Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review

Objective To review the evidence on the economic evaluations of workplace-based interventions that are designed to reduce prolonged periods of occupational sitting.Design An integrative review.Data sources The search was conducted in 11 databases, including PubMed, Scopus, PsychINFO, NHS-EED, Cumula...

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Main Authors: Raija Korpelainen, Paulus Torkki, Sanaz Akhavan Rad, Frank Kiwanuka
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e060139.full
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author Raija Korpelainen
Paulus Torkki
Sanaz Akhavan Rad
Frank Kiwanuka
author_facet Raija Korpelainen
Paulus Torkki
Sanaz Akhavan Rad
Frank Kiwanuka
author_sort Raija Korpelainen
collection DOAJ
description Objective To review the evidence on the economic evaluations of workplace-based interventions that are designed to reduce prolonged periods of occupational sitting.Design An integrative review.Data sources The search was conducted in 11 databases, including PubMed, Scopus, PsychINFO, NHS-EED, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, Cochrane library, Sportdiscus, Research Paper in Economics (RePeC), the International Health Economic Association (IHEA) and EconLit. The databases were searched for articles published from inception to January 2022. Subsequent citation searches were also conducted in Google Scholar. The items of the Consensus Health Economic Criteria (CHEC) checklist were used for quality appraisal of the included studies.Results This review included five randomised control trails, including 757 office-based workers in high-income countries. The median quality appraisal score based on the CHEC items was 14 points (a range of 9–18). The mean duration of interventions was 33 weeks (a range of 4–52 weeks). Overall, the studies reported economic benefit when implemented to reduce occupational sitting time but no effect on absenteeism. From the societal perspective, the interventions (eg, the use of a sit–stand desk) were cost-effective.Conclusion The economic impact of workplace interventions implemented to reduce occupational sitting time is evident; however, the existing evidence is limited, which precludes strong conclusions. Cost-effectiveness is not often evaluated in the studies exploring workplace interventions that address occupational sitting time. Workplace interventions are still in the development and testing phase; thus, the challenge for future studies is to include economic evaluation of interventions addressing sedentary behaviour in workplaces.PROSPERO registration number CRD42021226275.
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spelling doaj-art-e51f4a5e7a744e4cb80940ca36ef502d2025-01-24T09:00:13ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-060139Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative reviewRaija Korpelainen0Paulus Torkki1Sanaz Akhavan Rad2Frank Kiwanuka37 Department of Sports and Exercise Clinic, Oulu Deaconess Foundation, Oulu, FinlandFaculty of Medicine, University of Helsinki, Helsinki, FinlandDepartment of Public Health, University of Helsinki, Helsinki, FinlandDepartment of Nursing Science, University of Eastern Finland, Kuopio, FinlandObjective To review the evidence on the economic evaluations of workplace-based interventions that are designed to reduce prolonged periods of occupational sitting.Design An integrative review.Data sources The search was conducted in 11 databases, including PubMed, Scopus, PsychINFO, NHS-EED, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, Cochrane library, Sportdiscus, Research Paper in Economics (RePeC), the International Health Economic Association (IHEA) and EconLit. The databases were searched for articles published from inception to January 2022. Subsequent citation searches were also conducted in Google Scholar. The items of the Consensus Health Economic Criteria (CHEC) checklist were used for quality appraisal of the included studies.Results This review included five randomised control trails, including 757 office-based workers in high-income countries. The median quality appraisal score based on the CHEC items was 14 points (a range of 9–18). The mean duration of interventions was 33 weeks (a range of 4–52 weeks). Overall, the studies reported economic benefit when implemented to reduce occupational sitting time but no effect on absenteeism. From the societal perspective, the interventions (eg, the use of a sit–stand desk) were cost-effective.Conclusion The economic impact of workplace interventions implemented to reduce occupational sitting time is evident; however, the existing evidence is limited, which precludes strong conclusions. Cost-effectiveness is not often evaluated in the studies exploring workplace interventions that address occupational sitting time. Workplace interventions are still in the development and testing phase; thus, the challenge for future studies is to include economic evaluation of interventions addressing sedentary behaviour in workplaces.PROSPERO registration number CRD42021226275.https://bmjopen.bmj.com/content/12/6/e060139.full
spellingShingle Raija Korpelainen
Paulus Torkki
Sanaz Akhavan Rad
Frank Kiwanuka
Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review
BMJ Open
title Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review
title_full Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review
title_fullStr Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review
title_full_unstemmed Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review
title_short Evidence base of economic evaluations of workplace-based interventions reducing occupational sitting time: an integrative review
title_sort evidence base of economic evaluations of workplace based interventions reducing occupational sitting time an integrative review
url https://bmjopen.bmj.com/content/12/6/e060139.full
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