Holmes, Anthony, J.
(2024)
Determinants and Associations of 24-hour Movement Behaviors in Desk Workers who Work from Home.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
Abstract
Work from Home (WFH) has become a viable and common work modality. Scarce evidence exists assessing 24-hour movement behaviors in those who WFH. The goals of this project were to compare behaviors of WFH desk workers to office-based desk workers and to identify determinants and gain perspectives of those who WFH in relation to their 24-hour movement patterns.
Methods: The first project was a secondary data analysis of baseline data from a randomized clinical trial among desk workers (n=275). Device-measured and self-reported 24-hour movement behaviors were compared between in-office vs. WFH worksite locations using linear regression. Odds of meeting 24-hour guidelines were also compared by worksite location, using the Canadian 24-hour movement guidelines as a framework. The second project used a mixed methods study design in WFH desk workers (n=27) to assess device-measured and self-reported 24-hour movement behavior data and gather qualitative data using focus groups. Focus group discussions intended to identify determinants and desired supports for healthy 24-hour movement behaviors in those who WFH. Following descriptive analysis of 24-hour behavior data, transcript analysis of five focus groups used Atlas.ti coding software, with two study coders, and identified salient themes.
Results: For aim 1, WFH workers accumulated significantly less light physical activity (LPA) [-0.51±0.20 hours/day , p=0.01] and higher prolonged sedentary behavior (SB) [0.54±0.25 hours/day, p=0.03] compared to in-office workers. WFH workers were less likely to meet MVPA guidelines (OR: 0.52 [95% CI: 0.28, 0.98)]) and more likely to meet the sleep quality (OR: 2.23 [95% CI: 1.10, 4.51]), waketime consistency (OR: 2.63 [95% CI: 1.27, 5.48)]), and overall sleep guidelines (OR: 2.42 [95% CI: 1.25, 4.67]). For aim 2, focus groups in WFH individuals revealed three key themes that impacted their 24-hour movement behaviors: 1) workspace characteristics such as physical environment characteristics, 2) support for healthy living such as employer support, and 3) non-work-related influences including family obligations and self-motivation.
Conclusions: WFH desk workers had different 24-hour behavior profiles to those who worked in office settings. Unique determinants of these behaviors for WFH contexts suggest future studies should incorporate WFH-specific determinants when designing interventions for this population.
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| Item Type: |
University of Pittsburgh ETD
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| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| Date: |
28 August 2024 |
| Date Type: |
Publication |
| Defense Date: |
11 July 2024 |
| Approval Date: |
28 August 2024 |
| Submission Date: |
22 July 2024 |
| Access Restriction: |
No restriction; Release the ETD for access worldwide immediately. |
| Number of Pages: |
203 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Education > Health and Physical Activity |
| Degree: |
PhD - Doctor of Philosophy |
| Thesis Type: |
Doctoral Dissertation |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
24-hour behaviors, work from home, physical activity, sedentary behavior, sleep |
| Date Deposited: |
28 Aug 2024 14:56 |
| Last Modified: |
28 Aug 2024 14:56 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/46705 |
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