A study of the implementation process of an intervention to prevent work-related skin problems in wet-work occupations

Mygind, Karen; Borg, Vilhelm; Flyvholm, Mari‐Ann; Sell, Lea; Jepsen, Karen Frydendall

doi:10.1007/s00420-005-0016-0

Cited by 33 publications

(37 citation statements)

References 25 publications

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“…These interventions involved, among others, the introduction of mechanical lifting equipment and employee training [48], improvements of machine performance and communication between workers and supervisors [49], reduction of lifting loads and rotation schedules [50], increased compliance with the use of protective substances and establishment of improved control procedures of occupational risks [51], improvement of technical equipment and health surveillance [52], as well as substituting chemicals and increased safety guidelines in the organisation [53]. The health-related outcomes of these interventions included back pain, injuries, sick leave, blood pressure, and eczema.…”

Section: Resultsmentioning

confidence: 99%

Effects of organisational-level interventions at work on employees’ health: a systematic review

2014

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BackgroundOrganisational-level workplace interventions are thought to produce more sustainable effects on the health of employees than interventions targeting individual behaviours. However, scientific evidence from intervention studies does not fully support this notion. It is therefore important to explore conditions of positive health effects by systematically reviewing available studies. We set out to evaluate the effectiveness of 39 health-related intervention studies targeting a variety of working conditions.MethodsSystematic review. Organisational-level workplace interventions aiming at improving employees’ health were identified in electronic databases and manual searches. The appraisal of studies was adapted from the Cochrane Back Review Group guidelines. To improve comparability of the widely varying studies we classified the interventions according to the main approaches towards modifying working conditions. Based on this classification we applied a logistic regression model to estimate significant intervention effects.Results39 intervention studies published between 1993 and 2012 were included. In terms of methodology the majority of interventions were of medium quality, and four studies only had a high level of evidence. About half of the studies (19) reported significant effects. There was a marginally significant probability of reporting effects among interventions targeting several organisational-level modifications simultaneously (Odds ratio (OR) 2.71; 95% CI 0.94-11.12), compared to those targeting one dimension only.ConclusionsDespite the heterogeneity of the 39 organisational-level workplace interventions underlying this review, we were able to compare their effects by applying broad classification categories. Success rates were higher among more comprehensive interventions tackling material, organisational and work-time related conditions simultaneously. To increase the number of successful organisational-level interventions in the future, commonly reported obstacles against the implementation process should be addressed in developing these studies.

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Section: Resultsmentioning

confidence: 99%

Effects of organisational-level interventions at work on employees’ health: a systematic review

2014

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“…The majority of intervention studies have been conducted in cohorts with high-risk occupational exposures and already substantially affected by hand eczema 18 19 21 22. This study is one of the few intervention studies so far to concentrate on primary prevention of hand eczema.…”

Section: Discussionmentioning

confidence: 99%

Prevention of hand eczema among Danish hairdressing apprentices: an intervention study

et al. 2012

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“…In total, the working group members of the 16 departments prioritised 104 solutions, a mean of 6 solutions per department (range [3][4][5][6][7][8][9][10][11][12]. Table III shows that solutions on reducing wet work and jewellery were all delivered.…”

Section: Characteristics Of the Solutionsmentioning

confidence: 98%

“…There is only one known randomised controlled trial which included this type of evaluation (4) and there are just 2 studies that discuss implementation of interventions in this research field (5,6). As not every intervention targeted at hand eczema was found to be effective in reducing hand eczema or preventing the condition (7,8), process data are necessary to explore why the intervention did not work as expected.…”

mentioning

confidence: 97%

Implementation of Recommendations for Hand Eczema Through a Multifaceted Strategy. A Process Evaluation Among Health Care Workers

Meer¹,

Boot²,

Jungbauer³

et al. 2014

Acta Derm Venerol

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Process data give important insights into how an intervention is implemented. The aim of the present study is to conduct a process evaluation, alongside a randomised controlled trail, on the implementation of recommendations for the prevention of hand eczema. The intervention was carried out in healthcare workers' departments and consisted of working groups and role models. The role models were selected based on their representativeness, their influence on colleagues, and their motivation. The focus of the working group was to implement recommendations for hand eczema at the department by choosing solutions to overcome barriers for implementation. Out of the 104 solutions, 87 were realised. Solutions regarding moisturisers and use of cotton under gloves, were used by 90.9% and 30.8% of the employees, respectively. Of all participants, 58.2% actively engaged with the role models. This process evaluation showed that the intervention was executed according to protocol and that the solutions were implemented well. However, the role model component in the intervention should be improved.

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A study of the implementation process of an intervention to prevent work-related skin problems in wet-work occupations

Abstract: The study evidences that a combination of a top-down and a bottom-up implementation method is effective to reduce work-related skin problems, and that the process of implementation is a significant determinant of the overall results.

Cited by 33 publications

References 25 publications

Effects of organisational-level interventions at work on employees’ health: a systematic review

Effects of organisational-level interventions at work on employees’ health: a systematic review

Prevention of hand eczema among Danish hairdressing apprentices: an intervention study

Implementation of Recommendations for Hand Eczema Through a Multifaceted Strategy. A Process Evaluation Among Health Care Workers

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