A RE-AIM evaluation in early adopters to iteratively improve the online BeUpstanding™ program supporting workers to sit less and move more

Area of Science:

• Occupational health
• Behavioral science
• Public health interventions

Background:

• The BeUpstanding program is a web-based intervention designed to reduce sedentary behavior among desk workers.
• It has undergone iterative development and evaluation for large-scale implementation.
• An integrated platform was developed for independent workplace delivery and evaluation.

Purpose of the Study:

• To evaluate the BeUpstanding program's suitability for national implementation using the RE-AIM framework.
• To assess program uptake, adoption, implementation, engagement, and effectiveness for behavior change.

Main Methods:

• Data collected via online surveys and program analytics.
• Descriptive statistics and mixed-effects models used for analysis.
• RE-AIM framework guided the evaluation of reach, adoption, implementation, and maintenance.

Main Results:

• Good initial uptake across Australia and various industries, despite limited promotion.
• Inconsistent implementation and engagement observed, with few users completing all program steps.
• Despite low evaluation participation, the program effectively reduced workplace sitting by 9.0%.

Conclusions:

• The BeUpstanding program demonstrated initial reach and effectiveness in reducing workplace sitting.
• Varied implementation and engagement highlight areas for improvement for wider scalability.
• The early adopters phase and RE-AIM evaluation provided valuable insights for program refinement.