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• W2469189940 abstract "PURPOSE: To evaluate the short and long-term efficacy of an adapted version of the New York City Department of Health and Mental Hygiene’s “Take the Stairs” prompt on stair use in three distinct university buildings over a 6-month period. METHODS: Individuals using stairs (n=2413) and elevators (n=8304) from lobby floors were observed and counted between 11:00-14:00 up to 3 days per week by trained observers (pretest inter-observer reliability: r=0.940) at 3 sites (site 1= high-rise, multi-use, high-traffic building; site 2=undergraduate residence hall; site 3=high-rise, multi-use, moderate-traffic building). Observations occurred during a 6-month period (baseline, immediate, 3-week, 3-month, and 6-month effect). Associations were examined between stair/elevator use, observation period, time of day, location, and gender (male/female). RESULTS: Overall stair use significantly increased from 20.77% at baseline to 64.69% at the immediate period (p < 0.001) and 24.19% at the 3-week period (p < 0.05). Stair use decreased from the immediate and 3-week periods at 3- and 6-months to 22.65% and 22.50%, respectively. Only site 3 demonstrated significant increases from baseline to all periods, (p < 0.001 for all periods). Stair use was 2.429 (95% CI=2.023-2.914, p<0.001) times more likely at site 2 and 5.934 (95% CI=5.296-6.649, p<0.001) times more likely at site 3 than at site 1. Compared to the baseline, stair use was 1.372 (95% CI=1.184-1.590, p<0.001) times more likely at the immediate period and 1.358 (95% CI=1.166-1.581, p<0.001) times more likely at 6 months. Overall, women were less likely (OR= 0.881, 95% CI=0.797-0.974, p<0.05) to use stairs compared to men; however, women were 2.335 (95% CI=1.946-2.802, p<0.001) times more likely to use stairs at site 2 and 5.891 (95% CI=5.249-6.613, p<0.001) times more likely at site 3 to use stairs than at site 1. CONCLUSION: “Take the Stairs” point-of-decision prompts increased stair use significantly in the short-term. Although stair use diminished over time, the long-term likelihood of stair use remained significantly greater with the installation of prompts. The use of a targeted, multi-level strategy based on building- and population-specific characteristics may be needed to increase the long-term efficacy of prompts in a university setting." @default.
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• W2469189940 date "2015-05-01" @default.
• W2469189940 modified "2023-10-14" @default.
• W2469189940 title "“Take The Stairs”" @default.
• W2469189940 doi "https://doi.org/10.1249/01.mss.0000478141.18016.bf" @default.
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