Int. J. Environ. Res. Public Health 2013, 10(1), 210-218; doi:10.3390/ijerph10010210
Article

The Use of Point-of-Decision Prompts to Increase Stair Climbing in Singapore

1 Physical Activity Center of Excellence, Health Promotion Board, 3 Second Hospital Ave, S168937, Singapore 2 Center for Quantitative Medicine, Office of Clinical Science, Duke-NUS Graduate Medical School, 8 College Road, S169857, Singapore 3 Department of Statistics and Applied Probability, National University of Singapore, S169857, Singapore 4 Saw Swee Hock School of Public Health, National University of Singapore, 16 Medical Drive, S117597, Singapore 5 Institute for Social Medicine, Epidemiology and Health Economics–Charité University Medical Center Berlin, 10117, Berlin, Germany
* Author to whom correspondence should be addressed.
Received: 3 December 2012; in revised form: 31 December 2012 / Accepted: 4 January 2013 / Published: 7 January 2013
PDF Full-text Download PDF Full-Text [306 KB, uploaded 7 January 2013 14:00 CET]
Abstract: Physical inactivity is a significant contributor to worldwide mortality and morbidity associated with non-communicable diseases. An excellent avenue to incorporate lifestyle physical activity into regular routine is to encourage the use of stairs during daily commutes. We evaluated the effectiveness of point-of-decision prompts (PODPs) in promoting the use of stairs instead of the escalators in a Singapore Mass Rapid Transit (MRT) station. We measured the number of stair climbers before the PODPs were put up, during the 4 weeks that they were in use, and 2 weeks after they were removed. Measurements at a no intervention control site were additionally taken. The use of stair-riser banners was associated with an increase in the number of people using the stairs by a factor of 1.49 (95% CI 1.34–1.64). After the banners were removed, the number of stair climbers at the experimental station dropped to slightly below baseline levels. The Singapore MRT serves a diverse multi-ethnic population with an average daily ridership of over 2 million and 88 stations island-wide. An increase of physical activity among these MRT commuters would have a large impact at the population level. Our findings can be translated into part of the national strategy to encourage an active lifestyle in Singaporeans.
Keywords: point-of-decision prompts; physical activity; health promotion; stairs; Asia

Article Statistics

Load and display the download statistics.

Citations to this Article

Cite This Article

MDPI and ACS Style

Sloan, R.A.; Haaland, B.A.; Leung, C.; Müller-Riemenschneider, F. The Use of Point-of-Decision Prompts to Increase Stair Climbing in Singapore. Int. J. Environ. Res. Public Health 2013, 10, 210-218.

AMA Style

Sloan RA, Haaland BA, Leung C, Müller-Riemenschneider F. The Use of Point-of-Decision Prompts to Increase Stair Climbing in Singapore. International Journal of Environmental Research and Public Health. 2013; 10(1):210-218.

Chicago/Turabian Style

Sloan, Robert A.; Haaland, Benjamin A.; Leung, Carol; Müller-Riemenschneider, Falk. 2013. "The Use of Point-of-Decision Prompts to Increase Stair Climbing in Singapore." Int. J. Environ. Res. Public Health 10, no. 1: 210-218.

Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert