Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment

NCT03781245 | Completed

• 1 other identifier: IRB13-1948
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 1

Brief Summary

"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.

Conditions

Worker Health; Work Injury; Safety Climate; Pain

Outcome Measures

Primary Outcomes (5)

• 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

  Change from Baseline at 2 months, 4 months, and 6 months

Secondary Outcomes (7)

• Worker Health Behaviors: Diet

  Change from Baseline at 2 months, 4 months, and 6 months

• Worker Health Behaviors: Leisure Physical Activity

  Change from Baseline at 2 months, 4 months, and 6 months

• Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA

  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)

  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.

  Change from Baseline at 2 months, 4 months, and 6 months

Study Arms (2)

Early

EXPERIMENTAL

Intervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently.

Other: All the Right Moves for Subcontractors

Lagged

ACTIVE COMPARATOR

Intervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently.

Other: All the Right Moves for Subcontractors

Interventions

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.

Also known as: ARM for SUBS

Early; Lagged

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All workers employed by the recruited contractors at the eligible worksites

You may not qualify if:

• Companies with less than 5 workers

Sponsors & Collaborators

• Harvard School of Public Health (HSPH): lead

Study Sites (1)

Harvard T.H. Chan School of Public Health

Boston, Massachusetts, 02115, United States

Location

Related Publications (1)

• 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.

  PMID: 32679687 BACKGROUND

Related Links

• Implementing an Integrated Approach Weaving Worker Health, Safety, and Well-being into the Fabric of Your Organization.

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Director, Center for Work, Health, & Well-being

Study Record Dates

• First Submitted: November 20, 2018
• First Posted: December 19, 2018
• Study Start: July 24, 2018
• Primary Completion: September 28, 2020
• Study Completion: November 20, 2020
• Last Updated: November 10, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)