Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: A cluster randomised controlled trial

R.F. Hunter, S.F. Brennan, J. Tang, O.J. Smith, J. Murray, M.A. Tully, C. Patterson, A. Longo, G. Hutchinson, L. Prior, D.P. French, J. Adams, E. McIntosh, F. Kee

    Research output: Contribution to journalArticle

    9 Citations (Scopus)

    Abstract

    Background
    Increasing physical activity in the workplace can provide employee physical and mental health benefits, and employer economic benefits through reduced absenteeism and increased productivity. The workplace is an opportune setting to encourage habitual activity. However, there is limited evidence on effective behaviour change interventions that lead to maintained physical activity. This study aims to address this gap and help build the necessary evidence base for effective, and cost-effective, workplace interventions.

    Methods/design
    This cluster randomised control trial will recruit 776 office-based employees from public sector organisations in Belfast and Lisburn city centres, Northern Ireland. Participants will be randomly allocated by cluster to either the Intervention Group or Control Group (waiting list control). The 6-month intervention consists of rewards (retail vouchers, based on similar principles to high street loyalty cards), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of participating workplaces will promote and monitor minutes of physical activity undertaken by participants. Both groups will complete all outcome measures. The primary outcome is steps per day recorded using a pedometer (Yamax Digiwalker CW-701) for 7 consecutive days at baseline, 6, 12 and 18 months. Secondary outcomes include health, mental wellbeing, quality of life, work absenteeism and presenteeism, and use of healthcare resources. Process measures will assess intervention “dose”, website usage, and intervention fidelity. An economic evaluation will be conducted from the National Health Service, employer and retailer perspective using both a cost-utility and cost-effectiveness framework. The inclusion of a discrete choice experiment will further generate values for a cost-benefit analysis. Participant focus groups will explore who the intervention worked for and why, and interviews with retailers will elucidate their views on the sustainability of a public health focused loyalty card scheme.

    Discussion
    The study is designed to maximise the potential for roll-out in similar settings, by engaging the public sector and business community in designing and delivering the intervention. We have developed a sustainable business model using a ‘points’ based loyalty platform, whereby local businesses ‘sponsor’ the incentive (retail vouchers) in return for increased footfall to their business.
    LanguageEnglish
    Number of pages12
    JournalBMC Public Health
    Volume16
    Issue number1
    DOIs
    Publication statusPublished - 22 Jul 2016

    Fingerprint

    Workplace
    Cost-Benefit Analysis
    Randomized Controlled Trials
    Maintenance
    Absenteeism
    Public Sector
    Mental Health
    Costs and Cost Analysis
    Northern Ireland
    Process Assessment (Health Care)
    Waiting Lists
    National Health Programs
    Insurance Benefits
    Occupational Health
    Focus Groups
    Reward
    Motivation
    Public Health
    Economics
    Quality of Life

    Keywords

    • physical activity
    • workplace
    • intervention
    • cluster RCT
    • behaviour change maintenance
    • financial incentives
    • economic evaluation
    • behavioural economics
    • mediation analyses

    Cite this

    Hunter, R.F. ; Brennan, S.F. ; Tang, J. ; Smith, O.J. ; Murray, J. ; Tully, M.A. ; Patterson, C. ; Longo, A. ; Hutchinson, G. ; Prior, L. ; French, D.P. ; Adams, J. ; McIntosh, E. ; Kee, F. / Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: A cluster randomised controlled trial. In: BMC Public Health. 2016 ; Vol. 16, No. 1.
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    author = "R.F. Hunter and S.F. Brennan and J. Tang and O.J. Smith and J. Murray and M.A. Tully and C. Patterson and A. Longo and G. Hutchinson and L. Prior and D.P. French and J. Adams and E. McIntosh and F. Kee",
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    Hunter, RF, Brennan, SF, Tang, J, Smith, OJ, Murray, J, Tully, MA, Patterson, C, Longo, A, Hutchinson, G, Prior, L, French, DP, Adams, J, McIntosh, E & Kee, F 2016, 'Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: A cluster randomised controlled trial', BMC Public Health, vol. 16, no. 1. https://doi.org/10.1186/s12889-016-3244-1

    Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: A cluster randomised controlled trial. / Hunter, R.F.; Brennan, S.F.; Tang, J.; Smith, O.J.; Murray, J.; Tully, M.A.; Patterson, C.; Longo, A.; Hutchinson, G.; Prior, L.; French, D.P.; Adams, J.; McIntosh, E.; Kee, F.

