(1) Point-of-decision prompts on hospital elevator doors promoting stair use.
This effect was maintained at least 2 weeks after the point-of-decision prompts were removed.
Educational prompts at points-of-decision moderately increase stair climbing, but do not affect healthy food choices.
Yet, the fact that stair use remained increased after removal of the point-of-decision prompts suggests a behavioural change of hospital staff.
18 The effect of point-of-decision prompts, like the elevator signs in the present study, have been evaluated by previous studies.
In contrast, both paper-based and computerized decision-support tools that provide explicit, point-of-care (point-of-decision-making) instructions to clinicians have overcome many problems and have achieved clinician compliance rates of 90 95% [ 5, 19, 92].
Educational prompts at points-of-decision moderately increase use of the stairs instead of the elevator, but do not affect choices between healthy and unhealthy food alternatives in the worksite restaurant.
18 20 Enhancements to stairs or stairwells (eg, foot steps, adding artwork, painting walls, etc) have been proposed to reinforce the effect of point-of-decision prompts, but there is insufficient evidence to support their effectiveness.
A large variety of common-sense and promising, effective measures to improve diet and physical activity could be identified, including e.g. regulatory policies, point-of-decision prompts to encourage--for example--using stairs, or certain mass media campaigns.
Point-of-decision prompts on elevator doors were shown to increase the number of hospital staff and visitors taking the stairs by 11.2% and the behavioural change was maintained at least until 2 weeks after the intervention.
