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Zhang Z, Lin KY. Applying implementation science to evaluate participatory ergonomics program for continuous improvement: A case study in the construction industry. APPLIED ERGONOMICS 2024; 115:104181. [PMID: 37988875 DOI: 10.1016/j.apergo.2023.104181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 08/17/2023] [Accepted: 11/12/2023] [Indexed: 11/23/2023]
Abstract
While participatory ergonomics (PE) presents numerous benefits, its empirical effectiveness remains elusive due to the lack of transparency in implementation contexts and processes. This hinders our ability to discern the reasons behind a program's success or failure and to determine optimization and adaptation strategies. To unravel this "black box," we present a case study using implementation science to evaluate a PE program and illuminate the mechanisms linking process to outcome. The study examines a 4.5-year PE program at a construction company, targeting musculoskeletal disorders (MSDs) from material-cart handling. Using the RE-AIM framework and Implementation Causal Pathway Model, we evaluated implementation process and catalogued contextual factors through worker surveys (n = 106), safety document review (27 training sessions and 7 construction projects), and key informant observations. We assessed the program's impact using a 42-worker survey and an analysis of 8-year injury data, and determined the return-on-investment (ROI) by monetizing the collected data. The program achieved significant impact: Workers' ergonomic knowledge improved from 73% in baseline to 86% in follow-up; 97% of workers reported at least one positive change in their crews; and no cart handling injuries occurred after the first program change, resulting in a ROI rate of 1.99. Implementation process evaluation revealed that seamless integration, tailored intervention, and ongoing adjustments contributed to the success. Five organizational factors necessary for the effective functioning of these three strategies were identified, along with three moderators that amplified their influence. Finally, this case study demonstrates that implementation science offers a coherent structure for evaluating PE programs, uncovering mechanisms of change, and informing future improvements and adaptations. Our research facilitates knowledge transfer from implementation science to ergonomics, eventually leading to more cost-effective PE programs that are faithfully implemented across various industrial settings to prevent MSDs.
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Affiliation(s)
- Zhenyu Zhang
- Department of Construction Science, Texas A&M University, College Station, TX, USA.
| | - Ken-Yu Lin
- Department of Construction Management, University of Washington, Seattle, WA, USA.
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der Meer SMV, Smit DJM, Hutting N, van Lankveld W, Engels J, Reneman M, Pelgrim T, Staal JB. Facilitators and Barriers to Implementing Interventions to Prevent Musculoskeletal Disorders in Blue-Collar Workers: A Scoping Review. JOURNAL OF OCCUPATIONAL REHABILITATION 2024:10.1007/s10926-023-10162-y. [PMID: 38218906 DOI: 10.1007/s10926-023-10162-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/29/2023] [Indexed: 01/15/2024]
Abstract
PURPOSE Blue-collar workers generally have less healthy lifestyles, poorer health, and a lower life expectancy than white-collar workers. At least in part this may be attributed to their work and working conditions. Employers increasingly provide interventions to improve health and wellbeing and prevent musculoskeletal disorders. However, they often do not reach blue-collar workers. The aim of this scoping review was to identify the facilitators for and barriers to implementing such interventions among blue-collar workers. METHODS A scoping review in which the study population of the selected studies consists of blue-collar workers (≥ 18 years old) in paid employment. Furthermore, included studies should report facilitators and barriers to implementing interventions to prevent musculoskeletal disorders. The literature search was conducted in six databases. The resulting studies were extracted with the help of the updated Consolidated Framework for Implementation Research. RESULTS 15 articles were included; these were reviews, intervention studies, qualitative studies and process evaluations. A main facilitator was a participatory approach, which involves the blue-collar worker in the entire process of defining, developing, and implementing a multidimensional preventive intervention. The main barriers on the worker level were unfavorable worker characteristics and unsupportive behavior/attitudes. The main barriers on the organization level were a culture with a high production standard, a hierarchical culture, inflexible work, and an unsupportive attitude from the employer. CONCLUSION This review showed the multifaceted nature of implementation. A tailored implementation plan that involves the stakeholders (including workers) is important.
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Affiliation(s)
- Suzan Mooren-van der Meer
- Musculoskeletal Rehabilitation Research Group, School for Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands.
