Effectiveness of a worksite mindfulness-based multi-component intervention on lifestyle behaviors.
BACKGROUND
Overweight and obesity are associated with an increased risk of morbidity. Mindfulness training could be an effective strategy to optimize lifestyle behaviors related to body weight gain. The aim of this study was to evaluate the effectiveness of a worksite mindfulness-based multi-component intervention on vigorous physical activity in leisure time, sedentary behavior at work, fruit intake and determinants of these behaviors. The control group received information on existing lifestyle behavior- related facilities that were already available at the worksite.


METHODS
In a randomized controlled trial design (n = 257), 129 workers received a mindfulness training, followed by e-coaching, lunch walking routes and fruit. Outcome measures were assessed at baseline and after 6 and 12 months using questionnaires. Physical activity was also measured using accelerometers. Effects were analyzed using linear mixed effect models according to the intention-to-treat principle. Linear regression models (complete case analyses) were used as sensitivity analyses.


RESULTS
There were no significant differences in lifestyle behaviors and determinants of these behaviors between the intervention and control group after 6 or 12 months. The sensitivity analyses showed effect modification for gender in sedentary behavior at work at 6-month follow-up, although the main analyses did not.


CONCLUSIONS
This study did not show an effect of a worksite mindfulness-based multi-component intervention on lifestyle behaviors and behavioral determinants after 6 and 12 months. The effectiveness of a worksite mindfulness-based multi-component intervention as a health promotion intervention for all workers could not be established.
Jantien
J
van Berkel
Department of Public and Occupational Health - EMGO Institute for Health and Care Research, VU University Medical Center, van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands. crl.boot@vumc.nl.
Cécile R L
CR
Boot
Karin I
KI
Proper
Paulien M
PM
Bongers
Allard J
AJ
van der Beek
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005638:Fruit; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007899:Leisure Activities; D008019:Life Style; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D009043:Motor Activity; D011795:Surveys and Questionnaires; D017132:Workplace