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"All the Right Moves for Subcontractors" aims to improve safety, health and well-being, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers (project, operations and safety) work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and well-being detailed in Harvard Center for Work, Health and Well-being's Implementation Guidelines (McLellan et al, 2016).
The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. We will evaluate this program by measuring safety climate, health climate, pain and injury and health behaviors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early | Experimental | Intervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently. |
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| Lagged | Active Comparator | Intervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| All the Right Moves for Subcontractors | Other | "All the Right Moves for Subcontractors" aims to improve safety, health and wellbeing, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and wellbeing detailed in Harvard Center for Work, Health and Wellbeing's Implementation Guidelines (McLellan et al, 2016). The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. |
| Measure | Description | Time Frame |
|---|---|---|
| Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire | NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Worker Outcomes: Pain assessed by the Nordic Musculoskeletal Questionnaire | NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Enterprise Outcomes: Work Productivity and Activity Impairment assessed by Work Productivity and Activity Impairment Questionnaire (WPAI) | Work Productivity and Activity Impairment Questionnaire (WPAI) measures impairment due to the specified problem and all health problems. Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers | Questions adapted from safety climate scale: Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., & Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442. Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Enterprise Outcomes: Safety Climate assessed by using the validated scale: An English/Spanish safety climate scale for construction workers. | Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., & Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442. Scale:0-1 0:minimum 1:maximum |
| Measure | Description | Time Frame |
|---|---|---|
| Worker Health Behaviors: Diet | PrimeScreen Questionnaire; Rifas-Shiman SL, Willett WC, Lobb R, Kotch J, Dart C, Gillman MW. PrimeScreen, a brief dietary screening tool: reproducibility and comparability with both a longer food frequency questionnaire and biomarkers. Public Health Nutr. 2001 Apr;4(2):249-54 Scale: 0-4 0:minimum 4:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harvard T.H. Chan School of Public Health | Boston | Massachusetts | 02115 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32679687 | Background | Peters SE, Trieu HD, Manjourides J, Katz JN, Dennerlein JT. Designing a Participatory Total Worker Health(R) Organizational Intervention for Commercial Construction Subcontractors to Improve Worker Safety, Health, and Well-Being: The "ARM for Subs" Trial. Int J Environ Res Public Health. 2020 Jul 15;17(14):5093. doi: 10.3390/ijerph17145093. |
| Label | URL |
|---|---|
| Implementing an Integrated Approach Weaving Worker Health, Safety, and Well-being into the Fabric of Your Organization. | View source |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Change from Baseline at 2 months, 4 months, and 6 months |
| Worker Health Behaviors: Leisure Physical Activity | International Physical Activity Questionnaire (Short Form)http://uacc.arizona.edu/sites/default/files/ipaq\_english\_telephone\_short.pdf Scale: 0-7 days 0=minimum 7=maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA | National Institute on Alcohol Abuse and Alcoholism Scale:0-9 0:minimum 9:maximum https://www.niaaa.nih.gov/research/guidelines-and-resources/recommended-alcohol-questions | Change from Baseline at 2 months, 4 months, and 6 months |
| Worker Health Behaviors: Tobacco Use assessed by modifying questions from the National Adult Tobacco Survey (NATS) | Dichotomous questions adapted from the National Adult Tobacco Survey (NATS) Scale:0-2 0:minimum 2:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Psychosocial Work Environment: Co-worker Support assessed by assessed by Job Content Questionnaire (JCQ), a validated scale. | Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale. | Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |
| Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale. | Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum 1:maximum | Change from Baseline at 2 months, 4 months, and 6 months |