A Cluster Randomized Controlled Trial of a Total Worker Health Intervention on Commercial Construction Sites

Details

• Alternative Title:
  Using Total Worker Health to Advance Worker Health and Safety [2020]: A Cluster Randomized Controlled Trial of a Total Worker Health Intervention on Commercial Construction Sites
• Personal Author:
  Dennerlein, Jack T. ; Grant, Michael P. ; Manjourides, Justin ; Okechukwu, Cassandra A. ; Peters, Susan E. ; Rodgers, Justin
• Description:
  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 HealthWeek 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 postexposure 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. [Description provided by NIOSH]
• Subjects:
  Behavior Construction Industry Diet Environmental Exposure Ergonomics Occupational Health Risk Assessment Risk Factors Safety Smokers Workload

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• Keywords:
  Author Keywords: Organizational Intervention Construction Construction Industry Exposure Levels Health Promotion Health Protection Health Risk Behaviors Injuries Injury Prevention Intervention Mixed-methods Study Models Musculoskeletal Occupational Health Physical Exercise Risk Factors Safety Management Smoking Total Worker Health TWH Work Capability Work Capacity Worker Health Workers

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• ISBN:
  9783039219926
• Publisher:
  MDPI
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Grant
• Name as Subject:
  Total Worker Health
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  22 pdf pages
• NIOSHTIC Number:
  nn:20061337
• Citation:
  Using Total Worker Health to advance worker health and safety. Rohlman DS, Kelly KM, eds. Basel, Switzerland: MDPI, 2020 Sep; :192-211
• Contact Point Address:
  Jack T. Dennerlein, Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115
• Email:
  j.dennerlein@northeastern.edu
• Editor(s):
  Rohlman, Diane S. ; Kelly, Kevin M.
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Construction ; Healthcare and Social Assistance
• Performing Organization:
  Harvard University, Boston, Massachusetts
• Peer Reviewed:
  True
• Start Date:
  20070901
• Source Full Name:
  Using Total Worker Health to advance worker health and safety
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a7f9c9f82b59f590fd27fca0b2b6253600befc76259c33e65ee421c84dc41dd76aa34bbd4c8e3c8fa1b384a4863e22d74835d87383247616d7b69f9638f0ffe9
• Download URL:
  https://stacks.cdc.gov/view/cdc/182942/cdc_182942_DS1.pdf
• File Type:
  [PDF - 438.40 KB ]