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Table 5 Feasibility screening of developed intervention (guided by a subset of APEASE criteria)

From: Development of a behaviour change workplace-based intervention to improve nurses’ eating and physical activity

Candidate intervention components

Mode of delivery

Feasibility

Vinyl footsteps placed on hospital floors to promote stair walking.

Smaller portion sizes provided as substitutes in the workplace canteen.

Printed material

Affordable—yes

Practical—yes

Acceptable—yes

Online-based self-completed session (Module Session 1);

• Recommendations to

i) Determine appropriate servings in advance when eating foods (either in workplace/out of workplace);

ii) Focus on activities other than watching television and going to pubs and bars which might have previously been associated with sedentary behaviour

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm

Vinyl footsteps placed on hospital floors to promote stair walking

Food within workplace calorie labelled at the point of purchase

Printed material

Affordable—yes

Practical—yes

Acceptable—yes

Social marketing campaign with branding. For branding, a professionally created logo placed across all intervention components

Digital—individual

Affordable—yes

Practical—yes

Acceptable—yes with participant involvement in designing messages for the social marketing campaign

Online-based self-completed session (Module Session 1);

• Advises nurses about taking the stairs during the working day but not the lift and provide information about entry to a draw for a non-monetary incentive

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm

Online-based self-completed session (Module Session 1);

• Pedometer for tracking daily footsteps on personal page of online-based programme

• Nurses requested to keep a record of unhealthy snacking/physical inactivity on personal page of online-based programme

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm

Online-based self-completed session (Module Session 2);

• Invite nurses to undertake a fitness and strength test

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm

A brief message about the increased risk of chronic disease following unhealthy dietary/physical activity patterns placed on pedometer in conjunction with advice on how to mitigate this risk

Printed material

Affordable—yes

Practical—yes

Acceptable —yes

Online-based self-completed session (Module Session 2);

• Nurses requested to keep a record of unhealthy snacking/physical inactivity on personal page of online-based programme. This is to identify situations or events occurring prior to unhealthy snacking/physical inactivity.

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm

Online group-based motivational interviewing session (Module Session 3);

• A registered dietitian/nutritionist/physiotherapist provides feedback within motivational interviewing session on healthy eating/physical activity progress.

Digital—grouped

Affordable—yes, however increase digital functionality and ongoing employment of healthcare professionals may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm

Online group-based motivational interviewing session (Module Session 3);

• Nurses verbally persuaded to enhance self-efficacy as part of online group-based motivational interviewing session

Digital—grouped

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, further piloting of online activities would be necessary to confirm acceptability

Online-based self-completed session (Module Session 2)

Nurses advised to track their mood alongside their eating and physical activity behaviours on personal page of online-based programme. This is to support nurses identify the emotional consequences of healthy and unhealthy behaviours for themselves.

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online-based self-completed session (Module Session 2)

Nurses requested to keep a record of the dangers of eating unhealthy/being sedentary on personal page of online-based programme. Concrete information on what will happen if a nurse does this every day (e.g. if you eat like this every day for the next 4 weeks you will lose/gain X kg) provided to increase the personal salience of the consequences of unhealthy behaviours.

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online group-based motivational interviewing session (Module Session 3)

Nurses requested to answer the following two questions (“If I did not eat healthily and participate in physical activity I would later feel regret.”) and (“If I did not eat healthily and participate in physical activity, I would later wish I had.”)

Digital—grouped

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

A web-based staff newsletter and social media used for communicating information about social and environmental consequences of healthy eating and physical activity

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online-based self-completed session (Module Session 2)

Prompt nurses to imagine and compare likely or possible outcomes following eating healthily/participating in physical activity versus not performing these behaviours.

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online group-based motivational interviewing session (Module Session 3)

A registered dietitian/nutritionist/physiotherapist would provide feedback on healthy eating/physical activity progress.

Digital—grouped

Affordable—yes, however increase digital functionality and ongoing employment of healthcare professionals may increase cost

Practical—yes

Acceptable—yes

A fear appeal message in combination with a self-affirmation message incorporated into social marketing campaign

Digital—grouped

Affordable—yes

Practical—yes

Acceptable—no, however confirmation of fear appeals acceptability would need to be tested

Online-based self-completed session (Module Session 4)

Nurses requested to list and compare the advantages and disadvantages of eating healthy/physical activity participation

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online-based self-completed session (Module Session 4)

Expert video discussing the use of stress management techniques such as progressive muscular relaxation and diaphragmatic breathing to help nurses manage their stress

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online-based self-completed session (Module Session 4)

Advises nurses to record how they feel after eating healthily/participating in physical activity on personal page of online-based programme

Digital—individual

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes

Online-based group-based forum and discussion (Module Session 5)

Participants could share experiences and give each other tips or search for training partners.

Digital—grouped

Affordable—yes, however increase digital functionality may increase cost

Practical—yes

Acceptable—yes, however, options for anonymously sharing experiences would need to be considered