    In: BMC Public Health, Vol. 16, No. 1, 22.07.2016.

    Research output: Contribution to journalArticle

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    AU - Hunter, R.F.

    AU - Brennan, S.F.

    AU - Tang, J.

    AU - Smith, O.J.

    AU - Murray, J.

    AU - Tully, M.A.

    AU - Patterson, C.

    AU - Longo, A.

    AU - Hutchinson, G.

    AU - Prior, L.

    AU - French, D.P.

    AU - Adams, J.

    AU - McIntosh, E.

    AU - Kee, F.

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    N2 - BackgroundIncreasing physical activity in the workplace can provide employee physical and mental health benefits, and employer economic benefits through reduced absenteeism and increased productivity. The workplace is an opportune setting to encourage habitual activity. However, there is limited evidence on effective behaviour change interventions that lead to maintained physical activity. This study aims to address this gap and help build the necessary evidence base for effective, and cost-effective, workplace interventions.Methods/designThis cluster randomised control trial will recruit 776 office-based employees from public sector organisations in Belfast and Lisburn city centres, Northern Ireland. Participants will be randomly allocated by cluster to either the Intervention Group or Control Group (waiting list control). The 6-month intervention consists of rewards (retail vouchers, based on similar principles to high street loyalty cards), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of participating workplaces will promote and monitor minutes of physical activity undertaken by participants. Both groups will complete all outcome measures. The primary outcome is steps per day recorded using a pedometer (Yamax Digiwalker CW-701) for 7 consecutive days at baseline, 6, 12 and 18 months. Secondary outcomes include health, mental wellbeing, quality of life, work absenteeism and presenteeism, and use of healthcare resources. Process measures will assess intervention “dose”, website usage, and intervention fidelity. An economic evaluation will be conducted from the National Health Service, employer and retailer perspective using both a cost-utility and cost-effectiveness framework. The inclusion of a discrete choice experiment will further generate values for a cost-benefit analysis. Participant focus groups will explore who the intervention worked for and why, and interviews with retailers will elucidate their views on the sustainability of a public health focused loyalty card scheme.DiscussionThe study is designed to maximise the potential for roll-out in similar settings, by engaging the public sector and business community in designing and delivering the intervention. We have developed a sustainable business model using a ‘points’ based loyalty platform, whereby local businesses ‘sponsor’ the incentive (retail vouchers) in return for increased footfall to their business.

    AB - BackgroundIncreasing physical activity in the workplace can provide employee physical and mental health benefits, and employer economic benefits through reduced absenteeism and increased productivity. The workplace is an opportune setting to encourage habitual activity. However, there is limited evidence on effective behaviour change interventions that lead to maintained physical activity. This study aims to address this gap and help build the necessary evidence base for effective, and cost-effective, workplace interventions.Methods/designThis cluster randomised control trial will recruit 776 office-based employees from public sector organisations in Belfast and Lisburn city centres, Northern Ireland. Participants will be randomly allocated by cluster to either the Intervention Group or Control Group (waiting list control). The 6-month intervention consists of rewards (retail vouchers, based on similar principles to high street loyalty cards), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of participating workplaces will promote and monitor minutes of physical activity undertaken by participants. Both groups will complete all outcome measures. The primary outcome is steps per day recorded using a pedometer (Yamax Digiwalker CW-701) for 7 consecutive days at baseline, 6, 12 and 18 months. Secondary outcomes include health, mental wellbeing, quality of life, work absenteeism and presenteeism, and use of healthcare resources. Process measures will assess intervention “dose”, website usage, and intervention fidelity. An economic evaluation will be conducted from the National Health Service, employer and retailer perspective using both a cost-utility and cost-effectiveness framework. The inclusion of a discrete choice experiment will further generate values for a cost-benefit analysis. Participant focus groups will explore who the intervention worked for and why, and interviews with retailers will elucidate their views on the sustainability of a public health focused loyalty card scheme.DiscussionThe study is designed to maximise the potential for roll-out in similar settings, by engaging the public sector and business community in designing and delivering the intervention. We have developed a sustainable business model using a ‘points’ based loyalty platform, whereby local businesses ‘sponsor’ the incentive (retail vouchers) in return for increased footfall to their business.

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    KW - intervention

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    KW - behaviour change maintenance

    KW - financial incentives

    KW - economic evaluation

    KW - behavioural economics

    KW - mediation analyses

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