Participatory Ergonomics as a Model for Integrated Programs to Prevent Chronic Disease

Punnett, Laura; Warren, Nicholas; Henning, Robert A.; Nobrega, Suzanne; Cherniack, Martin

doi:10.1097/jom.0000000000000040

Cited by 70 publications

(58 citation statements)

References 20 publications

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“…A number of intervention research studies have relied on worker participation and emphasize that participation is vital at all stages of program design, development, and evaluation. 10,29 …”

Section: Discussionmentioning

confidence: 99%

“…As reflected in the table, structural measures include program elements—addressing both work and nonwork risks and opportunities, and coordination of activities—and the degree of integration by design. 2,3,29,63 Process measures that may be considered include recruitment methods and statistics (such as eligible organizations/workers, those deemed ineligible and why, those enrolled, number completing measurement waves, and reasons for dropout), fidelity of intervention implementation and integrity, and dose (adoption and participation rates).…”

Section: Discussionmentioning

confidence: 99%

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Research Methodologies for Total Worker Health ®

Tamers

Goetzel

Kelly

et al. 2018

Journal of Occupational &Amp; Environmental Medicine

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Objective:There is growing interest in the NIOSH Total Worker Health® program, specifically in the process of designing and implementing safer, health-promoting work and workplaces. A Total Worker Health (TWH) Research Methodology Workshop was convened to discuss research methods and future needs.Methods:Twenty-six experts in occupational safety and health and related fields reviewed and discussed current methodological and measurement issues and those showing promise.Results:TWH intervention studies face the same challenges as other workplace intervention studies and some unique ones. Examples are provided of different approaches and their applications to TWH intervention studies, and desired developments in the TWH literature.Conclusions:This report discusses and outlines principles important to building the TWH intervention research base. Rigorous, valid methodologic, and measurement approaches are needed for TWH intervention as well as for basic/etiologic, translational, and surveillance research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Research Methodologies for Total Worker Health ®

Tamers

Goetzel

Kelly

et al. 2018

Journal of Occupational &Amp; Environmental Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…Joint worker–management participation : Engaging managers and workers in program planning, priority setting, and implementation is fundamental to program success [49, 70, 71]. In WellWorks-2, program committees were created to provide a channel for worker–manager input to program design and delivery.…”

Section: Methodsmentioning

confidence: 99%

Lost in translation: The challenge of adapting integrated approaches for worker health and safety for low- and middle-income countries

et al. 2017

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ObjectivesTo describe the process of adapting an intervention integrating occupational safety and health (OSH) and health promotion for manufacturing worksites in India and the challenges faced in implementing it; and explore how globalization trends may influence the implementation of these integrated approaches in India and other low- and middle-income countries (LMICs).MethodsThis study—conducted in 22 manufacturing worksites in Mumbai, India—adapted and implemented an evidence-based intervention tested in the U.S. that integrated OSH and tobacco control. The systematic adaptation process included formative research and pilot testing, to ensure that the tested intervention was tailored to the local setting. We used qualitative methods and process evaluation to assess the extent to which this intervention was implemented, and to explore barriers to implementation.ResultsWhile participating worksites agreed to implement this intervention, not all components of the adapted intervention were implemented fully in the 10 worksites assigned to the intervention condition. We found that the OSH infrastructure in India focused predominantly on regulatory compliance, medical screening (secondary prevention) and the treatment of injuries. We observed generally low levels of leadership support and commitment to OSH, evidenced by minimal management participation in the intervention, reluctance to discuss OSH issues with the study team or workers, and little receptivity to recommendations resulting from the industrial hygienist’s reports.ConclusionIndia presents one example of a LMIC with a rising burden of non-communicable diseases and intensified exposures to both physical and organizational hazards on the job. Our experiences highlight the importance of national and global trends that shape workers’ experiences on the job and their related health outcomes. Beyond a singular focus on prevention of non-communicable diseases, coordinated national and international efforts are needed to address worker health outcomes in the context of the conditions of work that clearly shape them.

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“…These studies are often limited by inadequate delivery of the program due to lack of time, lack of management commitment, and work pressures (Cantley, et al, 2014, Carrivick, et al, 2005, Cole, et al, 2009, Driessen, et al, 2010, Haukka, et al, 2008, Oude Hengel, et al, 2013). Despite these recognized challenges, a PE approach continues to be a preferred intervention to reduce or prevent WMSDs in complex environments (Glina, et al, 2011, Punnett, et al, 2013). Recent reviews suggest that future studies should provide greater detail about program delivery and intermediate outcomes to identify facilitators and barriers of the program (Rivilis, et al, 2008, Robson, et al, 2001, Salem, et al, 2008, van Eerd, et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a participatory ergonomics intervention in small commercial construction firms

Dale¹,

Jaegers

Welch

et al. 2016

American J Industrial Med

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Background Work-related musculoskeletal disorders (WMSD) among construction workers remain high. Participatory ergonomics (PE) interventions that engage workers and employers in reducing work injury risks have shown mixed results. Methods Eight-six workers from seven contractors participated in a PE program. A logic model guided the process evaluation and summative evaluation of short term and intermediate impacts and long term outcomes from surveys and field records. Results Process measures showed good delivery of training, high worker engagement, and low contractor participation. Workers’ knowledge improved and workers reported changes to work practices and tools used; contractor provision of appropriate equipment was low (33%). No changes were seen in symptoms or reported physical effort. Conclusions The PE program produced many worker-identified ergonomic solutions, but lacked needed support from contractors. Future interventions should engage higher levels of the construction organizational system to improve contractor involvement for reducing WMSD.

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Participatory Ergonomics as a Model for Integrated Programs to Prevent Chronic Disease

Cited by 70 publications

References 20 publications

Research Methodologies for Total Worker Health ®

Research Methodologies for Total Worker Health ®

Lost in translation: The challenge of adapting integrated approaches for worker health and safety for low- and middle-income countries

Evaluation of a participatory ergonomics intervention in small commercial construction firms

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