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Slunga-Järvholm, LisbethORCID iD iconorcid.org/0000-0002-8080-146x
Alternative names
Publications (10 of 50) Show all publications
Dahlgren, G., Liv, P., Öhberg, F., Slunga-Järvholm, L., Forsman, M. & Rehn, B. (2023). Correlations between Ratings and Technical Measurements in Hand-Intensive Work. Bioengineering, 10(7), Article ID 867.
Open this publication in new window or tab >>Correlations between Ratings and Technical Measurements in Hand-Intensive Work
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2023 (English)In: Bioengineering, E-ISSN 2306-5354, Vol. 10, no 7, article id 867Article in journal (Refereed) Published
Abstract [en]

An accurate rating of hand activity and force is essential in risk assessment and for the effective prevention of work-related musculoskeletal disorders. However, it is unclear whether the subjective ratings of workers and observers correlate to corresponding objective technical measures of exposure. Fifty-nine workers were video recorded while performing a hand-intensive work task at their workplace. Self-ratings of hand activity level (HAL) and force (Borg CR10) using the Hand Activity Threshold Limit Value® were assessed. Four ergonomist observers, in two pairs, also rated the hand activity and force level for each worker from video recordings. Wrist angular velocity was measured using inertial movement units. Muscle activity in the forearm muscles flexor carpi radialis (FCR) and extensor carpi radialis (ECR) was measured with electromyography root mean square values (RMS) and normalized to maximal voluntary electrical activation (MVE). Kendall’s tau-b correlations were statistically significant between self-rated hand activity and wrist angular velocity at the 10th, 50th, and 90th percentiles (0.26, 0.31, and 0.23) and for the ratings of observers (0.32, 0.41, and 0.34). Significant correlations for force measures were found only for observer-ratings in five of eight measures (FCR 50th percentile 0.29, time > 10%MVE 0.43, time > 30%MVE 0.44, time < 5% −0.47) and ECR (time > 30%MVE 0.26). The higher magnitude of correlation for observer-ratings suggests that they may be preferred to the self-ratings of workers. When possible, objective technical measures of wrist angular velocity and muscle activity should be preferred to subjective ratings when assessing risks of work-related musculoskeletal disorders.

Place, publisher, year, edition, pages
MDPI, 2023
Keywords
electromyography, ergonomics, exposure, hand, hand intensity, humans, inertial measurement units, musculoskeletal disorders, occupational health, psychophysics, rating, risk, upper extremity, wrist
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-212749 (URN)10.3390/bioengineering10070867 (DOI)001034881300001 ()37508893 (PubMedID)2-s2.0-85166303077 (Scopus ID)
Funder
AFA Insurance, 210031Umeå University
Available from: 2023-08-11 Created: 2023-08-11 Last updated: 2023-08-11Bibliographically approved
Öhlin, J., Liv, P., Andersson, M., Järvholm, B., Slunga-Järvholm, L., Stjernbrandt, A. & Wahlström, V. (2023). Occupational physical activity and resting blood pressure in male construction workers. International Archives of Occupational and Environmental Health, 96(9), 1283-1289
Open this publication in new window or tab >>Occupational physical activity and resting blood pressure in male construction workers
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2023 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 96, no 9, p. 1283-1289Article in journal (Refereed) Published
Abstract [en]

Objective: This study investigated the association between occupational physical activity (OPA) and resting blood pressure in a cohort of Swedish construction workers.

Methods: The final sample included 241,176 male construction workers. Occupations with low OPA were foremen and white-collar workers. The most frequent occupations in the medium OPA group were electricians, pipe workers, and machine operators, and in the high OPA group woodworkers, concrete workers, and painters.

Results: Mixed effects models showed higher systolic and lower diastolic blood pressure with higher OPA, but the associations varied depending on the year of participation and participant age as shown by significant interaction terms (OPA*age, OPA*calendar year, age*calendar year). Age-stratified linear regression analyses showed a pattern of slightly higher systolic (1.49, 95% confidence interval: 1.08-1.90 mmHg) and lower diastolic (0.89, 95% confidence interval: 0.65-1.13 mmHg) blood pressure when comparing low with high OPA, but not among the oldest age groups.

