Applying a deterrence nudge strategy for promoting stair usage in a university setting.
Deterrence nudge
Point-of-decision prompts
Stair use
Time-targeted message
University setting
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
13 Aug 2024
13 Aug 2024
Historique:
received:
13
02
2024
accepted:
25
07
2024
medline:
14
8
2024
pubmed:
14
8
2024
entrez:
13
8
2024
Statut:
epublish
Résumé
This study aimed to examine whether indirectly deterring elevator use through time-targeted Point-of-Decision Prompts (PODPs) efficiently increased stair usage in a university setting. A quasi-experimental design (pre-post design) was employed over 2 weeks in September 2023. Baseline observations were conducted for 1 week prior to signage placement at two locations. The intervention in this study lasted for 1 week, immediately following baseline observations. Three hundred and thirty-one and 384 participants were observed during the baseline and intervention periods, respectively. Logistic regression analysis was used to examine the increase in the act of ascending the stairs. Our intervention, which focused on time-related messages, effectively increased stair usage among university students (coefficient = 0.435, p-value < 0.01). Furthermore, females (coefficient = -0.820, p-value < 0.05) and individuals aged ≥ 30 years (coefficient = 1.048, p-value < 0.01) were notably more likely to be influenced by our intervention than males and individuals aged < 30 years. Indirectly discouraging elevator use through time-targeted PODPs may amplify the effects of the previously employed time-related messages. Our findings suggested that a deterrence nudge should primarily be directed towards promoting stair usage among females or individuals aged ≥ 30 years.
Identifiants
pubmed: 39138467
doi: 10.1186/s12889-024-19592-6
pii: 10.1186/s12889-024-19592-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2195Informations de copyright
© 2024. The Author(s).
Références
Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. Can Med Assoc J. 2006;174(6):801–9. https://doi.org/10.1503/cmaj.051351 .
doi: 10.1503/cmaj.051351
Paluska SA, Schwenk TL. Physical activity and mental health: Current concepts. Sports Med. 2000;29(3):167–80. https://doi.org/10.2165/00007256-200029030-00003/METRICS .
doi: 10.2165/00007256-200029030-00003/METRICS
pubmed: 10739267
Kim YB, Park CM, Kim HH, Han CH. Health behavior and utilization of university health clinics. J Korean Soc Sch Commun Health Educ. 2010;11(1):79–91.
American College Health Association. American College Health Association-National College Health Assessment IIIb: Undergraduate Reference Group Report, Fall 2023. 2023. http://www.acha-ncha.org ; Accessed 11 Jul 2024
Foster C, Hillsdon M. Changing the environment to promote healthenhancing physical activity. J Sports Sci. 2004;22(8):755–69. https://doi.org/10.1080/02640410410001712458.5 .
doi: 10.1080/02640410410001712458.5
pubmed: 15370486
Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105–13. https://doi.org/10.1097/JES.0b013e3181e373a2 .
doi: 10.1097/JES.0b013e3181e373a2
pubmed: 20577058
pmcid: 3404815
Bae JH, Lee YH, Lee AS. The perception and barriers of physical activity to university freshmen. Korean J Sport Pedagogy. 2014;21(4):119–37.
Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med. 2002;22:73–107.
doi: 10.1016/S0749-3797(02)00434-8
pubmed: 11985936
Bassett DR, Vachon JA, Kirkland AO, Howley ET, Duncan GE, Johnson KR. Energy cost of stair climbing and descending on the college alumnus questionnaire. Med Sci Sports Exerc. 1997;29:1250–4.
doi: 10.1097/00005768-199709000-00019
pubmed: 9309638
Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait Posture. 2002;15:32–44.
doi: 10.1016/S0966-6362(01)00162-X
pubmed: 11809579
Teh KC, Aziz AR. Heart rate, oxygen uptake, and energy cost of ascending and descending the stairs. Med Sci Sports Exerc. 2002;34:695–9.
