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

Pain Clinical Trial

— ARM For SUBS  

Official title:

Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment (All the Right Moves for Subcontractors)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03781245
• Other study ID #: IRB13-1948
• Status: Completed
• Phase: N/A
• Start date: July 24, 2018
• Est. completion date: November 20, 2020

Study information

• Verified date: November 2021
• Source: Harvard School of Public Health (HSPH)
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 144
• Est. completion date: November 20, 2020
• Est. primary completion date: September 28, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

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

Exclusion Criteria:

• Companies with less than 5 workers

Related Conditions & MeSH terms

• Pain
• Safety Climate
• Work Injury
• Worker Health

Intervention

Other:
• All the Right Moves for Subcontractors
"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.

Locations

Country	Name	City	State
United States	Harvard T.H. Chan School of Public Health	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Harvard School of Public Health (HSPH)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Peters SE, Trieu HD, Manjourides J, Katz JN, Dennerlein JT. Designing a Participatory Total Worker Health(®) 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). pii: E5093. doi: 10.3390/ijerph17145093. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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
Primary	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
Primary	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	Worker Health Behaviors: Diet	PrimeScreen Questionnaire; Rifas-Shiman SL, Willett WC, Lobb R, Kotch J, Dart C, Gillman MW. PrimeScreen, a brief dietary screening tool: reproducibility and comparability with both a longer food frequency questionnaire and biomarkers. Public Health Nutr. 2001 Apr;4(2):249-54 Scale: 0-4 0:minimum 4:maximum	Change from Baseline at 2 months, 4 months, and 6 months
Secondary	Worker Health Behaviors: Leisure Physical Activity	International Physical Activity Questionnaire (Short Form)http://uacc.arizona.edu/sites/default/files/ipaq_english_telephone_short.pdf Scale: 0-7 days 0=minimum 7=maximum	Change from Baseline at 2 months, 4 months, and 6 months
Secondary	Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA	National Institute on Alcohol Abuse and Alcoholism Scale:0-9 0:minimum 9:maximum https://www.niaaa.nih.gov/research/guidelines-and-resources/recommended-alcohol-questions	Change from Baseline at 2 months, 4 months, and 6 months
Secondary	Worker Health Behaviors: Tobacco Use assessed by modifying questions from the National Adult Tobacco Survey (NATS)	Dichotomous questions adapted from the National Adult Tobacco Survey (NATS) Scale:0-2 0:minimum 2:maximum	Change from Baseline at 2 months, 4 months, and 6 months
Secondary	Psychosocial Work Environment: Co-worker Support assessed by assessed by Job Content Questionnaire (JCQ), a validated scale.	Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum; 1:maximum	Change from Baseline at 2 months, 4 months, and 6 months
Secondary	Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale.	Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum; 1:maximum	Change from Baseline at 2 months, 4 months, and 6 months
Secondary	Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.	Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum; 1:maximum	Change from Baseline at 2 months, 4 months, and 6 months

External Links

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