| | - Denise J M Smit
- Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Nathan Hutting
- Research Group Occupation and Health, School of Organisation and Development, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Wim van Lankveld
- Musculoskeletal Rehabilitation Research Group, School for Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Josephine Engels
- Research Group Occupation and Health, School of Organisation and Development, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Michiel Reneman
- Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Thomas Pelgrim
- Research Department Emergency and Critical Care, Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - J Bart Staal
- Musculoskeletal Rehabilitation Research Group, School for Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands
- Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands
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Xie A, Koontz DW, Colantuoni EA, Voskertchian A, Miller MR, Fackler JC, Milstone AM, Woods-Hill CZ. Application of Participatory Ergonomics to the Dissemination of a Quality Improvement Program for Optimizing Blood Culture Use. Jt Comm J Qual Patient Saf 2023; 49:529-538. [PMID: 37429759 PMCID: PMC10688017 DOI: 10.1016/j.jcjq.2023.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 06/02/2023] [Accepted: 06/02/2023] [Indexed: 07/12/2023]
Abstract
BACKGROUND Blood cultures are overused in pediatric ICUs (PICUs), which may lead to unnecessary antibiotic use and antibiotic resistance. Using a participatory ergonomics (PE) approach, the authors disseminated a quality improvement (QI) program for optimizing blood culture use in PICUs to a national 14-hospital collaborative. The objective of this study was to evaluate the dissemination process and its impact on blood culture reduction. METHODS The PE approach emphasized three key principles (stakeholder participation, application of human factors and ergonomics knowledge and tools, and cross-site collaboration) with a six-step dissemination process. Data on interactions between sites and the coordinating team and site experiences with the dissemination process were collected using site diaries and semiannual surveys with local QI teams, respectively, and correlated with the site-specific change in blood culture rates. RESULTS Overall, participating sites were able to successfully implement the program and reduced their blood culture rates from 149.4 blood cultures per 1,000 patient-days/month before implementation to 100.5 blood cultures per 1,000 patient-days/month after implementation, corresponding to a 32.7% relative reduction (p < 0.001). Variations in the dissemination process, as well as in local interventions and implementation strategies, were observed across sites. Site-specific changes in blood culture rates were weakly negatively correlated with the number of preintervention interactions with the coordinating team (p = 0.057) but not correlated with their experiences with the six domains of the dissemination process or their interventions. CONCLUSIONS The authors applied a PE approach to disseminate a QI program for optimizing PICU blood culture use to a multisite collaborative. Working with local stakeholders, participating sites tailored their interventions and implementation processes and achieved the goal of reducing blood culture use.
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Affiliation(s)
- Anping Xie
- Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, Baltimore, MD, USA
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Danielle W. Koontz
- Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Elizabeth A. Colantuoni
- Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | | | - Marlene R. Miller
- Rainbow Babies and Children’s Hospital, Cleveland, OH, USA
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - James C. Fackler
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Aaron M. Milstone
- Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, Baltimore, MD, USA
- Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - Charlotte Z. Woods-Hill
- Division of Critical Care Medicine, Children’s Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
- Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
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Gernert M, Schuber AA, Schaller A. Experiences in the application of logic models in the context of workplace health promotion - A focus group discussion. EVALUATION AND PROGRAM PLANNING 2023; 100:102347. [PMID: 37451035 DOI: 10.1016/j.evalprogplan.2023.102347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 06/16/2023] [Accepted: 07/04/2023] [Indexed: 07/18/2023]
Abstract
Gathering evidence on complex workplace health promotion interventions faces methodological challenges. Therefore, the application of logic models as a theory of change is recommended to support outcome and process evaluations. The present study explores challenges and opportunities of applying logic models in application-oriented intervention research on workplace health promotion. A focus group (n = 6), consisting of scientists and workplace health promotion practitioners, was conducted using a semi-structured interview guide. The recorded qualitative data were transcribed and analysed using the structuring content analysis method. According to the focus group, logic models provide several opportunities for planning and evaluating complex workplace health promotion interventions. Logic models support the communication between science and practice, and have benefits for the provider of workplace health promotion interventions. The main challenges in working with logic models were dealing with the complex and constantly developing intervention and with the derivation and implementation of reasonable evaluation methods. The focus group exposed repeated application and a shared understanding between stakeholders as facilitators for working with logic models. In conclusion, at the science-practice interface, logic models could enhance the integrative understanding and the further development of evidence-based workplace health promotion.
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Affiliation(s)
- Madeleine Gernert
- Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sport University Cologne, Cologne, Germany.
| | - André Arik Schuber
- Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sport University Cologne, Cologne, Germany
| | - Andrea Schaller
- Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sport University Cologne, Cologne, Germany; University of the Bundeswehr Munich, Department of Human Sciences, Institute of Sport Science, Germany
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Antwi-Afari MF, Li H, Chan AHS, Seo J, Anwer S, Mi HY, Wu Z, Wong AYL. A science mapping-based review of work-related musculoskeletal disorders among construction workers. JOURNAL OF SAFETY RESEARCH 2023; 85:114-128. [PMID: 37330861 DOI: 10.1016/j.jsr.2023.01.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 07/25/2022] [Accepted: 01/25/2023] [Indexed: 06/19/2023]
Abstract
INTRODUCTION Work-related musculoskeletal disorders (WMSDs) are recognized as a leading cause of nonfatal injuries in construction, but no review of existing studies has systematically analyzed and visualized the trends of WMSDs among construction workers. The current science mapping-based review summarized research published between 2000 and 2021 related to WMSDs among construction workers through co-word, co-author, and citation analysis. METHOD A total of 63 bibliographic records retrieved from the Scopus database were analyzed. RESULTS The results identified influential authors with high impacts in this research domain. Moreover, the results indicated that MSDs, ergonomics, and construction not only had the highest occurrence of been studied, but also the highest impact in terms of total link strength. In addition, the most significant contributions to research relating to WMSDs among construction workers have originated primarily from the United States, Hong Kong, and Canada. Furthermore, a follow-up in-depth qualitative discussion was conducted to focus on summarizing mainstream research topics, identifying existing research gaps, and proposing directions for future studies. CONCLUSIONS This review provides an in-depth understanding of related research on WMSDs among construction workers and proposes the emerging trends in this research field.
