title: [Use of stairs in a hospital increased by a sign near the stairs or the elevator].
abstract: OBJECTIVE
  To investigate whether signs encouraging taking the stairs or discouraging taking the elevator lead to an increasing number of patients taking the stairs instead of the elevator in a hospital.
  
  
  METHODS
  Interventional study.
  
  
  METHODS
  During a period of 6 weeks in the period October-December 2004, an investigator recorded how many patients took the stairs and how many took the elevator on the first floor of a hospital close to a diabetes outpatient clinic. A baseline measurement was done over a period of 2 weeks and 4 weeks were used for evaluating the effect of 2 different interventions, each lasting 2 weeks. During the first intervention, a sign was hung up near the elevator, which read: 'Exercise is healthy, take the stairs'. During the second intervention the sign read: 'Use of this elevator is exclusively for personnel and persons with restricted mobility'. Staff members and disabled patients were excluded from the study.
  
  
  RESULTS
  A total of 2674 movements were counted. Use of the stairs increased statistically significantly during both interventions: from 54.6% to 63.4% during the first intervention and to 70.4% during the second intervention.
  
  
  CONCLUSIONS
  Signs in a diabetes outpatient clinic that either encouraged the use of the stairs or discouraged the use of the elevator increased the patients' use of the stairs.
authors.affiliation: Isala Klinieken, locatie Weezenlanden, afd. Interne Geneeskunde, Zwolle. houweling@langerhans.com
authors.forename: S T
authors.initials: ST
authors.lastname: Houweling
authors.forename: J
authors.initials: J
authors.lastname: Stoopendaal
authors.forename: N
authors.initials: N
authors.lastname: Kleefstra
authors.forename: B
authors.initials: B
authors.lastname: Meyboom-de Jong
authors.forename: H J G
authors.initials: HJ
authors.lastname: Bilo
mesh_terms: D004607:Elevators and Escalators / Q000706:statistics & numerical data*; D015444:Exercise / Q000523:psychology*; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006761:Hospitals; D006801:Humans; D008297:Male; D009042:Motivation