Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi Study Article Swipe
Iris Parés-Salomón
,
Cristina Vaqué-Crusellas
,
Alan Coffey
,
Bette Loef
,
Karin I. Proper
,
Anna M. Señé-Mir
,
Anna Puig‐Ribera
,
Kieran Dowd
,
Judit Bort‐Roig
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2196/59405
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2196/59405
Background Hybrid work is the new modus operandi for many office workers, leading to more sedentary behavior than office-only working. Given the potential of digital interventions to reduce sedentary behavior and the current lack of studies evaluating these interventions for home office settings, it is crucial to develop digital interventions for such contexts involving all stakeholders. Objective This study aimed to reach expert consensus on the most feasible work strategies and the most usable digital elements as a delivery method to reduce sedentary behavior in the home office context. Methods A modified Delphi study including 3 survey rounds and focus groups was conducted to achieve consensus. The first Delphi round consisted of two 9-point Likert scales for assessing the feasibility of work strategies and the potential usefulness of digital elements to deliver the strategies. The work strategies were identified and selected from a scoping review, a systematic review, and 2 qualitative studies involving managers and employees. The median and mean absolute deviation from the median for each item are reported. The second round involved 2 ranking lists with the highly feasible strategies and highly useful digital elements based on round 1 responses to order the list according to experts’ preferences. The weighted average ranking for each item was calculated to determine the most highly ranked work strategies and digital elements. The third round encompassed work strategies with a weight above the median from round 2 to be matched with the most useful digital elements to implement each strategy. In total, 4 focus groups were additionally conducted to gain a greater understanding of the findings from the Delphi phase. Focus groups were analyzed using the principles of reflexive thematic analysis. Results A total of 27 international experts in the field of occupational health participated in the first round, with response rates of 86% (25/29) and 66% (19/29) in rounds 2 and 3, respectively, and 52% (15/29) in the focus groups. Consensus was achieved on 18 work strategies and 16 digital elements. Feedback on activity progress and goal achievement; creating an action plan; and standing while reading, answering phone calls, or conducting videoconferences were the most feasible work strategies, whereas wrist-based activity trackers, a combination of media, and app interfaces in smartphones were the most useful digital elements. Moreover, experts highlighted the requirement of combining multiple levels of strategies, such as social support, physical environment, and individual strategies, to enhance their implementation and effectiveness in reducing sedentary behavior when working from home. Conclusions This expert consensus provided a foundation for developing digital interventions for sedentary behavior in home office workers. Ongoing interventions should enable the evaluation of feasible strategies delivered via useful digital elements in home office or hybrid contexts.
Related Topics
Concepts
Delphi method
Ranking (information retrieval)
Psychological intervention
Likert scale
Delphi
Context (archaeology)
Focus group
Work (physics)
Computer science
Knowledge management
Applied psychology
Psychology
Engineering
Medicine
Marketing
Business
Artificial intelligence
Nursing
Geography
Mechanical engineering
Archaeology
Operating system
Developmental psychology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2196/59405
- OA Status
- gold
- Cited By
- 4
- References
- 57
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409255214
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409255214Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2196/59405Digital Object Identifier
- Title
-
Development of Digital Strategies for Reducing Sedentary Behavior in a Hybrid Office Environment: Modified Delphi StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-08Full publication date if available