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Affiliation(s)
- Maxwell Fordjour Antwi-Afari
- Department of Civil Engineering, College of Engineering and Physical Sciences, Aston University, Birmingham B4 7ET, United Kingdom.
| | - Heng Li
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Room No. ZS734, Hung Hom, Kowloon, Hong Kong Special Administrative Region.
| | - Alan Hoi Shou Chan
- Department of Systems Engineering and Engineering Management, City University of Hong Kong, Tat Chee Avenue, Kowloon Tong, Hong Kong Special Administrative Region.
| | - JoonOh Seo
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Room No. ZN742, Hung Hom, Kowloon, Hong Kong Special Administrative Region.
| | - Shahnawaz Anwer
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Room No. ZN1002, Hung Hom, Kowloon, Hong Kong Special Administrative Region.
| | - Hao-Yang Mi
- National Engineering Research Center for Advanced Polymer Processing Technology, Zhengzhou University, Zhengzhou 450002, China.
| | - Zezhou Wu
- Department of Construction Management and Real Estate, College of Civil and Transportation Engineering, Shenzhen University, Shenzhen 518000, China.
| | - Arnold Yu Lok Wong
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Room No. ST512, Hung Hom, Kowloon, Hong Kong Special Administrative Region.
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Desjardins É, Sultan-Taïeb H, St-Hilaire F, Vézina N, Ledoux É, Naji R, Bélanger P. Implementation process evaluation of an ergonomic train the trainer program: How to learn from mechanisms and the temporal structure of processes? EVALUATION AND PROGRAM PLANNING 2023; 97:102233. [PMID: 36682138 DOI: 10.1016/j.evalprogplan.2023.102233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 12/22/2022] [Accepted: 01/11/2023] [Indexed: 06/17/2023]
Abstract
In implementation process evaluation, the analysis of the temporal structure of processes is key for understanding the successive interactions between the flow of practitioners' actions and evolving workplace reactions and context. However, capturing the temporal structure of processes in data analysis is a methodological challenge, and available literature to overcome this challenge is scarce, especially for workplace ergonomic interventions. The aim of this paper was to perform an implementation process evaluation of an ergonomic train the trainer program taking into account the temporal structure of processes. We provided a method for qualitative data analysis based on a three-stage strategy: 1) producing the timeline of the implemented intervention, 2) identifying influential factors, 3) identifying determinant mechanisms (sequence of influential factors that intervened in the implementation process). This method allowed us to identify six determinant mechanisms positioned on the timeline of the intervention. Obstacles and levers were identified as a sequence of interrelated causes and consequences rather than isolated factors. We recommended success strategies for practitioners, while also shedding light on how organizations can better be prepared to undertake the intervention and their required actions to attain targeted intervention objectives.
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Affiliation(s)
- Émilie Desjardins
- Université du Québec à Montréal - Department of Organization and Human Resources, School of Management, 320, rue Sainte-Catherine Est, Montréal, Québec H2X 1L7, Canada.
| | - Hélène Sultan-Taïeb
- Université du Québec à Montréal - Department of Organization and Human Resources, School of Management, 320, rue Sainte-Catherine Est, Montréal, Québec H2X 1L7, Canada.
| | - France St-Hilaire
- Université de Sherbrooke - Department of Management and Human Resources, Business School, 2500, boulevard de l'Université, Sherbrooke, Québec J1K 2R1, Canada.
| | - Nicole Vézina
- Université du Québec à Montréal - Department of Physical Activity, 141, avenue du Président-Kennedy, Montréal, Québec H2X 1Y4, Canada.
| | - Élise Ledoux
- Université du Québec à Montréal - Department of Physical Activity, 141, avenue du Président-Kennedy, Montréal, Québec H2X 1Y4, Canada.
| | - Rita Naji
- Université du Québec à Montréal - Department of Organization and Human Resources, School of Management, 320, rue Sainte-Catherine Est, Montréal, Québec H2X 1L7, Canada.
| | - Patricia Bélanger
- Université du Québec à Montréal - Department of Physical Activity, 141, avenue du Président-Kennedy, Montréal, Québec H2X 1Y4, Canada.
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van de Wijdeven B, Visser B, Daams J, Kuijer PP. A first step towards a framework for interventions for individual working practice to prevent work-related musculoskeletal disorders: a scoping review. BMC Musculoskelet Disord 2023; 24:87. [PMID: 36726094 PMCID: PMC9890723 DOI: 10.1186/s12891-023-06155-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 01/10/2023] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders (WMSDs) are a key topic in occupational health. In the primary prevention of these disorders, interventions to minimize exposure to work-related physical risk factors are widely advocated. Besides interventions aimed at the work organisation and the workplace, interventions are also aimed at the behaviour of workers, the so-called individual working practice (IWP). At the moment, no conceptual framework for interventions for IWP exists. This study is a first step towards such a framework. METHODS A scoping review was carried out starting with a systematic search in Ovid Medline, Ovid Embase, Ovid APA PsycInfo, and Web of Science. Intervention studies aimed at reducing exposure to physical ergonomic risk factors involving the worker were included. The content of these interventions for IWP was extracted and coded in order to arrive at distinguishing and overarching categories of these interventions for IWP. RESULTS More than 12.000 papers were found and 110 intervention studies were included, describing 810 topics for IWP. Eventually eight overarching categories of interventions for IWP were distinguished: (1) Workplace adjustment, (2) Variation, (3) Exercising, (4) Use of aids, (5) Professional skills, (6) Professional manners, (7) Task content & task organisation and (8) Motoric skills. CONCLUSION Eight categories of interventions for IWP are described in the literature. These categories are a starting point for developing and evaluating effective interventions performed by workers to prevent WMSDs. In order to reach consensus on these categories, an international expert consultation is a necessary next step.
