Are virtual reality applications effective for construction safety training and education? A systematic review and meta-analysis

INTRODUCTION

Virtual reality (VR) gains attention in construction safety training because it allows users to simulate real activities without the risks of real activities. However, a literary work comprehensively describing the effectiveness of VR in construction safety training and education (CSTE) is lacking.

METHOD

This study provides a systematic review of the research related to VR applications for CSTE over the past decade using meta-analysis techniques. Standardized mean differences between traditional training methods and VR training were grouped by measurement. Potential moderators possibly affecting the effectiveness of VR in CSTE were analyzed.

RESULTS

Results showed that VR is significantly more effective in construction training and education than traditional methods. The effectiveness of VR was 0.593, 0.432, and 0.777 higher than that of traditional methods for behaviors, skills, and experience measurements, respectively. The training context and mean work experience of trainees were two important moderators that significantly affected the effectiveness of VR in CSTE (p < 0.001).

PRACTICAL APPLICATIONS

The presented results suggested the need for targeted development and management of VR technology in the construction industry and the early promotion of VR for general safety training among young, inexperienced construction workers.

Prevalence and Associated Factors of Work-Related Musculoskeletal Disorders Symptoms among Construction Workers: A Cross-Sectional Study in South China

Statistics showed that work-related musculoskeletal disorders (WMSDs) are the leading cause of productivity loss in the construction industry. This study aimed to investigate the prevalence of WMSDs and associated factors among construction workers. A cross-sectional study was conducted among 380 construction workers in Guangdong Province, China. A demographic, work-related survey and the Nordic musculoskeletal questionnaire were used to collect the workers' data. Descriptive statists and logistic regression were used for the data analysis. The results showed that the overall prevalence of WMSDs symptoms among the participants in any body region during the last 12 months was 57.9%. Neck (24.7%), shoulder (22.1%), upper back (13.4%), and lower back (12.6%) showed the highest prevalence of WMSDs. Age, exercise, work experience, work position, and level of fatigue after work were significantly associated with the prevalence of WMSDs symptoms in different body regions. The findings of this study showed that the prevalence of WMSDs symptoms among construction workers in south China is still high and is associated with different body areas compared to previous studies. The prevalence of WMSDs and risk-associated factors vary by country and region. This indicates that further local investigations are needed to propose specific solutions to improve the occupational health of construction workers.

Investigating The Association Between Supraspinatus Tendon Abnormality, Shoulder Pain and Isokinetic Strength in Elite Swimmers: A Cross-Sectional Study

Shoulder pain is common among elite swimmers due to the tremendous stress over shoulders during swimming. Supraspinatus muscle is one of the major prime movers and stabilizers of shoulder and is highly susceptible to overloading and tendinopathy. An understanding of the relationship between supraspinatus tendon and pain; and between supraspinatus tendon and strength would assist health care practitioners for developing training regime. The objectives of this study are to evaluate 1) the association between structural abnormality of supraspinatus tendon and shoulder pain and 2) the association between structural abnormality of supraspinatus tendon and shoulder strength. We hypothesized that structural abnormality of supraspinatus tendons positively associated with shoulder pain and negatively associated with shoulder muscle strength among elite swimmers. 44 elite swimmers were recruited from the Hong Kong China Swimming Association. Supraspinatus tendon condition was evaluated using diagnostic ultrasound imaging and shoulder internal and external rotation strength was evaluated by the isokinetic dynamometer. Pearson's R was used to study the correlation between shoulder pain and supraspinatus tendon condition and to evaluate the association between isokinetic strength of shoulders and supraspinatus tendon condition. 82 shoulders had supraspinatus tendinopathy or tendon tear (93.18%). However, there was no statistically significant association between structural abnormality of supraspinatus tendon and shoulder pain. The results showed that there was no association between supraspinatus tendon abnormality and shoulder pain and there was a significant correlation between left maximal supraspinatus tendon thickness (LMSTT) and left external rotation/ concentric (LER/Con) and left external rotation/ eccentric (LER/Ecc) shoulder strength (p < 0.05) while internal rotation/ external rotation (IR/ER) ratio can also be a significant predicator on LMSTT >6mm (R² = 0.462, F = 7.016, df = 1, p = 0.038). Structural change of supraspinatus tendon was not associated with shoulder pain, but could be a predictor on MSTT >6mm in elite swimmers.

