciences)|
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