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Affiliation(s)
- Bert van de Wijdeven
- grid.7177.60000000084992262Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, K0-116 1105 AZ Amsterdam, The Netherlands
| | - Bart Visser
- grid.431204.00000 0001 0685 7679Centre of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Joost Daams
- grid.7177.60000000084992262Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, K0-116 1105 AZ Amsterdam, The Netherlands
| | - Paul P.F.M. Kuijer
- grid.7177.60000000084992262Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Meibergdreef 9, K0-116 1105 AZ Amsterdam, The Netherlands
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Magnavita N, Chiorri C, Karimi L, Karanika-Murray M. The Impact of Quality of Work Organization on Distress and Absenteeism among Healthcare Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13458. [PMID: 36294034 PMCID: PMC9603159 DOI: 10.3390/ijerph192013458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/03/2022] [Accepted: 10/15/2022] [Indexed: 06/16/2023]
Abstract
The quality of work organization may be responsible not only for reduced productivity but also for an increased risk of mental and physical disorders. This study was aimed at testing this hypothesis. Workers of a local health unit in Italy were asked to fill out the Work Organization Assessment Questionnaire (WOAQ) during their periodic medical examinations in the second half of 2018. On the same occasion, they also completed the Demand/Control/Support (DCS) measure of job strain, the Effort/Reward Imbalance (ERI) questionnaire, and the General Health Questionnaire (GHQ12) to assess psychological health. A total of 345 workers (85.8%) completed the survey. Linear regression analysis showed that the quality of work organization was inversely proportional to psychological health problems (p < 0.001). Occupational stress, measured both by job strain and ERI, was a moderating factor in this relationship. The relationship between the WOAQ and psychological health, moderated by job strain or ERI, remained highly significant even after adjustment for sex, age, social support, and overcommitment. Regression models explained over 40% of the shared variance of the association between quality of work organization and psychological health. The quality of work organization significantly predicted the risk of sickness absence for musculoskeletal disorders (OR = 0.984, CI95% 0.972-0.996) and for other health problems (OR = 0.977, CI95% 0.967-0.988). A continuous improvement of work organization must consider not only the clients' or production needs but also the well-being of workers.
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Affiliation(s)
- Nicola Magnavita
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Department of Woman, Child & Public Health Sciences, Fondazione A. Gemelli IRCCS, 00168 Rome, Italy
| | - Carlo Chiorri
- Department of Educational Sciences, University of Genova, 16126 Genova, Italy
| | - Leila Karimi
- School of Applied Health, Psychology Department, RMIT University, Melbourne, VIC 3000, Australia
- School of Medicine and Healthcare Management, Caucasus University, Tbilisi 0141, Georgia
| | - Maria Karanika-Murray
- Department of Psychology, Nottingham Trent University, 50 Shakespeare Street, Nottingham NG1 4FQ, UK
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Fearnley J, Joseph L, Vasanthan L, Sitilertpisan P, Paungmali A, Pirunsan U. Methods of engagement and levels of involvement of stakeholders in the management of work-related musculoskeletal disorders: A systematic scoping review. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01663-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Roelofs C, Rodman C, Rinehart R, Cain CT. Preventing Opioid-Related Harms in the Construction Industry. New Solut 2021; 31:367-372. [PMID: 33827351 DOI: 10.1177/10482911211008174] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The construction sector has been hit hard by the opioid crisis. We describe CPWR-The Center for Construction Research and Training's recent efforts to address the challenges of opioid use in the construction industry. With support and guidance from the North America's Building Trades Unions Opioid Task Force, CPWR undertook three projects to promote prevention and best practices for struggling construction workers. The first project focused on recommendations for communications that reframe stigmatizing narratives into effective messages about prevention solutions. The second project refined and distributed a one-hour construction worker opioid hazard awareness training module. The third project assessed opportunities and barriers for the expansion and improvement of existing union peer support programs to support workers through treatment and recovery. Additional resources, such as opioid hazard tool box talks, to help reverse the impact on the sector are also described.
