Active Travel Clinical Trial
— KÄPYOfficial title:
Socio-ecological Intervention to Promote Active Commuting to Work
| NCT number | NCT02250261 |
| Other study ID # | 179 |
| Secondary ID | |
| Status | Completed |
| Phase | N/A |
| First received | |
| Last updated | |
| Start date | August 2014 |
| Est. completion date | June 2017 |
| Verified date | October 2018 |
| Source | UKK Institute |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Interventional |
Background Cycling and walking to work is a natural way of increasing physical activity in a
working population. However, the evidence on the effectiveness and cost savings of promoting
active work commuting (ACW) is thin. This cluster-randomized, controlled study aims to
promote ACW with environmental, social and behavioral strategies in two large workplace areas
in Tampere, Finland. The paper de-scribes the protocol, evaluation and baseline findings of
the study.
Methods The enrollment of the workplaces took place in 2014-15. In Phase 1, the impacts of
environmental strategies (improvements to the walking and cycling trails) were evaluated in
Area1 including 11 workplaces. In Phase 2, five more workplaces were recruited from Area2 to
evaluate the impacts of social and behavioral strategies accustomed for each workplace. The
workplaces in both areas were then randomized into experimental (EXP, n=6+2) and comparison
group (COM, n=5+3). EXP promoted ACW with social and behavioral strategies; COM participated
in data collection only but will have the same support post-intervention. The primary outcome
is the change in employees' self-reported and accelerometer-based ACW. The secondary outcomes
include e.g. the changes in employees' self-rated health and subjective wellbeing at work,
the change in the number of walkers and cyclists based on the traffic calculations and the
change in the quality of walking and cycling trails based on camera auditing (Area1 only).
External validity of the intervention is as-sessed with the compliance rates of the
workplaces and employees as well as with the fidelity of the environmental, social and
behavioral strategies. Health Economic Assessment Tool for Cycling and Walking (HEAT) is used
to assess the cost savings of the multilevel intervention. In addition, environmental
variables and types that promote ACW and mediate and moderate the effects of environmental
strategies are examined.
Results and discussion This study is one of the first in Finland to combine interdisciplinary
collaboration between practi-tioners and researchers working in the fields of transportation,
urban design, physical activity and sustainable development to promote ACW. The findings
benefit all stakeholders interested in pro-moting ACW in urban context. The study will also
produce supportive material for promoting ACW at the workplaces.
| Status | Completed |
| Enrollment | 1500 |
| Est. completion date | June 2017 |
| Est. primary completion date | June 2017 |
| Accepts healthy volunteers | Accepts Healthy Volunteers |
| Gender | All |
| Age group | 18 Years to 65 Years |
| Eligibility |
Inclusion Criteria: All voluntary employees in the workplaces located in the specific area Exclusion Criteria: No exclusion criteria |
| Country | Name | City | State |
|---|---|---|---|
| Finland | The UKK Institute for Health Promotion Research | Tampere | Pirkanmaa |
| Finland | UKK Institute | Tampere | Pirkanmaa |
| Lead Sponsor | Collaborator |
|---|---|
| UKK Institute | Department of Transport and Streets, City of Tampere, Ecofellows Ltd, City of Tampere, Tampere University of Technology, University of Graz, University of Oxford |
Finland,
Aittasalo M, Tiilikainen J, Tokola K, Seimelä T, Sarjala S-M, Metsäpuro P, Hynynen A, Suni J, Sievänen H, Vähä-Ypyä H, Vaismaa K, Vakkala O, Foster C, Titze S, Vasankari T. Socio-Ecological Intervention to Promote Active Commuting to Work: Protocol and Ba
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Other | Cost-savings | HEAT | 1 year | |
| Other | Cost-effectiveness | cost-effectiveness ratio | 1 year | |
| Other | Environmental evaluation | Urban environmental variables and types | 1 year | |
| Other | Environmental evaluation | Variables, which mediate and moderate the effects of environmental strategies | 1 year | |
| Primary | Change in self-reported means of transportation to work | Proportion of employees walking or cycling to work (%) | 1 year | |
| Primary | Change in self-reported weekly AWC | Mean number of days employees walk or cycle to work | 1 year | |
| Primary | Change in accelerometer-based daily duration of walking and cycling to work | Daily minutes of AWC (mean) | 1 year | |
| Secondary | Change in self-rated health | Employees self-reported health | 1 year | |
| Secondary | Change in subjective well-being at work | Includes six indicators self-reported by the employees | 1 year | |
| Secondary | Change in restrictions to ACW | Self-reported by the employees and grouped into four levels | 1 year | |
| Secondary | Change in motivation for ACW | Includes six indicators self-reported by the employees | 1 year | |
| Secondary | Change in injuries due to ACW | Self-reported by the employees | 1 year | |
| Secondary | Change in the use of the main walking and cycling trail (Area1) | Measured with fixed-point traffic calculations | 1 year | |
| Secondary | Change in the quality of the main walking and cycling trail | Audited by cycling the trails with GPS | 1 year |