Conclusion: Despite a rather large contrast in OPA, the differences in systolic and diastolic blood pressure according to OPA were small.

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Cardiovascular health, Construction workers, Diastolic blood pressure, Occupational physical activity, Systolic blood pressure
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-214720 (URN)10.1007/s00420-023-02006-2 (DOI)001067666600001 ()37725195 (PubMedID)2-s2.0-85171432604 (Scopus ID)
Projects
Strategier för ett hållbart arbetsliv ur ett arbetsgivar- och medarbetarperspektiv
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-01566
Available from: 2023-09-27 Created: 2023-09-27 Last updated: 2024-01-05Bibliographically approved
Nelson, A., Malmberg Gavelin, H., Andersson, M., Josefsson, M., Eskilsson, T., Slunga-Järvholm, L., . . . Boraxbekk, C.-J. (2023). Subjective cognitive complaints and its associations to response inhibition and neural activation in patients with stress-related exhaustion disorder. Stress, 26(1), Article ID 2188092.
Open this publication in new window or tab >>Subjective cognitive complaints and its associations to response inhibition and neural activation in patients with stress-related exhaustion disorder
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2023 (English)In: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 26, no 1, article id 2188092Article in journal (Refereed) Published
Abstract [en]

Stress-related exhaustion is associated with cognitive deficits, measured subjectively using questionnaires targeting everyday slips and failures or more objectively as performance on cognitive tests. Yet, only weak associations between subjective and objective cognitive measures in this group has been presented, theorized to reflect recruitment of compensational resources during cognitive testing. This explorative study investigated how subjectively reported symptoms of cognitive functioning and burnout levels relate to performance as well as neural activation during a response inhibition task. To this end, 56 patients diagnosed with stress-related exhaustion disorder (ED; ICD-10 code F43.8A) completed functional magnetic resonance imaging (fMRI) using a Flanker paradigm. In order to investigate associations between neural activity and subjective cognitive complaints (SCCs) and burnout, respectively, scores on the Prospective and retrospective memory questionnaire (PRMQ) and the Shirom-Melamed burnout questionnaire (SMBQ) were added as covariates of interest to a general linear model at the whole-brain level. In agreement with previous research, the results showed that SCCs and burnout levels were largely unrelated to task performance. Moreover, we did not see any correlations between these self-report measures and altered neural activity in frontal brain regions. Instead, we observed an association between the PRMQ and increased neural activity in an occipitally situated cluster. We propose that this finding may reflect compensational processes at the level of basic visual attention which may go unnoticed in cognitive testing but are reflected in the experience of deficits in everyday cognitive functioning.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
National Category
Neurosciences Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Identifiers
urn:nbn:se:umu:diva-205760 (URN)10.1080/10253890.2023.2188092 (DOI)000953639900001 ()36883330 (PubMedID)2-s2.0-85150665693 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-0772Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01111)Region VästerbottenAFA InsuranceRiksbankens JubileumsfondThe Kempe Foundations
Available from: 2023-03-17 Created: 2023-03-17 Last updated: 2023-04-28Bibliographically approved
Norström, F., Slunga Järvholm, L. & Eskilsson, T. (2022). Healthcare utilisation among patients with stress-induced exhaustion disorder treated with a multimodal rehabilitation programme: a longitudinal observational study. BMC Psychiatry, 22(1), Article ID 642.
Open this publication in new window or tab >>Healthcare utilisation among patients with stress-induced exhaustion disorder treated with a multimodal rehabilitation programme: a longitudinal observational study
2022 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 22, no 1, article id 642Article in journal (Refereed) Published
Abstract [en]

Background: Stress-induced exhaustion disorder is a major challenge in Swedish working life. Despite its increase in prevalence, there is still limited knowledge about the effectiveness of different rehabilitation methods. In this study, we aim to describe the healthcare utilisation for patients with stress-induced exhaustion disorder before, during and after a multi-modal rehabilitation (MMR) programme, as well as the health-related quality of life, work ability, sick leave level and psychological measures, and their possible relations.