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Jaegers LA, Ahmad SO, Scheetz G, Bixler E, Nadimpalli S, Barnidge E, Katz IM, Vaughn MG, Matthieu MM. Total Worker Health ® Needs Assessment to Identify Workplace Mental Health Interventions in Rural and Urban Jails. Am J Occup Ther 2020; 74:7403205020p1-7403205020p12. [PMID: 32365308 DOI: 10.5014/ajot.2019.036400] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Jail officers are an underserved population of public safety workers at high risk for developing chronic mental health conditions. OBJECTIVE In response to national calls for the examination of stressors related to the unique work contexts of correctional facilities, we implemented a pilot study informed by the Total Worker Health® (TWH) strategy at two urban and two rural jails. DESIGN Participatory teams guided areas of interest for a mixed-data needs assessment, including surveys with 320 jail officers to inform focus groups (N = 40). SETTING Urban and rural jails in the midwestern United States. PARTICIPANTS Jail correctional officers and sheriff's deputies employed at participating jails. MEASURES We measured mental health characteristics using the Patient-Reported Outcomes Measurement Information System Global Mental Health scale, the Center for Epidemiologic Studies Depression scale, and the two-item Posttraumatic Stress Disorder Checklist. Constructs to identify workplace characteristics included emotional support, work-family conflict, dangerousness, health climate, organizational operations, effectiveness of training, quality of supervision, and organizational fairness. RESULTS On the basis of general population estimates, we found that jail officers were at higher risk for mental health disorders, including depression and posttraumatic stress disorder. Jail officers identified workplace health interventions to address individual-, interpersonal-, institutional-, and community-level needs. CONCLUSION Implementation of a TWH needs assessment in urban and rural jails to identify evidence-informed, multilevel interventions was found to be feasible. Using this assessment, we identified specific workplace health protection and promotion solutions. WHAT THIS ARTICLE ADDS Results from this study support the profession's vision to influence policies, environments, and systems through collaborative work. This TWH study has implications for practice and research by addressing mental health needs among jail officers and by providing practical applications to create evidence-informed, tailored interventions to promote workplace health in rural and urban jails.
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Affiliation(s)
- Lisa A Jaegers
- Lisa A. Jaegers, PhD, OTR/L, FAOTA, is Assistant Professor, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, and School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO;
| | - Syed Omar Ahmad
- Syed Omar Ahmad, PhD, OTD, is Professor, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO
| | - Gregory Scheetz
- Gregory Scheetz, MSW, LCSW, is Clinical Social Worker, UCLA Health, Los Angeles. At the time of the study, he was Student, School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
| | - Emily Bixler
- Emily Bixler, MPH, CPH, ATC, is Research Associate, National Safety Council, Itasca, IL. At the time of the study, she was Student, Department of Environmental and Occupational Health and Department of Biosecurity, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
| | - Saketh Nadimpalli
- Saketh Nadimpalli, MPH, is Regulatory Affairs Manager, Comprehensive Cancer Center, University of Chicago, Chicago, IL. At the time of the study, he was Student, Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
| | - Ellen Barnidge
- Ellen Barnidge, PhD, MPH, is Associate Professor, Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
| | - Ian M Katz
- Ian M. Katz, MS, is Doctoral Student, Department of Psychology, Saint Louis University, St. Louis, MO
| | - Michael G Vaughn
- Michael G. Vaughn, PhD, is Professor, School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
| | - Monica M Matthieu
- Monica M. Matthieu, PhD, LCSW, is Associate Professor, School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
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Broday EE. Participatory Ergonomics in the context of Industry 4.0: a literature review. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2020. [DOI: 10.1080/1463922x.2020.1801886] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Cuny-Guerrier A, Savescu A, Tappin D. Strategies to commit senior subcontractor managers in participatory ergonomics interventions. APPLIED ERGONOMICS 2019; 81:102878. [PMID: 31422274 DOI: 10.1016/j.apergo.2019.102878] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 04/30/2019] [Accepted: 06/09/2019] [Indexed: 06/10/2023]
Abstract
The commitment of managers is one of the facilitators of participatory ergonomics (PE). However, to achieve this, practical practitioners' strategies vary depending on the organizational context and type of stakeholder and are poorly described in the literature. The purpose of this paper is to describe and to analyze the process and strategies that led to senior managers commitment during a decision-making intervention in a subcontracting context. A reflexive practice method was used to describe strategies implemented during a multi-site research project focusing on musculoskeletal disorders prevention in the meat processing sector. A 3 levels commitment method was developed which included: each subcontractor individually, subcontractors together, and subcontractors with their main contractor. Four strategies from the literature were firstly implemented: the creation of a steering committee, the identification of tendencies to act, the transfer of knowledge and moderation of collective discussion. An additional new strategy based on the sharing of a common interest - knife sharpening and maintenance was necessary to achieve the commitment. These results reinforce the importance of stakeholder strategies commitment in PE. A greater consideration for developing a valid framework is needed.
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Affiliation(s)
- A Cuny-Guerrier
- INRS, Working Life Department, 1 rue du Morvan CS60027, 54519, Vandoeuvre-lès-Nancy, France.
| | - A Savescu
- INRS, Working Life Department, 1 rue du Morvan CS60027, 54519, Vandoeuvre-lès-Nancy, France
| | - D Tappin
- School of Management, Massey University, Albany, Auckland, New Zealand
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Harari D, Casarotto RA. Effectiveness of a multifaceted intervention to manage musculoskeletal disorders in workers of a medium-sized company. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2019; 27:247-257. [DOI: 10.1080/10803548.2019.1575052] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Denise Harari
- Department of Physiotherapy, Communication Science & Disorders and Occupational Therapy, University of Sao Paulo, Brazil
| | - Raquel Aparecida Casarotto
- Department of Physiotherapy, Communication Science & Disorders and Occupational Therapy, University of Sao Paulo, Brazil
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Strickland JR, Kinghorn AM, Evanoff BA, Dale AM. Implementation of the Healthy Workplace Participatory Program in a Retail Setting: A Feasibility Study and Framework for Evaluation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E590. [PMID: 30781669 PMCID: PMC6406806 DOI: 10.3390/ijerph16040590] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 02/06/2019] [Accepted: 02/14/2019] [Indexed: 12/27/2022]
Abstract
Participatory methods used in Total Worker Health® programs have not been well studied, and little is known about what is needed to successfully implement these programs. We conducted a participatory health promotion program with grocery store workers using the Healthy Workplace Participatory Program (HWPP) from the Center for the Promotion of Health in the New England Workplace. We recruited a design team made up of six line-level workers and a steering committee with management and union representatives; a research team member facilitated the program. Using a formal evaluation framework, we measured program implementation including workplace context, fidelity to HWPP materials, design team and steering committee engagement, program outputs, and perceptions of the program. The HWPP was moderately successful in this setting, but required a substantial amount of worker and facilitator time. Design team members did not have the skills needed to move through the process and the steering committee did not offer adequate support to compensate for the team's shortfall. The evaluation framework provided a simple and practical method for identifying barriers to program delivery. Future studies should address these barriers to delivery and explore translation of this program to other settings.