Investigation on the effects of presentation modality for spatial signals on human performance using a dual task paradigm

A dual task was designed to involve a tracking mission with various tracking speeds and a spatial compatibility task with various signal-key mappings and presentation modalities. This dual task was used to investigate the effects of workload and resource competition in distinct parts of the dual-task process. The results demonstrated that increasing the tracking speed adversely affected the tracking performance but led to positive arousal to the secondary discrete response task. Visual spatial signals gave the shortest reaction time due to the optimal time-sharing of the visual resources in the focal and ambient channels. Compared with visual spatial signals, spatial signals of auditory and tactile modalities did not lead to an improved performance because of their cross-modality nature. These findings provided practical design guidelines for dual tasks in which the operators need to complete a continuous monitoring task visually and elicit timely and accurate responses to spatial information.

Biomechanical assessment of a passive back-support exoskeleton during repetitive lifting and carrying: Muscle activity, kinematics, and physical capacity

INTRODUCTION

Most people have experienced low back pain (LBP) more or less in their lifetime. Heavier load weight could increase the risk of LBP, especially in repetitive lifting and carrying tasks. The risk could also increase with the frequency of lifting. This study aims to investigate the effects of a passive back-support exoskeleton (PBSE) on trunk muscle activation, kinematics, and physical capacity in a repetitive lifting task and a carrying task in consideration of load weights in a laboratory setting.

RESULTS

Results showed that using the PBSE, the activities of the thoracic erector spinae and lumbar erector spinae muscles were reduced significantly by nearly 7% MVC and 3% MVC in the repetitive lifting task and the carrying task, respectively. There was no significant effect of the PBSE on the spine kinematics and physical capacity.

PRACTICAL APPLICATIONS

This study supports the use of the PBSE to reduce trunk muscle activity in repetitive lifting and carrying tasks.

Capturing long-memory properties in road fatality rate series by an autoregressive fractionally integrated moving average model with generalized autoregressive conditional heteroscedasticity: A case study of Florida, the United States, 1975-2018

INTRODUCTION

Time series models play an important role in monitoring and understanding the serial dynamics of road crash exposures, risks, outcomes, and safety performance indicators. The time-series methods applied in previous studies on crash time series analysis assume that the serial dependency decays rapidly or even exponentially. However, this assumption is violated in most cases because of the existence of long-memory properties in the crash time series data. Ignoring the long-memory dependency could result in biased understanding of the dynamics of road traffic crashes.

METHOD

To fill this research gap, this study proposes an autoregressive fractionally integrated moving average model with generalized autoregressive conditional heteroscedasticity (ARFIMA-GARCH) to capture and accommodate the long-memory decencies in the road fatality rate time series. To further investigate how the factors influencing the fatality risks play a role in the long-memory dependence, the effects of exogenous variables are examined in this study. The analysis is conducted based on the road crash fatality data in Florida, USA over 44 years. Results' Conclusions: The case analysis confirmed the existence of long-memory property in the crash fatality time series data by both the joint tests of Augmented Dickey-Fuller and the Phillips-Perron, and the integer order of differencing (≤0.5) in the proposed models. The model results reveal that gasoline price and alcohol consumption per capita is positively associated with road fatality risks, whereas unemployment rate and rural/urban road mileage are negatively related to the road fatality risks.

PRACTICAL APPLICATIONS

The significant influential factors are also found to account for the long-memory serial correlations between road traffic fatalities to some extent.

The acceptance of personal protective equipment among Hong Kong construction workers: An integration of technology acceptance model and theory of planned behavior with risk perception and safety climate

INTRODUCTION

The phenomenon that construction workers do not use personal protective equipment (PPE) is a major reason for the high occurrence frequency of accidents in the construction industry. However, little efforts have been made to quantitatively examine the factors influencing construction workers' acceptance of PPE.

METHOD

In the current study, a PPE acceptance model for construction workers (PAMCW) was proposed to address the noted need. The PAMCW incorporates the technology acceptance model, theory of planned behavior, risk perception, and safety climate for explaining construction worker acceptance of PPE. 413 construction workers participated in this study to fill out a structured questionnaire. The PAMCW was analyzed using structural equation modeling.

