Effectiveness of the Healthy Workplace Participatory Program With Peer-led Teams in Public Sector Healthcare Facilities

NCT04251429 | Enrolling By Invitation

• 1 other identifier: U19OH008857
• Study Type: interventional
• Target: 3,300
• Locations: 0 countries
• Sites: N/A

Brief Summary

Safety \& Health through Integrated, Facilitated Teams (SHIFT) is an intervention study to enhance employee health, safety, and well-being in public sector healthcare institutions in New England. The investigators will evaluate the effectiveness of an adapted form of the Center for the Promotion of Health in the New England Workplace (CPH-NEW) Healthy Workplace Participatory Program (HWPP) for strengthening cohesiveness, engagement, and impact of pre-existing joint labor-management health and safety committees. The sites are enrolled in three pairs, matched by agency and type of services. For each pair of sites, one will be randomly selected for immediate HWPP coaching. The paired organization will serve as a control until the study mid-point, at which time all sites will be coached. Process evaluations will examine barriers to and facilitators of program uptake, reach, and effectiveness. Survey data and injury records will be examined in intervention and control groups to describe the frequencies of workplace and non-occupational exposures of selected health outcomes.

Conditions

Musculoskeletal Pain; Work-Related Condition; Burnout, Caregiver; Work-related Injury

Keywords

participatory; employee engagement; process evaluation; work ability

Outcome Measures

Primary Outcomes (4)

• Change in Team Attendance

  Attendance for each Design Team meeting (1-2 times per month)

  Through study completion, an average of three years

• Change in Team Engagement

  Percentage of yes responses for 2 survey items collected following Design Team meetings (1-2 times per month): "I spoke up and gave my opinion at this meeting" and "My opinion was considered seriously by others at this meeting." (Yes, no, somewhat). Items are computed individually.

  Through study completion, an average of three years

• Change in Level of Committee Activity

  A qualitative summary of field notes collected by research personnel following Design Team meetings (1-2 times per month) over the course of the study

  Through study completion, an average of three years

• Change in team-selected health/safety/well-being issue

  Targeted pre- and post-intervention surveys will be designed and administered by the Design Team

  Through study completion, an average of two years

Secondary Outcomes (10)

• Proportion of content followed according to the HWPP protocol

  Through study completion, an average of three years

• Change in scope of health/safety/well-being

  Through study completion, an average of three years

• Shared labor-management awareness of job-related health issues

  Through study completion, an average of two years

• Work Ability of Employees

  Prior to random selection of immediate and delayed intervention site, and 3 years later

• Quality of Care of Patients/Residents: All-Employee Survey

  Prior to random selection of immediate and delayed intervention site, and 3 years later

Study Arms (2)

Immediate Intervention Group

EXPERIMENTAL

SHIFT study team provides coaching to Health and Safety Committee to implement a participatory program for increasing committee effectiveness.

Other: CPH-NEW Healthy Workplace Participatory Program

Delayed Intervention Group

OTHER

Active Comparator for 2 years: status quo program remains in place with new ongoing data collection. Then experimental intervention as above.

Other: CPH-NEW Healthy Workplace Participatory Program

Interventions

CPH-NEW Healthy Workplace Participatory Program OTHER

A participatory program for increasing effectiveness of occupational health and safety committees or peer-led employee teams through root cause analysis, prioritizing health and safety needs for effective problem-solving, identifying feasible interventions, and presenting these to senior leadership. Interventions are selected and implemented by leadership and evaluated by both teams.

Delayed Intervention Group; Immediate Intervention Group

Eligibility Criteria

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

You may qualify if:

• Direct employee of the agency (not temporary agency or subcontractor)

Sponsors & Collaborators

• University of Massachusetts, Lowell: lead
• National Institute for Occupational Safety and Health (NIOSH/CDC): collaborator

Related Publications (1)

• Punnett L, Nobrega S, Zhang Y, Rice S, Gore R, Kurowski A; SHIFT Project Research Team. Safety and Health through Integrated, Facilitated Teams (SHIFT): stepped-wedge protocol for prospective, mixed-methods evaluation of the Healthy Workplace Participatory Program. BMC Public Health. 2020 Sep 29;20(1):1463. doi: 10.1186/s12889-020-09551-2.

  PMID: 32993607 DERIVED

MeSH Terms

Conditions

Caregiver Burden; Musculoskeletal Pain

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior; Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Laura Punnett, ScD

  University of Massachusetts, Lowell

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Professor

Study Record Dates

• First Submitted: November 20, 2019
• First Posted: January 31, 2020
• Study Start: September 1, 2016
• Primary Completion (Estimated): August 31, 2027
• Study Completion (Estimated): August 31, 2027
• Last Updated: May 1, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share