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Affiliation(s)
- Jaime R Strickland
- Division of General Medical Sciences, Washington University School of Medicine, Saint Louis, MO 63110, USA.
| | - Anna M Kinghorn
- Division of General Medical Sciences, Washington University School of Medicine, Saint Louis, MO 63110, USA.
| | - Bradley A Evanoff
- Division of General Medical Sciences, Washington University School of Medicine, Saint Louis, MO 63110, USA.
| | - Ann Marie Dale
- Division of General Medical Sciences, Washington University School of Medicine, Saint Louis, MO 63110, USA.
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Visser S, van der Molen HF, Sluiter JK, Frings-Dresen MHW. Evaluation of the effects of two alternative participatory ergonomics intervention strategies for construction companies. ERGONOMICS 2019; 62:42-51. [PMID: 30350755 DOI: 10.1080/00140139.2018.1516806] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Accepted: 08/22/2018] [Indexed: 06/08/2023]
Abstract
To improve the use of ergonomics tools by construction workers, the effect of two guidance strategies - a face-to-face strategy (F2F) and an e-guidance strategy (EG) - of a participatory ergonomics intervention was studied. Twelve construction companies were randomly assigned to the F2F group or the EG group. The primary outcome measure, the percentage of workers using ergonomics tools, and secondary outcome measures - work ability, physical functioning and limitations due to physical problems - were assessed using surveys at baseline and after 6 months. Additionally, a cost-benefit analysis was performed on company level. No differences in primary and secondary outcomes were found with the exception of the use of ergonomics tools to adjust working height (F2F +1%; EG +10%; p = .001). Newly-implemented tools were used by 23% (F2F) and 42% (EG) of the workers (p = .271). Costs were mainly determined by guidance costs (F2F group) or purchase costs (EG group). Practitioner Summary: Participatory strategies aim to stimulate behavioural change of stakeholders to increase the use of ergonomics tools. Two guidance strategies - face-to-face or e-mail interventions - among construction companies were studied. Both guidance strategies led to an increase in the use of new ergonomics tools.
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Affiliation(s)
- Steven Visser
- a Amsterdam UMC, University of Amsterdam , Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute , Amsterdam , the Netherlands
| | - Henk F van der Molen
- a Amsterdam UMC, University of Amsterdam , Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute , Amsterdam , the Netherlands
| | - Judith K Sluiter
- a Amsterdam UMC, University of Amsterdam , Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute , Amsterdam , the Netherlands
| | - Monique H W Frings-Dresen
- a Amsterdam UMC, University of Amsterdam , Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute , Amsterdam , the Netherlands
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Brandt M, Madeleine P, Samani A, Ajslev JZ, Jakobsen MD, Sundstrup E, Andersen LL. Effects of a Participatory Ergonomics Intervention With Wearable Technical Measurements of Physical Workload in the Construction Industry: Cluster Randomized Controlled Trial. J Med Internet Res 2018; 20:e10272. [PMID: 30567694 PMCID: PMC6315250 DOI: 10.2196/10272] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 09/04/2018] [Accepted: 09/10/2018] [Indexed: 12/22/2022] Open
Abstract
Background Construction work frequently involves heavy physical work, and a reduction of the physical workload should have high priority. Technological development has made it possible to obtain field measurements with surface electromyography (sEMG), kinematics measured with inertial measurement units (IMUs), and video recordings. However, no studies have used these methods simultaneously to detect situations with excessive physical workload (events) during a working day. Thus, knowledge about these specific events may combat work-related risk factors. Participatory ergonomics (PE) has shown promising results, but whether it can be used as a tool to reduce the physical workload during construction work remains unknown. Objective This cluster randomized controlled trial investigated whether a PE intervention with technical measurements consisting of IMUs, sEMG, heart rate monitoring, and video recordings of physical workload could reduce the number of events with excessive physical workload during a working day. Furthermore, other outcomes were obtained from questionnaires. Methods A total of 80 male full-time construction workers (aged 19 to 67 years) were randomized at the cluster level (gang) to a PE intervention consisting of 3 workshops (7 gangs and 32 workers) or to a control group (8 gangs and 48 workers). The physical workload was recorded by technical measurements, that is, IMUs, sEMG, heart rate monitoring, and video recordings during a full working day at baseline and 3 and 6 months’ follow-up. On the basis of the technical measurements, a custom-made computer program detected the situations (events) where the construction workers were exposed to excessive physical workload and used in the intervention. Differences in the number of events from baseline to follow-up between intervention and control were evaluated using linear mixed models (intention-to-treat), with individual nested in cluster as a random factor. Furthermore, questionnaires were filled out on test days. Results The results of the primary outcome showed no change in the number of events with excessive physical workload. However, compared with the control group, the other outcomes showed decreased general fatigue after a typical working day (P=.001) and increased influence on own work (P=.04). Conclusions This PE intervention with technical measurements did not reduce the number of events with excessive physical workload during construction work. However, the intervention led to decreased general fatigue and increased influence on own work. Trial Registration ClinicalTrials.gov NCT02498197; https://clinicaltrials.gov/ct2/show/NCT02498197 (Archived by WebCite at http://www.webcitation.org/74SZ3DIWS)