Methods: In this longitudinal observational study, 53 patients who were part of an MMR programme at the Stress Rehabilitation Clinic participated with survey data, and among them 43 also contributed with healthcare data. Data were collected from one year before start of MMR to one year after the end of it. The patients also answered a questionnaire at the start of, end of and at a one-year follow-up of the MMR, which included questions about health-related quality of life, work ability, clinical burnout, sick leave level, anxiety and depression.

Results: There was a statistically significant increase in healthcare consumption during MMR, if including visits to the Stress Rehabilitation Clinic, while it decreased if excluding such visits, when comparing with before and after MMR. During the follow-up period there was a non-statistically significant (p=0.11), but still rather large difference (15.4 compared with 12.0 visits per patient), in healthcare consumption in comparison with the period before MMR, when excluding follow-up visits at the Stress Rehabilitation Clinic. Health-related quality of life was rated as poor before MMR (mean 0.59). There was a statistically significant improvement, but values were still below normal at the end of follow-up (mean 0.70). In addition, the level of sick leave, the work ability and signs of clinical burnout improved statistically significantly after MMR, but were not fully normalised at the end of follow-up. Individual healthcare consumption was related to residual health problems.

Conclusions: Patients with stress-induced exhaustion disorder have not reduced their healthcare consumption notably after MMR, and residual health problems remain for some patients. More studies are needed for a deeper understanding of the individual effectiveness of MMR, and also of its cost-effectiveness.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Clinical burnout, Health-related quality of life, Healthcare consumption, Northern Sweden
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology Occupational Health and Environmental Health
Research subject
Occupational and Environmental Medicine
Identifiers
urn:nbn:se:umu:diva-200605 (URN)10.1186/s12888-022-04300-8 (DOI)000867664400002 ()36229810 (PubMedID)2-s2.0-85139940996 (Scopus ID)
Funder
AFA Insurance, 150274Region Västerbotten
Available from: 2022-10-27 Created: 2022-10-27 Last updated: 2024-01-17Bibliographically approved
Dahlgren, G., Liv, P., Öhberg, F., Slunga-Järvholm, L., Forsman, M. & Rehn, B. (2022). Ratings of hand activity and force levels among women and men who perform identical hand-intensive work tasks. International Journal of Environmental Research and Public Health, 19(24), Article ID 16706.
Open this publication in new window or tab >>Ratings of hand activity and force levels among women and men who perform identical hand-intensive work tasks
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 24, article id 16706Article in journal (Refereed) Published
Abstract [en]

We compared hand activity and force ratings in women and men doing identical hand-intensive work tasks. Musculoskeletal disorders are more common in women and hand-intensive work leads to an increased risk of these disorders. Knowledge of the gender influence in the rating of work exposure is lacking. The aim of this study was to investigate whether women and men performing identical hand-intensive work tasks were equally rated using hand activity and normalized peak force levels with the Hand Activity Threshold Limit Value®. Fifty-six workers participated, comprising 28 women-men pairs. Four observers-two woman-man pairs-were also involved. Self-ratings and observers' ratings of hand activity and force level were collected. The results of these ratings showed no significant gender differences in self-rated hand activity and force, as well as observer-rated hand activity. However, there was a significant gender difference in the observer-rated force, where the women were rated higher (mean (SD): women 3.9 (2.7), men 3.1 (1.8) (p = 0.01)). This difference remained significant in the adjusted model (p = 0.04) with grip strength and forearm-finger anthropometrics. The results provide new insights that observers' estimates of force can be higher in women compared with men in the same work tasks. Force should be further investigated and preferably compared to objective measurements.