RESULTS

Results provide evidence of the applicability of the technology acceptance model and theory of planned behavior to the PPE acceptance among construction workers. The positive influence of safety climate and risk perception-severity on attitude toward using PPE was significant. Safety climate positively influences perceived usefulness. Risk perception-worry and unsafe was found to positively affect intention to use PPE. Practical Applications: Practical suggestions for increasing construction workers' use of PPE are also discussed.

Risky scenario identification in a risk perception scale for construction workers in Thailand

INTRODUCTION

Construction sites exhibit unique hazardous characteristics. Hence, investigating the causes of fatal and nonfatal accidents is extremely important to promote safety on construction sites. Literature shows a risk perception (RP) scale for construction workers; to expand the existing research, this study aims to identify risky scenarios for assessing the RP of Thai construction workers, with the goal of reducing workplace incidents.

METHOD

The scale development process consists of four phases. Item development was also performed, followed by factor analysis. Reliability and validity assessments were finalized in the process. A survey of 500 construction workers in Thailand was conducted to investigate risky scenarios. Through the process, a total of 17 items remained in the final RP scale, and the reliability and validity of these items were confirmed.

RESULTS

The RP scale was affirmed to have four dimensions (probability, severity, worry, and unsafe). These dimensions of workers' RP were negatively correlated with the workers' risk-taking behaviors. This study further showed that participants with a high level of affective RP were more likely to have a high level of cognitive RP. Hence, those with a high level of RP tended to be involved in fewer risk-taking behaviors. Practical Applications: The final version of the scale was reliable and valid in determining the RP and risk-taking behaviors of construction workers in Thailand.

Auditory versus visual spatial stimulus-response mappings in tracking and discrete dual task performance: implications for human-machine interface design

A discrete four-choice response task with auditory signal presentation and a joystick-controlled visual tracking task was used to investigate how spatial compatibility influences the dual-task performance of different display-control settings. It was found that the more incompatible the stimulus-response mapping, the longer the delay for both tasks, presumably because of the longer stimulus encoding time required for the incompatible conditions. A comparison of the findings of this study with those of past experiments on visual visual setting shows that the dual-task performance in a cross-modality (auditory visual) setting was significantly better than that in an intra-modality (visual visual) setting because of visual scanning required in the intra-modal dual tasks. However, when the locations of visual visual tasks were close enough such that ambient and focal vision was concurrently used for information processing, the dual-task performance of intra-modality (visual visual) configuration was slightly better than that of the cross-modality (auditory visual) configuration. Practitioner Summary: The effect of spatial compatibility with auditory signal presentation in multiple display-control configurations was examined in a dual-task paradigm. The results provided important and useful ergonomics design implications and consequent recommendations for intra- and cross- modal interface design. The results should facilitate human-machine system design and improve overall system performance.

Quantification of risk perception: Development and validation of the construction worker risk perception (CoWoRP) scale

INTRODUCTION

The construction sector is leading in the number of accidents and fatalities; risk perception is the key to driving these numbers. Previous construction safety studies on risk perception quantification have not considered affective risk perception of construction workers or conducted comprehensive reliability and validity testing. Thus, this study aims to fill this need by developing a psychometrically sound instrument - the Construction Worker Risk Perception (CoWoRP) Scale - to assess the risk perception of construction workers.

METHOD

Four phases of scale development, namely, item development, factor analysis, reliability assessment, and validity assessment were conducted with the collection and testing of data from a group (n = 469) of voluntary construction workers in Hong Kong.

RESULTS

The CoWoRP Scale with 13 items was shown to have acceptable test-retest reliability, internal consistency reliability, as well as content, convergent, discriminant, and criterion-related validity. Also, the CoWoRP Scale was affirmed to have three dimensions of worker risk perception, namely risk perception - probability, risk perception - severity, risk perception - worry and unsafe. These three dimensions of worker risk perception were negatively correlated with their risk-taking behavior.

CONCLUSIONS

The CoWoRP Scale is a reliable and valid instrument for measuring the risk perception of construction workers and is expected to facilitate the construction safety studies that take risk perception of construction workers into account. Practical applications: The CoWoRP Scale could serve as an aptitude test to identify the characteristics of construction workers most likely to perceive lower risk in risky work situations. In turn, this information could help safety management provide safety training programs to those workers to enhance their risk perception and thereby minimizing their risk-taking behavior, reducing unnecessary training costs, and improving the construction safety performance.

