title: The effects of a physical activity intervention on employees in small and medium enterprises: a mixed methods study.
abstract: OBJECTIVE
  Workplaces have potential as a setting for physical activity promotion but evidence of the effectiveness of intervention programmes in small and medium sized enterprises is limited. This paper reports the impact of an intervention which trained existing employees to promote physical activity to their colleagues.
  
  
  METHODS
  Eighty-nine previously low-active employees from 17 small and medium sized organisations participated.
  
  
  METHODS
  A mixed methods evaluation design was used. Quantitative data were collected at baseline and 6 months later using an online questionnaire. Qualitative data from a series of 6 focus groups were analysed.
  
  
  RESULTS
  Repeated measures t-tests showed significant increases over time in physical activity, general health rating, satisfaction with life and positive mood states. There were significant decreases in body mass index (BMI), perceived stress, negative mood states and presenteeism. There was no change in absenteeism. Analysis of focus group data provided further insight into the impact of the intervention. Five major themes emerged: awareness of physical activity; sustaining physical activity behaviour change; improved health and well-being; enhanced social networks; and embedding physical activity in the workplace culture.
  
  
  CONCLUSIONS
  This study shows it is feasible and effective to train employees in small and medium sized enterprises to support their colleagues in physical activity behaviour change.
authors.affiliation: Department of Psychology, University of Westminster, London, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Edmunds
authors.forename: Duncan
authors.initials: D
authors.lastname: Stephenson
authors.forename: Angela
authors.initials: A
authors.lastname: Clow
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D016272:Occupational Health; D015397:Program Evaluation; D058012:Small Business; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control; D017132:Workplace; D055815:Young Adult