- Authors
-
Iris Parés-Salomón, Cristina Vaqué-Crusellas, Alan Coffey, Bette Loef, Karin I. Proper, Anna M. Señé-Mir, Anna Puig‐Ribera, Kieran Dowd, Judit Bort‐RoigList of authors in order
- Landing page
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https://doi.org/10.2196/59405Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.2196/59405Direct OA link when available
- Concepts
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Delphi method, Ranking (information retrieval), Psychological intervention, Likert scale, Delphi, Context (archaeology), Focus group, Work (physics), Computer science, Knowledge management, Applied psychology, Psychology, Engineering, Medicine, Marketing, Business, Artificial intelligence, Nursing, Geography, Mechanical engineering, Archaeology, Operating system, Developmental psychologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4Per-year citation counts (last 5 years)
- References (count)
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57Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.these | 37 |
| abstract_inverted_index.third | 221 |
| abstract_inverted_index.total | 281 |
| abstract_inverted_index.using | 272 |
| abstract_inverted_index.while | 343 |
| abstract_inverted_index.Delphi | 92, 108, 266 |
| abstract_inverted_index.Hybrid | 1 |
| abstract_inverted_index.Likert | 114 |
| abstract_inverted_index.action | 339 |
| abstract_inverted_index.calls, | 347 |
| abstract_inverted_index.enable | 431 |
| abstract_inverted_index.expert | 62, 412 |
| abstract_inverted_index.groups | 100, 252, 269 |
| abstract_inverted_index.health | 291 |
| abstract_inverted_index.highly | 179, 183, 213 |
| abstract_inverted_index.hybrid | 446 |
| abstract_inverted_index.levels | 384 |
| abstract_inverted_index.media, | 364 |
| abstract_inverted_index.median | 157, 164, 231 |
| abstract_inverted_index.method | 79 |
| abstract_inverted_index.office | 10, 41, 87, 426, 444 |
| abstract_inverted_index.phase. | 267 |
| abstract_inverted_index.ranked | 214 |
| abstract_inverted_index.reduce | 27, 81 |
| abstract_inverted_index.round, | 296 |
| abstract_inverted_index.rounds | 97, 307 |
| abstract_inverted_index.scales | 115 |
| abstract_inverted_index.second | 171 |
| abstract_inverted_index.should | 430 |
| abstract_inverted_index.social | 389 |
| abstract_inverted_index.survey | 96 |
| abstract_inverted_index.total, | 249 |
| abstract_inverted_index.usable | 73 |
| abstract_inverted_index.useful | 184, 241, 373, 439 |
| abstract_inverted_index.weight | 228 |
| abstract_inverted_index.(15/29) | 314 |
| abstract_inverted_index.(19/29) | 305 |
| abstract_inverted_index.(25/29) | 302 |
| abstract_inverted_index.9-point | 113 |
| abstract_inverted_index.Methods | 89 |
| abstract_inverted_index.Ongoing | 428 |
| abstract_inverted_index.Results | 279 |
| abstract_inverted_index.achieve | 104 |
| abstract_inverted_index.average | 202 |
| abstract_inverted_index.crucial | 45 |
| abstract_inverted_index.current | 32 |
| abstract_inverted_index.deliver | 131 |
| abstract_inverted_index.develop | 47 |
| abstract_inverted_index.digital | 24, 48, 74, 128, 185, 218, 242, 328, 374, 419, 440 |
| abstract_inverted_index.enhance | 397 |
| abstract_inverted_index.experts | 285, 377 |
| abstract_inverted_index.greater | 259 |
| abstract_inverted_index.groups. | 318 |
| abstract_inverted_index.leading | 12 |
| abstract_inverted_index.matched | 237 |
| abstract_inverted_index.ranking | 175, 203 |
| abstract_inverted_index.review, | 144, 147 |
| abstract_inverted_index.scoping | 143 |
| abstract_inverted_index.studies | 35, 151 |
| abstract_inverted_index.whereas | 357 |
| abstract_inverted_index.working | 407 |
| abstract_inverted_index.Feedback | 330 |
| abstract_inverted_index.absolute | 160 |
| abstract_inverted_index.achieved | 321 |
| abstract_inverted_index.activity | 332, 359 |
| abstract_inverted_index.analyzed | 271 |
| abstract_inverted_index.behavior | 16, 29, 83, 405, 423 |
| abstract_inverted_index.context. | 88 |
| abstract_inverted_index.contexts | 52 |
| abstract_inverted_index.creating | 337 |
| abstract_inverted_index.delivery | 78 |
| abstract_inverted_index.elements | 75, 129, 186, 243, 441 |
| abstract_inverted_index.feasible | 67, 180, 354, 435 |