pubmed: 11932581
Loy SF, Conley LM, Sacco ER, et al. Effects of stairclimbing onVO2max and quadriceps strength in middle-aged females. Med Sci Sports Exerc. 1994;26(2):241–7. https://doi.org/10.1249/00005768-199402000-00016 .
doi: 10.1249/00005768-199402000-00016
pubmed: 8164543
Meyer P, Kayser B, Kossovsky MP, et al. Stairs instead of elevators at workplace: cardioprotective effects of a pragmatic intervention. Eur J Cardiovasc Prev Rehabil. 2010;17(5):569–75. https://doi.org/10.1097/HJR.0b013e328338a4dd .
doi: 10.1097/HJR.0b013e328338a4dd
pubmed: 20299999
Donath L, Faude O, Roth R, Zahner L. Effects of stair-climbing on balance, gait, strength, resting heart rate, and submaximal endurance in healthy seniors. Scand J Med Sci Sports. 2014;24(2):e93–101. https://doi.org/10.1111/sms.12113 .
doi: 10.1111/sms.12113
pubmed: 24033611
Boreham CA, Kennedy RA, Murphy MH, et al. Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women. Br J Sports Med. 2005;39(9):590–3. https://doi.org/10.1136/bjsm.2002.001131 .
doi: 10.1136/bjsm.2002.001131
pubmed: 16118293
pmcid: 1725304
Boreham CA, Wallace WF, Nevill A. Training effects of accumulated daily stair-climbing exercise in previously sedentary young women. Prev Med. 2000;30(4):277–81. https://doi.org/10.1006/pmed.2000.0634 .
doi: 10.1006/pmed.2000.0634
pubmed: 10731455
Lee IM, Paffenbarger RS. Associations of light, moderate, and vigorous intensity physical activity with longevity: the Harvard Alumni Health Study. Am J Epidemiol. 2000;151:293-299.3.
doi: 10.1093/oxfordjournals.aje.a010205
pubmed: 10670554
WHO. WHO Guidelines on Physical Activity and Sedentary Behavior. Available from: https://www.who.int/publications/i/item/9789240015128 . Cited 2021 April 28
Jennings CA, Yun L, Loitz CC, Lee EY, Mummery WK. A systematic review of interventions to increase stair use. Am J Prev Med. 2017;52(1):106–14. https://doi.org/10.1016/J.AMEPRE.2016.08.014 .
doi: 10.1016/J.AMEPRE.2016.08.014
pubmed: 27720340
Caputo EL, Feter N, Alt R, da Silva MC. How do different interventions impact stair climbing? A systematic review and meta-analysis. Glob Health Promot. 2022;29(4):74–82. https://doi.org/10.1177/17579759221093388 .
doi: 10.1177/17579759221093388
Soler RE, Leeks KD, Buchanan LR, Brownson RC, Heath GW, Hopkins DH. Point-of-decision prompts to increase stair use: a systematic review update. Am J Prev Med. 2010;38(2):S292–300. https://doi.org/10.1016/J.AMEPRE.2009.10.028 .
doi: 10.1016/J.AMEPRE.2009.10.028
pubmed: 20117614
Adams J, White M. A systematic approach to the development and evaluation of an intervention promoting stair use. Health Educ J. 2002;61(3):272–86. https://doi.org/10.1177/001789690206100308 .
doi: 10.1177/001789690206100308
van Nieuw-Amerongen ME, Kremers SPJ, de Vries NK, Kok G. The use of prompts, increased accessibility, visibility, and aesthetics of the stairwell to promote stair use in a university building. Environ Behav. 2011;43(1):131–9. https://doi.org/10.1177/0013916509341242 .
doi: 10.1177/0013916509341242
Antinyan A, Asatryan Z. Nudging for Tax Compliance: A Meta-Analysis. SSRN Electronic Journal. Published online November 15, 2019. https://doi.org/10.2139/SSRN.3500744
Adkisson RV. Nudge: improving decisions about health, wealth and happiness. Soc Sci J. 2008;45(4):700–1. https://doi.org/10.1016/J.SOSCIJ.2008.09.003 .