Determining the validity of the visual field principle for designing control/display arrangements

The Visual Field (VF) principle has been found to apply in many situations, but has not been tested under many possible conditions of operator posture with different display and control locations. In this research we used four display locations, four control locations relative to a seated operator and tested the strength of population stereotype for six different types of controls with linear displays moving either horizontally or vertically and circular displays with a neutral indicator at the 12, 3, 6 and 9 o'clock positions. Apart from several minor differences in operator responses, the VF principle held up well under all these different display/control relationships. By designing the display/control arrangement to have high stereotype strength, the direction of control movement for a given direction of indicator movement can be selected to comply with the VF principle for producing fewest errors in movement direction.

Effects of magnification modes and location cues on visual inspection performance

Image magnification often results in disorientation through loss of orientation and location during inspection. This study investigated the effects of three different magnification modes viz. full screen, circular, and fixed-area on visual inspection performance. Also, to improve participants’ global orientation with respect to the original product, location cues in the form of halftone landmarks were introduced as a job aid and their effectiveness on inspection performance was examined. Twenty-eight undergraduates participated in the experiment. Significant magnification mode effect was found, but the location cue effect was found non-significant. The results suggested that the presentation of content/contextual information on one single screen should be considered together with the nature of the visual task and participants’ search behaviors, and that the aid of location cues might be useful when the visual task demanded a high level of search memory and/or an unsystematic search strategy was employed by inspectors.

Health monitoring through wearable technologies for older adults: Smart wearables acceptance model

In the context of a fast aging population, ubiquitous usage of smart wearable systems can alleviate the social burden caused by the increasing need of older adults for healthcare and assistance. To facilitate and encourage the use of smart wearable systems among older adults, this study investigated the factors that contribute to the acceptance of such systems, and smart wearables acceptance model for older adults was developed using structural equation modeling. The model was validated using 146 survey samples collected from adults aged 60 years and above. The results indicated that perceived usefulness, compatibility, facilitating conditions, and self-reported health status significantly and positively affect older adults' intention to use such technologies. Useful implications and insights were provided to future researchers and practitioners to enhance older adults' acceptance of smart wearable systems.

The Risk-Taking Propensity of Construction Workers-An Application of Quasi-Expert Interview

High accident rates have been a complicated and persistent problem in the Hong Kong construction industry. This situation has stimulated this investigation into factors that influence the risk-taking propensity of construction workers. However, interviewing workers who had a bad experience is problematic because changes in attitude and perception may occur as a result of such an experience. Using quasi-expert interviews can reduce this problem. The objective of this study was to identify factors that influence the risk-taking propensity of construction workers. Semi-structured interviews were conducted with 16 safety professionals all with accident inspection experience and six super-safe workers with no incident record for the past five years. Seven factors that affect the risk-taking propensity of construction workers were successfully identified. Each factor is thoughtfully discussed, and this study shows that quasi-expert interview is a pragmatic approach for deepening the understanding of risk-taking propensity among construction workers. Findings of this study will hopefully help and encourage further quantitative research on the risk-taking propensity of construction workers with different perspectives.

Uses and abuses of paediatric electroencephalography

OBJECTIVE

To investigate whether requests for standard paediatric electroencephalograms accord with guideline recommendations, subsequent changes in clinical management according to reported results, and extent to which the service meets waiting time targets.

DESIGN

Case series.

SETTING

Regional hospital, Hong Kong.

PATIENTS

All patients aged less than 18 years who underwent electroencephalography between December 2009 and February 2010.

MAIN OUTCOME MEASURES

Appropriateness of the electroencephalogram request and the impact of its findings on clinical management.

RESULTS

A total of 109 patients were recruited, but requests for standard electroencephalograms were considered 'inappropriate' with respect to guidelines in 44% of the patients, of which 50% were made to diagnose 'funny turns'. The standard electroencephalogram contributed to the diagnosis or management in only 28% of patients. In all of the latter, the request for an electroencephalogram had been appropriate. Nonspecialists made referrals for 86% of the patients. Inadequate information was provided in 66% of the requests. Standard electroencephalograms were performed within guideline targets, the wait being less than 4 weeks in 95% of requests.

CONCLUSION

An effective electroencephalogram service was being provided, though abuses were common. These were mainly because of misconceptions regarding the role and limitations of standard electroencephalograms. Through an educative, non-confrontational approach, and with time to explain guideline recommendations to clinicians, sustainable change in practice could be achieved so as to benefit patients, clinicians, and service provision.