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A cost and cost-benefit analysis of the Stand More AT Work (SMArT Work) intervention

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journal contribution
posted on 11.09.2020, 13:36 by Fehmidah MunirFehmidah Munir, Paul Miller, Stuart JH Biddle, Melanie J Davies, David W Dunstan, Dale EsligerDale Esliger, Laura J Gray, Sophie E O’Connell, Ghazala Waheed, Thomas Yates, Charlotte L Edwardson
This study conducted a cost and cost-benefit analysis of the Stand More AT (SMArT) Work workplace intervention, designed to reduce sitting time. The study was a cluster two-armed randomised controlled trial involving 37 office clusters (146 desk-based workers) in a National Health Service Trust. The intervention group received a height-adjustable workstation with supporting behaviour change strategies. The control group continued with usual practice. Self-report absenteeism, presenteeism and work productivity were assessed at baseline, 3, 6 and 12 months; and organisational sickness absence records 12 months prior to, and 12 months of the intervention. Mean per employee costs associated with SMArT Work were calculated. Absenteeism, presenteeism and work productivity were estimated, and employer-recorded absence data and employee wage-banding were used to provide a human-capital-based estimate of costs to the organisation. The return-on-investment (ROI) and incremental cost-efficacy ratios (ICER) were calculated. Intervention cost was £692.40 per employee. Cost-benefit estimates show a net saving of £1770.32 (95%CI £-354.40, £3895.04) per employee as a result of productivity increase. There were no significant differences in absence data compared to the control group. SMArT Work provides supporting evidence for policy-makers and employers on the cost benefits of reducing sitting time at work.

Funding

This project was funded by the Department of Health Policy Research Programme (project number PR-R5-0213-25004).

History

School

  • Sport, Exercise and Health Sciences

Published in

International Journal of Environmental Research and Public Health

Volume

17

Issue

4

Publisher

MDPI AG

Version

VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

Acceptance date

06/02/2020

Publication date

2020-02-13

Copyright date

2020

ISSN

1661-7827

eISSN

1660-4601

Language

en

Depositor

Dr Fehmidah Munir. Deposit date: 10 September 2020

Article number

1214