Applying the Health Promotion Model to Development of a Worksite Intervention

Details

• Personal Author:
  Eakin BL ; Kerr MJ ; Lusk SL ; Ronis DL
• Description:
  INTRODUCTION: Consistent use of hearing protection devices (HPDs) decreases noise-induced hearing loss, however, many workers do not use them consistently. Past research has supported the need to use a conceptual framework to understand behaviors and guide intervention programs; however, few reports have specified a process to translate a conceptual model into an intervention. PURPOSE: The strongest predictors from the Health Promotion Model were used to design a training program to increase HPD use among construction workers. SUBJECTS/SETTING: Carpenters (n = 118), operating engineers (n = 109), and plumber/pipefitters (n = 129) in the Midwest were recruited to participate in the study. DESIGN: Written questionnaires including scales measuring the components of the Health Promotion Model were completed in classroom settings at worker trade group meetings. MEASURES: All items from scales predicting HPD use were reviewed to determine the basis for the content of a program to promote the use of HPDs. Three selection criteria were developed: (1) correlation with use of hearing protection (at least .20), (2) amenability to change, and (3) room for improvement (mean score not at ceiling). RESULTS: Linear regression and Pearson's correlation were used to assess the components of the model as predictors of HPD use. Five predictors had statistically significant regression coefficients: perceived noise exposure, self-efficacy, value of use, barriers to use, and modeling of use of hearing protection. Using items meeting the selection criteria, a 20-minute videotape with written handouts was developed as the core of an intervention. A clearly defined practice session was also incorporated in the training intervention. CONCLUSION: Determining salient factors for worker populations and specific protective equipment prior to designing an intervention is essential. These predictors provided the basis for a training program that addressed the specific needs of construction workers. Results of tests of the effectiveness of the program will be available in the near future. [Description provided by NIOSH]
• Subjects:
  Coal Coal Mining Dust Explosions Mining Occupational Health Particulate Matter Safety
• Keywords:
  Author Keywords: Health Promotion Model Construction-equipment Construction-workers Hearing-protection Hearing Protector Use Models Noise Noise-control Noise-protection Predictor-Based Training Predictors Of Behavior Protective-equipment Training Worksite Intervention

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• ISSN:
  0890-1171
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  219-227
• Volume:
  13
• Issue:
  4
• NIOSHTIC Number:
  nn:20031296
• Citation:
  Am J Health Promot 1999 Mar; 13(4):219-227
• Contact Point Address:
  University of Michigan School of Nursing, 400 N. Ingalls, Room 3182, Ann Arbor, MI 48109-0482
• Federal Fiscal Year:
  1999
• NORA Priority Area:
  Disease and Injury: Hearing Loss
• Performing Organization:
  University of Michigan, School of Nursing, Ann Arbor, Michigan
• Peer Reviewed:
  True
• Start Date:
  19930930
• Source Full Name:
  American Journal of Health Promotion
• End Date:
  19970929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d9304638123043eb6a786fb8a0cb03168934683a3ffb6a2e926269454211d493816e7cf118070f341472e6a8a972d0383afc6d16a4eeaca881887ff4b0f6a6b8
• Download URL:
  https://stacks.cdc.gov/view/cdc/191590/cdc_191590_DS1.pdf
• File Type:
  [PDF - 1.48 MB ]