Prompt before the choice is made: Effects of a stair‐climbing intervention in university buildings
- 16 January 2012
- journal article
- clinical trial
- Published by Wiley in British Journal of Health Psychology
- Vol. 17 (3), 631-643
- https://doi.org/10.1111/j.2044-8287.2011.02060.x
Abstract
OBJECTIVES: Recent interventions report positive results following a multi-component campaign to increase stair climbing. This study investigated the effectiveness of volitional and motivational components of a stair-climbing intervention in the workplace. Design. Interrupted time-series design. METHODS: Ascending stair/lift choices, coded by gender, were observed between 08:00-10:00 and 14:15-16:15 on weekdays, in four university buildings (n = 14,138; 46% female). Baseline observations (stage 1; 5 days) preceded a motivational intervention, that is, a poster positioned inside the lift(s), that was positioned in each building (stage 2; 5 days). Next a volitional intervention, that is, point-of-choice prompt, supplemented the motivational one (stage 3; 8 days). Logistic regression analysis of stair/lift choices included the independent variables of intervention components, gender, time of day, building height, number of lifts, and pedestrian traffic. RESULTS: There was no significant change in stair climbing when the motivational component was positioned alone (Odds Ratio [OR] = 0.93, 95% Confidence Interval [CI] = 0.85-1.02, p = .123). In contrast, stair climbing increased significantly when the volitional component, that is, the point-of-choice prompt, was added (OR = 1.23, 95% CI = 1.14-1.32, p < .001). During both stages, building height, number of lifts, time of day, and pedestrian traffic were all associated with stair climbing. No significant gender effects were seen. CONCLUSIONS: A motivational component positioned alone, inside the lift(s) did not increase stair climbing. When a volitional component was added, that is, point-of-choice prompt positioned at the time and place where individuals choose their method of ascent, stair climbing increased significantly. Visibility of a prompt at the time behavioural choice is made appears necessary to change actual behaviourKeywords
This publication has 53 references indexed in Scilit:
- The Effect of Light Rail Transit on Body Mass Index and Physical ActivityAmerican Journal of Preventive Medicine, 2010
- Review Article: Increasing physical activity with point-of-choice prompts - a systematic reviewScandinavian Journal of Public Health, 2010
- Effect of Innovative Building Design on Physical ActivityJournal of Public Health Policy, 2009
- Changing behavioral patterns to promote physical activity with motivational signsEnvironmental Health and Preventive Medicine, 2008
- Worksite interventions to increase stair climbing; reasons for cautionPreventive Medicine, 2006
- Action planning and coping planning for long-term lifestyle change: theory and assessmentEuropean Journal of Social Psychology, 2005
- Six-Month Observational Study of Prompted Stair ClimbingPreventive Medicine, 2001
- The influence of poster prompts on stair use: The effects of setting, poster size and contentBritish Journal of Health Psychology, 2001
- Habit, Attitude, and Planned Behaviour: Is Habit an Empty Construct or an Interesting Case of Goal-directed Automaticity?European Review of Social Psychology, 1999
- Physical Activity and Stroke IncidenceStroke, 1998