Reduce Sedentariness and Enhance Physical and Psychological Health of Office Workers With TCM-based Anti-sedentary Intervention: Efficacy and Potential Psychophysiological Mechanisms
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- sedentary behavior- total sitting time/workday
研究概览
简要总结
The goal of this clinical trial is to test the effects of a TCM-based anti-sedentariness program on workplace sitting time, perceived stress, and cortisol in office workers.The main questions it aims to answer are:
- Can a Traditional Chinese Medicine (TCM)-based anti-sedentariness program effectively reduce workplace sitting time, perceived stress and cortisol levels among office workers?
- Whether such anti-sedentary effect works through stress management and enhances when holistic thinking is endorsed.
Participants will engage in a 4 week TCM-based program intervention including 2 weeks of health education and promotion activities (understanding sedentary behaviors, Baduanjin, acupressure, dantian breathing, and mindfulness) and 2 weeks of supported self-practice (daily reminders and tips, regular feedback on sitting time, and individual consultation).
Researchers will compare a group receiving a Traditional Chinese Medicine (TCM)-based intervention with a wait-list control group to determine the effectiveness of the intervention in reducing sitting time and enhancing physical and psychological health.
详细描述
Introduction:
Sedentary behaviors and their associated physical and mental health risks among adults have received growing concerns among the clinical and research communities. Office workers commonly engage in sedentary behaviors due to their long stationary hours. Evidence has revealed that higher levels of sedentary behaviors were associated with higher perceived stress levels at workplace. However, scarce studies focused on the role of stress management in reducing sedentary behaviors. Traditional Chinese medicine (TCM)-based body works (such as dantian breathing, qigong, and acupressure) are low-cost techniques and found to be primising in addressing stress and sedentary behaviors at workplace. The health benefits of TCM-based bodywork in sedentary office workers may be enhanced when the workers endorse holistic thinking.
The present research aims to test the effects of a TCM-based anti-sedentariness program on workplace sitting time, perceived stress, and cortisol in office workers. Investigators will also explore the psychophysiological mechanism whether such anti-sedentary effect works through stress management and enhances when holistic thinking is endorsed.
Methods:
A systematic review and meta-analysis has been conducted to synthesize the pooled effect of existing anti-sedentariness interventions on office workers' sitting time and compare the effectiveness of different intervention types in reducing sedentary behaviors relative to the control group. The systematic review and meta-analysis set the theoretical foundation of intervention elements for the reduction of sedentary behaviors at workplace and their psychological effects to be applied in the present study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
Due to the nature of the experiment, participants will not be blinded. However, the intervention provider and the evaluator will be blinded.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged 18 or above with a full-time and office-based job
- •Reported >5.5 hours of sitting per day at work
- •Native Chinese speaker (Cantonese or Mandarin)
- •Be able to give consent
排除标准
- •Have severe or chronic illness and not suitable for physical exercise
- •Be oversensitive to tactile stimulation
- •Have regular practice of qigong, acupressure, or mindfulness-based activities during the 4 weeks prior to recruitment
研究组 & 干预措施
TCM-based anti-sedentariness intervention group
TCM-based anti-sedentariness intervention
干预措施: Traditional Chinese Medicine-based program (Behavioral)
Wait-list control group
After the completion of all evaluations, the intervention content will be administered to the experimental group in the same manner.
干预措施: Traditional Chinese Medicine-based program (Behavioral)
结局指标
主要结局
sedentary behavior- total sitting time/workday
时间窗: Baseline, week 5, week 9
measured by Actigraph wGT3X-BT
physiological stress
时间窗: Baseline, week 5, week 9
measured by salivary cortisol concentration(measured in ng/mL)
Self-report sedentary behaviors
时间窗: Baseline, week 5, week 9
measured by International Physical Activity Questionnaire (IPAQ short version) with 8 items. Physical activity levels can be classified as low intensity when the weekly MET (metabolic equivalent of task) value is less than 600, moderate intensity when it ranges from 600 to 3000 MET, and high intensity when it exceeds 3000 MET per week.
sedentary behavior- sitting time/9-h working time
时间窗: Baseline, week 5, week 9
measured by Actigraph wGT3X-BT
psychological stress
时间窗: Baseline, week 5, week 9
measured by perceived stress scale(PSS) with 10 items. Each item in the PSS questionnaire is rated on a five-point Likert scale, ranging from 0 (never) to 4 (very often). Participants are asked to indicate the frequency with which they have experienced each event over the past month.The total score on the PSS can range from 0 to 40. Higher scores indicate a higher level of perceived stress.
次要结局
- Holistic thinking(Baseline)
- Health-related quality of life(Baseline, week 5, week 9)
- Sleep quality(Baseline, week 5, week 9)
- Psychological distress(Baseline, week 5, week 9)
- Self efficay(Baseline, week 5, week 9)
- Blood pressures(Baseline, week 5, week 9)
- Hand grip strength(Baseline, week 5, week 9)
- IL-6(Baseline, week 5, week 9)
研究者
TSANG Hector Wing-Hong
Chair Professor
The Hong Kong Polytechnic University