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Affiliation(s)
- Mikkel Brandt
- National Research Centre for the Working Environment, Copenhagen, Denmark.,Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Pascal Madeleine
- Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Afshin Samani
- Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Jeppe Zn Ajslev
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Markus D Jakobsen
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Emil Sundstrup
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Lars L Andersen
- National Research Centre for the Working Environment, Copenhagen, Denmark.,Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
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Yazdani A, Wells R. Barriers for implementation of successful change to prevent musculoskeletal disorders and how to systematically address them. APPLIED ERGONOMICS 2018; 73:122-140. [PMID: 30098627 DOI: 10.1016/j.apergo.2018.05.004] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Revised: 04/30/2018] [Accepted: 05/08/2018] [Indexed: 06/08/2023]
Abstract
This scoping review identified common barriers and facilitators encountered during the implementation of changes to prevent musculoskeletal disorders (MSD) and examined their relationship with those encountered in general Occupational Health and Safety (OHS) efforts. Thematic analysis of the literature identified 11 barriers: (i) Lack of time; (ii) Lack of resources; (iii) Lack of communication; (iv) Lack of management support, commitment, and participation; (v) Lack of knowledge and training; (vi) Resistance to change; (vii) Changing work environment; (viii) Scope of activities; (ix) Lack of trust, fear of job loss, or loss of authority; (x) Process deficiencies; and (xi) Difficulty of implementing controls. Three facilitators identified were: (i) Training, knowledge and ergonomists' support; (ii) Communication, participation and support; and (iii) An effective implementation process. The barriers and facilitators identified were similar to those in general OHS processes. The integration of MSD prevention into a general management system approach may overcome these barriers.
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Affiliation(s)
- Amin Yazdani
- Department of Kinesiology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada; The Centre of Research Expertise for the Prevention of Musculoskeletal Disorders (CRE-MSD), University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada; School of Business and Hospitality, Conestoga College Institute of Technology and Advanced Learning, 299 Doon Valley Dr, Kitchener, Ontario, N2G 4M4, Canada; School of Geography and Earth Sciences, McMaster University, 1280 Main St W, Hamilton, Ontario, L8S 4L8, Canada.
| | - Richard Wells
- The Centre of Research Expertise for the Prevention of Musculoskeletal Disorders (CRE-MSD), University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada
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Peters SE, Grant MP, Rodgers J, Manjourides J, Okechukwu CA, Dennerlein JT. A Cluster Randomized Controlled Trial of a Total Worker Health ® Intervention on Commercial Construction Sites. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15112354. [PMID: 30366387 PMCID: PMC6265748 DOI: 10.3390/ijerph15112354] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Revised: 10/20/2018] [Accepted: 10/23/2018] [Indexed: 01/17/2023]
Abstract
This study evaluated the efficacy of an integrated Total Worker Health® program, “All the Right Moves”, designed to target the conditions of work and workers’ health behaviors through an ergonomics program combined with a worksite-based health promotion Health Week intervention. A matched-pair cluster randomized controlled trial was conducted on ten worksites (five intervention (n = 324); five control sites (n = 283)). Worker surveys were collected at all sites pre- and post- exposure at one- and six-months. Linear and logistic regression models evaluated the effect of the intervention on pain and injury, dietary and physical activity behaviors, smoking, ergonomic practices, and work limitations. Worker focus groups and manager interviews supplemented the evaluation. After controlling for matched intervention and control pairs as well as covariates, at one-month following the ergonomics program we observed a significant improvement in ergonomic practices (B = 0.20, p = 0.002), and a reduction in incidences of pain and injury (OR = 0.58, p = 0.012) in the intervention group. At six months, we observed differences in favor of the intervention group for a reduction in physically demanding work (B = −0.25, p = 0.008), increased recreational physical activity (B = 35.2, p = 0.026) and higher consumption of fruits and vegetables (B = 0.87, p = 0.008). Process evaluation revealed barriers to intervention implementation fidelity and uptake, including a fissured multiemployer worksite, the itinerant nature of workers, competing production pressures, management support, and inclement weather. The All the Right Moves program had a positive impact at the individual level on the worksites with the program. For the longer term, the multi-organizational structure in the construction work environment needs to be considered to facilitate more upstream, long-term changes.
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Affiliation(s)
- Susan E Peters
- Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
| | - Michael P Grant
- Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
| | - Justin Rodgers
- Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA.
| | - Justin Manjourides
- Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA.
| | - Cassandra A Okechukwu
- Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
| | - Jack T Dennerlein
- Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
- Department of Physical Therapy, Movement and Rehabilitation Science, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA.
