Health Behavior Clinical Trial
Official title:
The Cycle Nation Project: A Workplace Intervention to Increase the Number of People Cycling Regularly (Phase 2: Feasibility)
Interventions to increase the number of people cycling regularly are likely to induce a range
of health and societal benefits, including reduced incidence of heart disease, cancer and
obesity, improved mental health and well-being, and reduced road congestion and air
pollution. They are also likely to provide tangible financial and in-kind benefits to
employers and society, through reduced workforce absenteeism, increased productivity and
decreased use of NHS resources. However, increasing the number of people cycling regularly is
complex and interventions undertaken to date have only been modestly successful. Thus, to
induce a step-change in the number of people cycling in the United Kingdom (UK), in line with
British Cycling and HSBC UK's stated aim of getting two million more people on bikes, new
approaches are needed.
The research team have been working with staff and management at British Cycling and HSBC to
co-develop a novel, multi-component intervention for delivery at HSBC offices to increase the
number of employees cycling regularly. The intervention has four main components: 1) a six
(intermediate) or nine (foundation) week practical skills programme; 2) cycle provision
(tune-up/loan/subsidised purchase) schemes; 3) establishment of a cycle-friendly workplace
culture; 4) a cycle app. The purpose of this study is to test the feasibility of this
intervention in a before-and-after study in four HSBC offices around the UK.
Objective: To assess the feasibility of the novel multicomponent workplace cycling
intervention that aims to support more employees to cycle regularly. There are eight related
research questions:
1. Can sufficient (~20-30) employees per HSBC office be recruited to take part in the
intervention?
2. Can participants be retained in the study for up to three months?
3. To what extent do participants receive the intervention as intended (exposure)?
4. To what extent is the intervention acceptable to participants, those leading the
intervention (local cycle champions), local HSBC office management and local bike
providers?
5. How feasible and acceptable is it to conduct a suite of measurements, including
self-report questionnaires, objective physical activity and blood biomarkers of
cardiovascular disease, in this setting?
6. Does the intervention have potential to increase cycling and cycle journeys (likely
primary outcomes in a future RCT)?
7. To what extent do participants improve on a range of behavioural, psychological,
clinical and work-related outcomes?
8. Does the intervention have potential to be cost-effective, and what are the range of
cost and benefit outcomes that are to be considered?
Setting and Participants: The study will be conducted at four HSBC offices across the UK,
which have some degree of on-site cycle infrastructure (e.g. secure bike racks, showers,
lockers). At each office, up to 40 participants will be recruited to either the foundation
(nine-week) or intermediate (six-week) practical skills programme (up to 160 participants in
total across the four sites). Participants will be self-identified infrequent cyclists
(currently cycle less than once per month or not at all) aged 18 years or over who are
current HSBC employees.
Interventions:
The intervention has four main components.
1. Practical skills programme: this has two versions - a core six-week programme
(intermediate), with an additional three weeks (nine weeks in total - foundation)
covering basic cycling skills. It is designed to be delivered at HSBC offices by trained
'cycle champions' - ideally HSBC staff members. Each session includes group-based
learning activities and in-saddle, off- and on-road practical cycle training.
Participants will receive information delivered simply in handbook format with a
"toolkit" of skills and behaviour change techniques (e.g. goal setting) participants can
apply to increase their cycling and maintain this long-term.
2. Cycle provision scheme: participants will have the opportunity to have their own
bicycles serviced or obtain a loaned bike or e-bike from local bike shops before the
start of the programme. At the end of the programme, participants will be given support
and advice to take part in the HSBC subsidised cycle purchase bike to work scheme.
3. Cycle-friendly workplace culture: all of the HSBC offices taking part in the study will
have a minimum of secure bike locks as part of an ongoing roll-out of cycle
infrastructure across HSBC UK offices. During training, the cycle champion will be asked
to identify (and subsequently implement) other cycle-friendly features (e.g.
availability of cycle tools and spares, flexible hours to avoid peak commuter traffic,
flexible dress code, altruistic reward scheme for cycling).
4. Our Cycle Hub app: an adapted version of an existing HSBC app including route planning,
goal setting and practical skills videos, as well as supportive social interaction among
participants.
Outcomes:
The feasibility study will assess: recruitment, retention, adherence, feasibility of delivery
of all components, fidelity to intervention protocol, acceptability (to participants and
cycle champions, other staff in the office who are not doing the practical skills programme
but are exposed to the cycle-friendly culture, HSBC office managers and bike providers), and
likely primary outcomes of any future randomised controlled trial (RCT) - number of people
cycling regularly (both monthly and weekly) and number of cycling journeys for transport or
leisure in the last month, both self-reported. The investigators will also assess likely
secondary outcomes in a future RCT at baseline, 9 weeks, and 13 weeks.
1. behavioural - objectively-measured cycling and other physical activity (using the
activPAL device and a new algorithm specifically-developed to detect cycling) and
self-reported cycling activity, modes of transport, physical activity, sedentary
behaviour, sleep, dietary intake.
2. psychological - self-reported motivation, autonomy, competence, relatedness and
perceptions of safety in relation to cycling, wellbeing, self-esteem, vitality, quality
of life and perceived general physical health.
3. work-related - productivity, job satisfaction, occupational stress, absenteeism and
presenteeism.
4. clinical - objectively-measured weight, height, BMI, waist circumference, diastolic and
systolic blood pressure. Cardio-metabolic disease risk biomarkers related to glucose,
insulin, HbA1c, lipids and liver function will be assessed at baseline and 13 weeks only
(opt in).
Participant characteristics (e.g. date of birth, gender, postcode of residence, marital
status, education, smoking status, alcohol consumption, job description) will be recorded at
baseline only. Extent of delivery, acceptability and perceived utility of programme
components (practical skills programme components, bike provision, cycle-friendly culture and
cycle app), and acceptability of the study procedures will be assessed at follow up only.
Adverse events and injury will be assessed at all time points. Health economists will work
with HSBC head office staff to identify available sources of cost and benefit data throughout
the study.
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