Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study

BackgroundHybrid work is the new modus operandi for many office workers, leading to more sedentary behavior than office-only working. Given the potential of digital interventions to reduce sedentary behavior and the current lack of studies evaluating these interventions for h...

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Main Authors: Iris Parés-Salomón, Cristina Vaqué-Crusellas, Alan Coffey, Bette Loef, Karin I Proper, Anna M Señé-Mir, Anna Puig-Ribera, Kieran P Dowd, Judit Bort-Roig
Format: Article
Language:English
Published: JMIR Publications 2025-04-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2025/1/e59405
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author Iris Parés-Salomón
Cristina Vaqué-Crusellas
Alan Coffey
Bette Loef
Karin I Proper
Anna M Señé-Mir
Anna Puig-Ribera
Kieran P Dowd
Judit Bort-Roig
author_facet Iris Parés-Salomón
Cristina Vaqué-Crusellas
Alan Coffey
Bette Loef
Karin I Proper
Anna M Señé-Mir
Anna Puig-Ribera
Kieran P Dowd
Judit Bort-Roig
author_sort Iris Parés-Salomón
collection DOAJ
description BackgroundHybrid work is the new modus operandi for many office workers, leading to more sedentary behavior than office-only working. Given the potential of digital interventions to reduce sedentary behavior and the current lack of studies evaluating these interventions for home office settings, it is crucial to develop digital interventions for such contexts involving all stakeholders. ObjectiveThis study aimed to reach expert consensus on the most feasible work strategies and the most usable digital elements as a delivery method to reduce sedentary behavior in the home office context. MethodsA modified Delphi study including 3 survey rounds and focus groups was conducted to achieve consensus. The first Delphi round consisted of two 9-point Likert scales for assessing the feasibility of work strategies and the potential usefulness of digital elements to deliver the strategies. The work strategies were identified and selected from a scoping review, a systematic review, and 2 qualitative studies involving managers and employees. The median and mean absolute deviation from the median for each item are reported. The second round involved 2 ranking lists with the highly feasible strategies and highly useful digital elements based on round 1 responses to order the list according to experts’ preferences. The weighted average ranking for each item was calculated to determine the most highly ranked work strategies and digital elements. The third round encompassed work strategies with a weight above the median from round 2 to be matched with the most useful digital elements to implement each strategy. In total, 4 focus groups were additionally conducted to gain a greater understanding of the findings from the Delphi phase. Focus groups were analyzed using the principles of reflexive thematic analysis. ResultsA total of 27 international experts in the field of occupational health participated in the first round, with response rates of 86% (25/29) and 66% (19/29) in rounds 2 and 3, respectively, and 52% (15/29) in the focus groups. Consensus was achieved on 18 work strategies and 16 digital elements. Feedback on activity progress and goal achievement; creating an action plan; and standing while reading, answering phone calls, or conducting videoconferences were the most feasible work strategies, whereas wrist-based activity trackers, a combination of media, and app interfaces in smartphones were the most useful digital elements. Moreover, experts highlighted the requirement of combining multiple levels of strategies, such as social support, physical environment, and individual strategies, to enhance their implementation and effectiveness in reducing sedentary behavior when working from home. ConclusionsThis expert consensus provided a foundation for developing digital interventions for sedentary behavior in home office workers. Ongoing interventions should enable the evaluation of feasible strategies delivered via useful digital elements in home office or hybrid contexts.
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spelling doaj-art-7fb7da91756e4397a9bc31e8da798b1d2025-08-20T02:16:22ZengJMIR PublicationsJMIR Human Factors2292-94952025-04-0112e5940510.2196/59405Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi StudyIris Parés-Salomónhttps://orcid.org/0009-0008-6851-5760Cristina Vaqué-Crusellashttps://orcid.org/0000-0001-5637-3242Alan Coffeyhttps://orcid.org/0009-0009-1427-3433Bette Loefhttps://orcid.org/0000-0002-0511-5160Karin I Properhttps://orcid.org/0000-0001-7016-1625Anna M Señé-Mirhttps://orcid.org/0000-0002-2011-9987Anna Puig-Riberahttps://orcid.org/0000-0003-2910-1924Kieran P Dowdhttps://orcid.org/0000-0002-1841-1604Judit Bort-Roighttps://orcid.org/0000-0003-4622-4897 BackgroundHybrid work is the new modus operandi for many office workers, leading to more sedentary behavior than office-only working. Given the potential of digital interventions to reduce sedentary behavior and the current lack of studies evaluating these interventions for home office settings, it is crucial to develop digital interventions for such contexts involving all stakeholders. ObjectiveThis study aimed to reach expert consensus on the most feasible work strategies and the most usable digital elements as a delivery method to reduce sedentary behavior in the home office context. MethodsA modified Delphi study including 3 survey rounds and focus groups was conducted to achieve consensus. The first Delphi round consisted of two 9-point Likert scales for assessing the feasibility of work strategies and the potential usefulness of digital elements to deliver the strategies. The work strategies were identified and selected from a scoping review, a systematic review, and 2 qualitative studies involving managers and employees. The median and mean absolute deviation from the median for each item are reported. The second round involved 2 ranking lists with the highly feasible strategies and highly useful digital elements based on round 1 responses to order the list according to experts’ preferences. The weighted average ranking for each item was calculated to determine the most highly ranked work strategies and digital elements. The third round encompassed work strategies with a weight above the median from round 2 to be matched with the most useful digital elements to implement each strategy. In total, 4 focus groups were additionally conducted to gain a greater understanding of the findings from the Delphi phase. Focus groups were analyzed using the principles of reflexive thematic analysis. ResultsA total of 27 international experts in the field of occupational health participated in the first round, with response rates of 86% (25/29) and 66% (19/29) in rounds 2 and 3, respectively, and 52% (15/29) in the focus groups. Consensus was achieved on 18 work strategies and 16 digital elements. Feedback on activity progress and goal achievement; creating an action plan; and standing while reading, answering phone calls, or conducting videoconferences were the most feasible work strategies, whereas wrist-based activity trackers, a combination of media, and app interfaces in smartphones were the most useful digital elements. Moreover, experts highlighted the requirement of combining multiple levels of strategies, such as social support, physical environment, and individual strategies, to enhance their implementation and effectiveness in reducing sedentary behavior when working from home. ConclusionsThis expert consensus provided a foundation for developing digital interventions for sedentary behavior in home office workers. Ongoing interventions should enable the evaluation of feasible strategies delivered via useful digital elements in home office or hybrid contexts.https://humanfactors.jmir.org/2025/1/e59405
spellingShingle Iris Parés-Salomón
Cristina Vaqué-Crusellas
Alan Coffey
Bette Loef
Karin I Proper
Anna M Señé-Mir
Anna Puig-Ribera
Kieran P Dowd
Judit Bort-Roig
Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study
JMIR Human Factors
title Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study
title_full Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study
title_fullStr Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study
title_full_unstemmed Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study
title_short Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study
title_sort development of digital strategies for reducing sedentary behavior in a hybrid office environment modified delphi study
url https://humanfactors.jmir.org/2025/1/e59405
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