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
cumulative trauma disorders, equity, ergonomic assessment, exposure assessment, gender differences, observation, psychophysics, repetitive strain injury, upper extremity, workload
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-202061 (URN)10.3390/ijerph192416706 (DOI)000901096400001 ()36554587 (PubMedID)2-s2.0-85144537782 (Scopus ID)
Funder
AFA Insurance, 210031Umeå UniversityRegion Västerbotten
Available from: 2023-01-03 Created: 2023-01-03 Last updated: 2023-09-05Bibliographically approved
Öhrn, M., Wahlström, V., Harder, M. S., Nordin, M., Pettersson-Strömbäck, A., Bodin Danielsson, C., . . . Slunga Järvholm, L. (2021). Productivity, Satisfaction, Work Environment and Health after Relocation to an Activity-Based Flex Office: The Active Office Design Study. International Journal of Environmental Research and Public Health, 18(14), Article ID 7640.
Open this publication in new window or tab >>Productivity, Satisfaction, Work Environment and Health after Relocation to an Activity-Based Flex Office: The Active Office Design Study
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2021 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 14, article id 7640Article in journal (Refereed) Published
Abstract [en]

Implementation of activity-based flex offices (AFOs) are becoming increasingly common. The aim of this study was to evaluate the effects of an AFO on perceived productivity, satisfaction, work environment and health. Questionnaire data from the longitudinal, quasi-experimental Active Office Design Study was used. The study evaluates a public organization relocating staff to either an AFO or to cell offices. Measures from baseline, 6 and 18 months after relocation, were analyzed. Employees in the AFO experienced a decreased productivity and satisfaction with the office design. Lack of privacy as well as increased noise disturbance, less satisfaction with sit comfort and work posture were reported. Employees in the AFO with work tasks requiring a high degree of concentration experienced lower productivity while those with a high proportion of teamwork rated productivity to be continually high. No significant group differences were found between the two office types in general health, cognitive stress, salutogenic health indicators or pain in the neck, shoulder or back. The study highlights the importance of taking work characteristics into account in the planning and implementation process of an AFO. Flexible and interactive tasks seem more appropriate in an AFO, whereas individual tasks demanding concentration seem less fit.

Place, publisher, year, edition, pages
MDPI, 2021
Keywords
activity-based work, job performance, longitudinal study, new ways of working, occupational health, office worker
National Category
Occupational Health and Environmental Health Architecture
Identifiers
urn:nbn:se:umu:diva-186923 (URN)10.3390/ijerph18147640 (DOI)000676147300001 ()34300090 (PubMedID)2-s2.0-85110122622 (Scopus ID)
Available from: 2021-08-26 Created: 2021-08-26 Last updated: 2021-08-27Bibliographically approved
Nelson, A., Malmberg Gavelin, H., Boraxbekk, C.-J., Eskilsson, T., Josefsson, M., Slunga Järvholm, L. & Neely, A. S. (2021). Subjective cognitive complaints in patients with stress-related exhaustion disorder: a cross sectional study. BMC Psychology, 9(1), Article ID 84.
Open this publication in new window or tab >>Subjective cognitive complaints in patients with stress-related exhaustion disorder: a cross sectional study
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2021 (English)In: BMC Psychology, E-ISSN 2050-7283, Vol. 9, no 1, article id 84Article in journal (Refereed) Published
Abstract [en]

Background: Stress-related exhaustion is associated with cognitive impairment as measured by both subjective cognitive complaints (SCCs) and objective cognitive test performance. This study aimed to examine how patients diagnosed with exhaustion disorder differ from healthy control participants in regard to levels and type of SCCs, and if SCCs are associated with cognitive test performance and psychological distress.

Methods: We compared a group of patients with stress-related exhaustion disorder (n = 103, female = 88) with matched healthy controls (n = 58, female = 47) cross-sectionally, concerning the type and magnitude of self-reported SCCs. We furthermore explored the association between SCCs and cognitive test performance as well as with self-reported depression, anxiety and burnout levels, in the patient and the control group, respectively.