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Visser S, van der Molen HF, Sluiter JK, Frings-Dresen MHW. The process evaluation of two alternative participatory ergonomics intervention strategies for construction companies. ERGONOMICS 2018; 61:1156-1172. [PMID: 29557290 DOI: 10.1080/00140139.2018.1454514] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Accepted: 03/12/2018] [Indexed: 06/08/2023]
Abstract
UNLABELLED To gain insight into the process of applying two guidance strategies - face-to-face (F2F) or e-guidance strategy (EC) - of a Participatory Ergonomics (PE) intervention and whether differences between these guidance strategies occur, 12 construction companies were randomly assigned to a strategy. The process evaluation contained reach, dose delivered, dose received, precision, competence, satisfaction and behavioural change of individual workers. Data were assessed by logbooks, and questionnaires and interviews at baseline and/or after six months. Reach was low (1%). Dose delivered (F2F: 63%; EC: 44%), received (F2F: 42%; EC: 16%) were not sufficient. The precision and competence were sufficient for both strategies and satisfaction was strongly affected by dose received. For behavioural change, knowledge (F2F) and culture (EC) changed positively within companies. Neither strategy was delivered as intended. Compliance to the intervention was low, especially for EC. Starting with a face-to-face meeting might lead to higher compliance, especially in the EC group. Practitioner Summary: This study showed that compliance to a face-to-face and an e-guidance strategy is low. To improve the compliance, it is advised to start with a face-to-face meeting to see which parts of the intervention are needed and which guidance strategy can be used for these parts. TRIAL REGISTRATION ISRCTN73075751.
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Affiliation(s)
- Steven Visser
- a Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands
| | - Henk F van der Molen
- a Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands
| | - Judith K Sluiter
- a Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands
| | - Monique H W Frings-Dresen
- a Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands
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21
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Burgess-Limerick R. Participatory ergonomics: Evidence and implementation lessons. APPLIED ERGONOMICS 2018; 68:289-293. [PMID: 29409647 DOI: 10.1016/j.apergo.2017.12.009] [Citation(s) in RCA: 67] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Revised: 12/05/2017] [Accepted: 12/16/2017] [Indexed: 06/07/2023]
Abstract
Participatory ergonomics programs have been proposed as the most effective means of eliminating, or redesigning, manual tasks with the aim of reducing the incidence of occupational musculoskeletal disorders. This review assesses the evidentiary basis for this claim; describes the range of approaches which have been taken under the banner of participatory ergonomics in diverse industries; and collates the lessons learned about the implementation of such programs.
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Albert V, Vézina N, Bilodeau H, Coutarel F. How and Why : A Process Evaluation Proposal to Assess the Development Phase of Ergonomic Interventions. PERSPECTIVES INTERDISCIPLINAIRES SUR LE TRAVAIL ET LA SANTÉ 2017. [DOI: 10.4000/pistes.5492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Albert V, Vézina N, Bilodeau H, Coutarel F. Comment et pourquoi : proposition d’un modèle d’évaluation des processus de la phase de développement d’interventions ergonomiques. PERSPECTIVES INTERDISCIPLINAIRES SUR LE TRAVAIL ET LA SANTÉ 2017. [DOI: 10.4000/pistes.5513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Dale AM, Jaegers L, Welch L, Barnidge E, Weaver N, Evanoff BA. Facilitators and barriers to the adoption of ergonomic solutions in construction. Am J Ind Med 2017; 60:295-305. [PMID: 28195660 DOI: 10.1002/ajim.22693] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2016] [Indexed: 11/09/2022]
Abstract
BACKGROUND Rates of musculoskeletal disorders in construction remain high. Few studies have described barriers and facilitators to the use of available ergonomic solutions. This paper describes these barriers and facilitators and their relationship to the level of adoption. METHODS Three analysts rated 16 proposed ergonomic solutions from a participatory ergonomics study and assessed the level of adoption, six adoption characteristics, and identified the category of adoption from a theoretical model. RESULTS Twelve solutions were always or intermittently used and were rated positively for characteristics of relative advantage, compatibility with existing work processes and trialability. Locus of control (worker vs. contractor) was not related to adoption. Simple solutions faced fewer barriers to adoption than those rated as complex. CONCLUSIONS Specific adoption characteristics can help predict the use of new ergonomic solutions in construction. Adoption of complex solutions must involve multiple stakeholders, more time, and shifts in culture or work systems. Am. J. Ind. Med. 60:295-305, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Ann Marie Dale
- Division of General Medical Sciences; Washington University School of Medicine; St Louis Missouri
| | - Lisa Jaegers
- Occupational Science and Occupational Therapy; Saint Louis University Doisy College of Health Sciences; St Louis Missouri
| | - Laura Welch
- CPWR-Center for Construction Research and Training; Silver Spring Maryland
| | - Ellen Barnidge
- Department of Behavioral Science and Health Education; Saint Louis University College for Public Health and Social Justice; Saint Louis Missouri
| | - Nancy Weaver
- Department of Behavioral Science and Health Education; Saint Louis University College for Public Health and Social Justice; Saint Louis Missouri
| | - Bradley A. Evanoff
- Division of General Medical Sciences; Washington University School of Medicine; St Louis Missouri
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