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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,* , 2,3
, 1
 and 4,5
Received: 3 December 2012; in revised form: 31 December 2012 / Accepted: 4 January 2013 / Published: 7 January 2013
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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 point-of-decision prompts; physical activity; health promotion; stairs; Asia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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.



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