A digital intervention to reduce home-office workers' sedentary behaviour: protocol for the evaluation of the Click2Move programme, a cluster randomised controlled trial.

Kieran P Dowd, Cristina Vaqué-Crusellas, Bette Loef, Karin I Proper, Maja Pajek, Judit Bort-Roig, Anna Puig-Ribera, Iris Parés-Salomón, Alan Coffey, Arnau Gustems-Morral, Anna M Señé-Mir, Izabela Luznik

Journal: BMC public health 2025;25(1):387

PMID: 39885479

Abstract

BACKGROUND

A new paradigm of hybrid working exists, with most office workers sharing their work between the office and home office environment. Working from home increases time spent or prolonged sitting, which is associated with an increased risk of chronic disease. Interventions to reduce sitting time, specifically designed for both the office and home-office environments, are required to address this growing public health issue. This study presents a protocol to evaluate the effectiveness of a digital intervention (Click2Move) to reduce sitting time and improve employees' health and occupational wellbeing among hybrid office workers.

METHODS

A two-arm cluster randomised controlled trial will be undertaken among hybrid office employees. In total, 200 employees will be recruited across four companies across Europe (The Netherlands, Spain, Ireland, and Slovenia). Participants within each company will be randomly allocated to the intervention or control group at the unit/cluster level. The intervention group will receive the novel multicomponent Click2Move intervention (including environmental, organisational, and individual strategies) for 12 months, and the control groups will maintain their usual work practices. The primary outcome will be occupational sedentary time measured via activPAL at baseline and at 3, 6 and 12 months follow-up. Secondary outcomes will include device-based (activPAL) and self-reported (Global Physical Activity Questionnaire and Workforce Sitting Questionnaire) physical activity and sedentary behaviour; self-reported musculoskeletal disorders (Standardised Nordic Questionnaire) and pain (Numeric Rating Scale); self-reported presenteeism and absenteeism (Health and Work Performance Questionnaire), job satisfaction (Need for Recovery scale) and fatigue (single-item 5-point Likert scale). Focus groups will be conducted with employees post-intervention. Linear mixed models, accounting for covariates, will be employed to determine the effects of the intervention. Additionally, we will perform a full process evaluation analysis.

DISCUSSION

The proposed study will offer a comprehensive evaluation of a digital intervention aimed at reducing sedentary behaviour among hybrid office workers, offering practical solutions to enhance the health, wellbeing and productivity of a growing segment of the workplace.

TRIAL REGISTRATION

ClinicalTrials.gov NCT06247228. Registered 30 January 2024.

© 2025. The Author(s).

Address: Faculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain.; Sport and Physical Activity Research Group, Institute for Research and Innovation in Life and Health Sciences in Central Catalonia (IRIS-CC), University of Vic- Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain.; Faculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain. [email protected].; Sport and Physical Activity Research Group, Institute for Research and Innovation in Life and Health Sciences in Central Catalonia (IRIS-CC), University of Vic- Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain. [email protected].; University of Vic- Central University of Catalonia, C. Sagrada Família, 7, Vic, Barcelona, 08500, Spain. [email protected].; Centre for Prevention, Lifestyle and Health, National Institute for Public Health and The Environment, Bilthoven, The Netherlands.; Faculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain.; Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Barcelona, Spain.; SHE Research Group, Department of Sport and Health Sciences, Technological University of The Shannon, Dublin Road, Athlone, Co., Westmeath, Ireland.; Sport and Physical Activity Research Group, Sport and Physical Activity Studies Centre, University of Vic-Central University of Catalonia, Vic, Barcelona, Spain.; Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia.; Sport and Physical Activity Research Group, Institute for Research and Innovation in Life and Health Sciences in Central Catalonia (IRIS-CC), University of Vic- Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain.; Centre for Prevention, Lifestyle and Health, National Institute for Public Health and The Environment, Bilthoven, The Netherlands.; Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
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