Results: Patients reported considerably more cognitive failures and were more likely than controls to express memory failures in situations providing few external cues and reminders in the environment. In both groups, SCCs were associated with demographic and psychological factors, and not with cognitive test performance.

Conclusion: Our findings underline the high burden of cognitive problems experienced by patients with exhaustion disorder, particularly in executively demanding tasks without external cognitive support. From a clinical perspective, SCCs and objective cognitive test performance may measure different aspects of cognitive functioning, and external cognitive aids could be of value in stress rehabilitation.

Trial registration: Participants were recruited as part of the Rehabilitation for Improved Cognition (RECO) study (ClinicalTrials.gov: NCT03073772). Date of registration: 8 March 2017

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
Burnout, Cognition, Exhaustion, Stress, Stress-induced, Subjective cognitive complaints
National Category
Psychology
Identifiers
urn:nbn:se:umu:diva-183883 (URN)10.1186/s40359-021-00576-9 (DOI)000655581200003 ()34006315 (PubMedID)2-s2.0-85106193025 (Scopus ID)
Available from: 2021-06-03 Created: 2021-06-03 Last updated: 2023-09-05Bibliographically approved
Hadrévi, J., Myte, R., Olsson, T., Palmqvist, R., Slunga-Järvholm, L. & van Guelpen, B. (2021). Work-Related Stress Was Not Associated with Increased Cancer Risk in a Population-Based Cohort Setting. Cancer Epidemiology, Biomarkers and Prevention, 31(1), 51-57
Open this publication in new window or tab >>Work-Related Stress Was Not Associated with Increased Cancer Risk in a Population-Based Cohort Setting
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2021 (English)In: Cancer Epidemiology, Biomarkers and Prevention, ISSN 1055-9965, E-ISSN 1538-7755, Vol. 31, no 1, p. 51-57Article in journal (Refereed) Published
Abstract [en]

Background: Stress is a commonly perceived cause of cancer, but the evidence to date is limited and inconclusive. We examined work-related stress in relation to cancer incidence in a population-based cohort, with outcome data from Swedish national registries.

Methods: The study population included 113,057 participants in the Västerbotten Intervention Programme. HRs were estimated using Cox proportional hazards regression, for cancer overall and for types with ≥500 cases, and adjusting for several potential confounders. The primary exposure was prediagnostic work-related stress, using the well established Karasek job demand/control model. Demand and control variables were dichotomized at the median, and participants were classified according to combinations of these categories. We also considered social network and aspects of quality of life.

Results: "High-strain" work (high demand/low control) was not associated with cancer risk compared with "low-strain" work (low demand/high control): multivariable HR 1.01 [95% confidence interval (CI), 0.94-1.08] for men and 0.99 (95% CI, 0.92-1.07) for women. Results were also null for most cancer types assessed: prostate, breast, colorectal, lung, and gastrointestinal (GI). The risk of GI cancer was lower for "passive" (low demand/low control) versus "low-strain" work, particularly for colorectal cancer in women: multivariable HR 0.71 (95% CI, 0.55-0.91), but statistical significance was lost after adjustment for multiple testing.

Conclusions: The findings of this population-based, cohort study do not support a role for work-related stress in determining cancer risk.

Impact: This study helps fill an important knowledge gap given the common concern about stress as a risk factor for cancer.

Place, publisher, year, edition, pages
American Association for Cancer Research, 2021
National Category
Occupational Health and Environmental Health Cancer and Oncology
Identifiers
urn:nbn:se:umu:diva-191724 (URN)10.1158/1055-9965.epi-21-0182 (DOI)000750204900001 ()34697056 (PubMedID)2-s2.0-85122950964 (Scopus ID)
Funder
Swedish Research Council, 2017-00650
Available from: 2022-01-23 Created: 2022-01-23 Last updated: 2023-09-05Bibliographically approved
Eskilsson, T., Fjellman-Wiklund, A., Ek Malmer, E., Stigsdotter Neely, A., Malmberg Gavelin, H., Slunga-Järvholm, L., . . . Nordin, M. (2020). Hopeful struggling for health: Experiences of participating in computerized cognitive training and aerobic training for persons with stress-related exhaustion disorder. Scandinavian Journal of Psychology, 61(3), 361-368
Open this publication in new window or tab >>Hopeful struggling for health: Experiences of participating in computerized cognitive training and aerobic training for persons with stress-related exhaustion disorder
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2020 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 61, no 3, p. 361-368Article in journal (Refereed) Published
Abstract [en]