| abstract_inverted_index.findings | 263 |
| abstract_inverted_index.involved | 173 |
| abstract_inverted_index.managers | 153 |
| abstract_inverted_index.modified | 91 |
| abstract_inverted_index.multiple | 383 |
| abstract_inverted_index.operandi | 7 |
| abstract_inverted_index.physical | 391 |
| abstract_inverted_index.progress | 333 |
| abstract_inverted_index.provided | 414 |
| abstract_inverted_index.reading, | 344 |
| abstract_inverted_index.reducing | 403 |
| abstract_inverted_index.response | 298 |
| abstract_inverted_index.selected | 140 |
| abstract_inverted_index.standing | 342 |
| abstract_inverted_index.support, | 390 |
| abstract_inverted_index.thematic | 277 |
| abstract_inverted_index.weighted | 201 |
| abstract_inverted_index.workers, | 11 |
| abstract_inverted_index.workers. | 427 |
| abstract_inverted_index.working. | 19 |
| abstract_inverted_index.Consensus | 319 |
| abstract_inverted_index.Moreover, | 376 |
| abstract_inverted_index.Objective | 56 |
| abstract_inverted_index.according | 196 |
| abstract_inverted_index.analysis. | 278 |
| abstract_inverted_index.answering | 345 |
| abstract_inverted_index.assessing | 117 |
| abstract_inverted_index.combining | 382 |
| abstract_inverted_index.conducted | 102, 255 |
| abstract_inverted_index.consensus | 63, 413 |
| abstract_inverted_index.consisted | 110 |
| abstract_inverted_index.contexts. | 447 |
| abstract_inverted_index.delivered | 437 |
| abstract_inverted_index.determine | 210 |
| abstract_inverted_index.deviation | 161 |
| abstract_inverted_index.elements. | 219, 329, 375 |
| abstract_inverted_index.implement | 245 |
| abstract_inverted_index.including | 94 |
| abstract_inverted_index.involving | 53, 152 |
| abstract_inverted_index.potential | 22, 125 |
| abstract_inverted_index.reflexive | 276 |
| abstract_inverted_index.reported. | 169 |
| abstract_inverted_index.responses | 191 |
| abstract_inverted_index.sedentary | 15, 28, 82, 404, 422 |
| abstract_inverted_index.settings, | 42 |
| abstract_inverted_index.strategy. | 247 |
| abstract_inverted_index.trackers, | 360 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.calculated | 208 |
| abstract_inverted_index.conducting | 349 |
| abstract_inverted_index.consensus. | 105 |
| abstract_inverted_index.developing | 418 |
| abstract_inverted_index.employees. | 155 |
| abstract_inverted_index.evaluating | 36 |
| abstract_inverted_index.evaluation | 433 |
| abstract_inverted_index.experts’ | 198 |
| abstract_inverted_index.foundation | 416 |
| abstract_inverted_index.identified | 138 |
| abstract_inverted_index.individual | 394 |
| abstract_inverted_index.interfaces | 367 |
| abstract_inverted_index.principles | 274 |
| abstract_inverted_index.strategies | 69, 122, 136, 181, 216, 225, 325, 436 |
| abstract_inverted_index.systematic | 146 |
| abstract_inverted_index.usefulness | 126 |
| abstract_inverted_index.Conclusions | 410 |
| abstract_inverted_index.combination | 362 |
| abstract_inverted_index.encompassed | 223 |
| abstract_inverted_index.feasibility | 119 |
| abstract_inverted_index.highlighted | 378 |
| abstract_inverted_index.office-only | 18 |
| abstract_inverted_index.qualitative | 150 |
| abstract_inverted_index.requirement | 380 |
| abstract_inverted_index.smartphones | 369 |
| abstract_inverted_index.strategies, | 356, 386, 395 |
| abstract_inverted_index.strategies. | 133 |
| abstract_inverted_index.wrist-based | 358 |
| abstract_inverted_index.achievement; | 336 |
| abstract_inverted_index.additionally | 254 |
| abstract_inverted_index.environment, | 392 |
| abstract_inverted_index.occupational | 290 |
| abstract_inverted_index.participated | 292 |
| abstract_inverted_index.preferences. | 199 |
| abstract_inverted_index.effectiveness | 401 |
| abstract_inverted_index.international | 284 |
| abstract_inverted_index.interventions | 25, 38, 49, 420, 429 |
| abstract_inverted_index.respectively, | 311 |
| abstract_inverted_index.stakeholders. | 55 |
| abstract_inverted_index.understanding | 260 |
| abstract_inverted_index.implementation | 399 |
| abstract_inverted_index.videoconferences | 350 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 9 |
| citation_normalized_percentile.value | 0.99313622 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |