VALES+Tú: Targeting Psychosocial Stressors to Reduce Latino Day Laborers (LDL) Injury Disparities

NCT04800757 | Completed Results

• 2 other identifiers: HSC-SPH-18-03371R01MD012928
• Study Type: interventional
• Target: 325
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the efficacy of VALES+Tú in reducing hazardous exposures at work and to determine the mediating effect of psychosocial stressors on VALES+Tú primary outcomes

Conditions

Work-related Injury

Keywords

latino day laborers

Outcome Measures

Primary Outcomes (2)

• Change in Work Hazard Exposure as Assessed by a Survey

  Total score on the work hazard exposure survey ranges from 1 - 4, with a higher score indicating greater work hazard exposures. The data are reported as score at post-intervention minus score at baseline.

  Baseline, 4 weeks post intervention

• Change in Work Conditions as Assessed by a Survey

  Total score on the work conditions survey ranges from 1 - 4, with a higher score indicating greater adverse work conditions. The data are reported as score at post-intervention minus score at baseline.

  Baseline, 4 weeks post intervention

Secondary Outcomes (2)

• Change in Safety Practices as Assessed by a Survey

  Baseline, 4 weeks post intervention

• Number of Participants That Implemented the Safety Plan as Assessed by a Survey

  4 weeks post intervention

Study Arms (3)

individual (Brief Motivational Intervention)

EXPERIMENTAL

Behavioral: individual -Brief Motivational Intervention (BMI)

Group (Group Problem Solving)

EXPERIMENTAL

Behavioral: Group (Group Problem Solving)

Standard of Care

PLACEBO COMPARATOR

Behavioral: Standard of Care (OSHA 10 Safety Cards)

Interventions

individual -Brief Motivational Intervention (BMI) BEHAVIORAL

A baseline survey will be administered prior to the session.Sessions will be initiated by exploring working conditions and psychosocial factors that may influence risk for work related injuries. If the LDL is motivated to change the target behavior, a 'change plan' will be developed which involves identifying reasons for change, goals in making change, specific actions and timelines, and others who may help the person change. The final step will be the development of a personal safety plan to reduce work place risks and a discussion of the following topics: (a) how they will know if their plan is successful, (b) potential obstacles, and (c) what the worker can do if the plan does not work. Finally,each worker will be asked to write and sign a personal pledge ("Mi Promesa") to implement his own safety plan.Follow-up surveys will be conducted 4 weeks after the baseline survey.

individual (Brief Motivational Intervention)

Group (Group Problem Solving) BEHAVIORAL

Participants will be administered a baseline survey prior to session. The GPS intervention consists of a discussion between 2-5 LDLs and a trained group facilitator. The sessions will last 30-45 minutes and are intended to encourage and support Latino day laborers (LDL) to act to reduce work-related hazards and promote worksite safety. The intervention combines four participatory and group problem solving activities to engage in collaborative learning: an icebreaker, the risk identification, action planning, and Nuestra Promesa (Our Pledge). The last activity requires LDL to select a risk reduction behavior and then to fill out and sign a card detailing a pledge to implement a safety plan. Follow up surveys will be conducted four weeks post intervention, to assess participants' change in attitudes, beliefs, and risk reducing behavior and their implementation or their safety plan.

Group (Group Problem Solving)

Standard of Care (OSHA 10 Safety Cards) BEHAVIORAL

Participant will be administered a baseline survey prior to the session.Participants in this standard of care control group will receive four wallet size cards with information about risk reduction strategies to deal with the four hazards responsible for most workplace fatalities in Texas: falls, struck by, heat exposure and cuts. The laminated cards are adapted from OSHA's website publicly available materials in Spanish for workers with limited literacy.

Standard of Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• self-identify as Hispanic or Latino
• be present at the corner for the purpose of looking for work

You may not qualify if:

• have not been previously hired to work at a corner
• symptoms of COVID-19 in the previous 48 hours

Sponsors & Collaborators

• The University of Texas Health Science Center, Houston: lead
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

The University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

MeSH Terms

Interventions

Population Groups; Standard of Care

Intervention Hierarchy (Ancestors)

Demography; Population Characteristics; Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Results Point of Contact

• Title: Maria Eugenia Fernandez-Esquer
• Organization: The University of Texas Health Science Center at Houston

Maria.E.Fernandez-Esquer@uth.tmc.edu

(713) 500-9657

Study Officials

• Maria Eugenia Fernandez-Esquer, MD

  The University of Texas Health Science Center, Houston

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

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

Model Details: Cluster randomized

Study Record Dates

• First Submitted: March 11, 2021
• First Posted: March 16, 2021
• Study Start: May 11, 2021
• Primary Completion: November 2, 2021
• Study Completion: November 2, 2021
• Last Updated: December 23, 2022
• Results First Posted: December 23, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)