It is important to understand how people with exhaustion disorder (ED) perceive interventions aiming to facilitate cognitive functioning. Therefore, the overall aim of this study was to explore experiences from persons with ED after participating in a 12-week intervention of either computerized cognitive training or aerobic training. Both interventions were performed in addition to a multimodal rehabilitation programme. Thirteen participants, 11 women and 2 men, were interviewed about pros and cons with participating in the training. The interviews were analysed with Qualitative Content Analysis. The analyses resulted in the theme hopeful struggling for health and the categories support, motivation and sensations. It was hard work recovering from ED. Support from others who are in the same situation, family members, and technology and routines for the training were strongly emphasized as beneficial for recovery. Timing, i.e., matching activities to the rehabilitation programme, getting feedback and perceiving joy in the training were important for motivation. Participants in both interventions experienced positive sensations with improved memory performance, everyday life functioning and increased faith in the prospect of recovery. However, it is important to consider various aspects of support and motivation in both computerized cognitive training and aerobic training to enable participants to pursue their participation.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
Exhaustion disorder, burnout, exercise, qualitative research, rehabilitation
National Category
Physiotherapy Applied Psychology
Identifiers
urn:nbn:se:umu:diva-167762 (URN)10.1111/sjop.12623 (DOI)000509854500001 ()31995652 (PubMedID)2-s2.0-85078781363 (Scopus ID)
Available from: 2020-02-03 Created: 2020-02-03 Last updated: 2023-03-23Bibliographically approved
Wahlström, V., Fjellman-Wiklund, A., Harder, M., Slunga-Järvholm, L. & Stenlund, T. (2020). Implementing a Physical Activity promoting program in a flex-office: A Process Evaluation with a Mixed Methods Design. International Journal of Environmental Research and Public Health, 17(1), Article ID 23.
Open this publication in new window or tab >>Implementing a Physical Activity promoting program in a flex-office: A Process Evaluation with a Mixed Methods Design
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 1, article id 23Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate facilitating and hindering factors when implementing a physical activity (PA)-promoting program among office workers moving to a flex office, by conducting a process evaluation. Additionally, we evaluated self-reported and perceived PA behaviors. With a mixed methods design, analyses were based upon data from interviews with 70 employees and repeated questionnaires from 152 employees. The PA-promoting program was fully implemented and supported by management. There was a strong health promoting culture, encouraging PA in the organization already at the start of the study. The lecture and the office design were rated as the most motivating program components. The use of stairs, breaks during meetings and social acceptance for standing and walking at work increased. Employees described a strive for variation, and how managers, the office environment, productivity and ergonomic aspects influenced sedentary behavior (SB) and PA. The need for the PA-promoting program was questioned, and the timing of the program was debated. To conclude, a strong organizational health culture combined with a facilitating physical environment can create sustainable positive PA behaviors in office settings. A thorough understanding of organizational needs and a participatory process are needed to tailor organizational interventions to decrease SB.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
activity-based work, ergonomics, longitudinal, office design, office workers, sedentary behavior, workstation
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-164706 (URN)10.3390/ijerph17010023 (DOI)000509391500023 ()31861424 (PubMedID)2-s2.0-85076988539 (Scopus ID)
Note

Originally included in thesis in manuscript form.

Available from: 2019-10-28 Created: 2019-10-28 Last updated: 2023-03-24Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-8080-146x

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