doi: 10.1016/J.SOSCIJ.2008.09.003
Eckhardt MR, Kerr J, Taylor WC. Point-of-decision signs and stair use in a university worksite setting: general versus specific messages. Am J Health Promot. 2015;29(5):291–3. https://doi.org/10.4278/AJHP.120816-ARB-398 .
doi: 10.4278/AJHP.120816-ARB-398
pubmed: 24670074
Russell WD, Dzewaltowski DA, Ryan GJ. The effectiveness of a point-of-decision prompt in deterring sedentary behavior. Am J Health Promot. 1999;13:257–9.
doi: 10.4278/0890-1171-13.5.257
pubmed: 10538638
Titze S, Martin BW, Seiler R, et al. A worksite intervention module encouraging the use of stairs: results and evaluation issues. Soz Praventivmed. 2001;46:13–9.
doi: 10.1007/BF01318794
pubmed: 11320909
Boutelle KN, Jeffery RW, Murray DM, Schmitz KH. Using signs, artwork, and music to promote stair use in a public building. Am J Public Health. 2001;91:2004–6.
doi: 10.2105/AJPH.91.12.2004
pubmed: 11726383
pmcid: 1446922
Russell WD, Hutchinson J. Comparison of health promotion and deterrent prompts in increasing use of stairs over escalators. Percept Mot Skills. 2000;91(1):55–61. https://doi.org/10.2466/PMS.2000.91.1.55 .
doi: 10.2466/PMS.2000.91.1.55
pubmed: 11011871
Puig-Ribera A, Eves FF. Promoting stair climbing in Barcelona: similarities and differences with interventions in English-speaking populations. Eur J Pub Health. 2010;20(1):100–2. https://doi.org/10.1093/EURPUB/CKP059 .
doi: 10.1093/EURPUB/CKP059
Ryan J, Lyon K, Webb OJ, Eves FF, Ryan CG. Promoting physical activity in a low socioeconomic area: results from an intervention targeting stair climbing. Prev Med (Baltim). 2011;52(5):352–4. https://doi.org/10.1016/J.YPMED.2011.03.004 .
doi: 10.1016/J.YPMED.2011.03.004
Kerr J, Eves FF, Carroll D. The influence of poster prompts on stair use: The effects of setting, poster size and content. Br J Health Psychol. 2001;6(4):397–405. https://doi.org/10.1348/135910701169296 .
doi: 10.1348/135910701169296
pubmed: 12614513
Blamey A, Mutrie N, Tom A. Health promotion by encouraged use of stairs. BMJ. 1995;311(7000):289. https://doi.org/10.1136/BMJ.311.7000.289 .
doi: 10.1136/BMJ.311.7000.289
pubmed: 7633234
pmcid: 2550357
Eagly AH. The his and hers of prosocial behavior: an examination of the social psychology of gender. Am Psychol. 2009;64(8):644–58. https://doi.org/10.1037/0003-066X.64.8.644 .
doi: 10.1037/0003-066X.64.8.644
pubmed: 19899859
Dalton D, Ortegren M. Gender differences in ethics research: the importance of controlling for the social desirability response bias. J Bus Ethics. 2011;103(1):73–93. https://doi.org/10.1007/S10551-011-0843-8/METRICS .
doi: 10.1007/S10551-011-0843-8/METRICS
Shin J, Mattila AS. When organic food choices shape subsequent food choices: the interplay of gender and health consciousness. Int J Hosp Manag. 2019;76:94–101. https://doi.org/10.1016/J.IJHM.2018.04.008 .
doi: 10.1016/J.IJHM.2018.04.008
Mayr U, Freund AM. Do we become more prosocial as we age, and if so, why? Curr Dir Psychol Sci. 2020;29(3):248–54.
doi: 10.1177/0963721420910811
Chodzko-Zajko WJ, Proctor DN, Singh MAF, Minson CT, Nigg CR, Salem GJ, Skinner JS. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510–30.
doi: 10.1249/MSS.0b013e3181a0c95c
pubmed: 19516148