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

Not Applicable

Completed

• Conditions: Work Injury; Worker Health; Safety Climate; Pain
• Interventions: Other: All the Right Moves for Subcontractors

• Registration Number: NCT03781245
• Lead Sponsor: Harvard School of Public Health (HSPH)

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-07-24
• Study First Submitted: 2018-11-20
• Study First Submitted QC: 2018-12-18
• Study First Posted: 2018-12-19
• Primary Completion: 2020-09-28
• Study Completion: 2020-11-20
• Status Verified: 2021-11
• Last Update Submitted: 2021-11-03
• Last Update Posted: 2021-11-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 144

Inclusion Criteria

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

Exclusion Criteria

• Companies with less than 5 workers

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Lagged	All the Right Moves for Subcontractors	Intervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently.
Early	All the Right Moves for Subcontractors	Intervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently.

Primary Outcome Measures

Name	Time	Method
Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers	Change from Baseline at 2 months, 4 months, and 6 months	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
Enterprise Outcomes: Safety Climate assessed by using the validated scale: An English/Spanish safety climate scale for construction workers.	Change from Baseline at 2 months, 4 months, and 6 months	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
Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire	Change from Baseline at 2 months, 4 months, and 6 months	NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum; 1:maximum
Worker Outcomes: Pain assessed by the Nordic Musculoskeletal Questionnaire	Change from Baseline at 2 months, 4 months, and 6 months	NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum; 1:maximum
Enterprise Outcomes: Work Productivity and Activity Impairment assessed by Work Productivity and Activity Impairment Questionnaire (WPAI)	Change from Baseline at 2 months, 4 months, and 6 months	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

Secondary Outcome Measures

Name	Time	Method
Worker Health Behaviors: Leisure Physical Activity	Change from Baseline at 2 months, 4 months, and 6 months	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
Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA	Change from Baseline at 2 months, 4 months, and 6 months	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
Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale.	Change from Baseline at 2 months, 4 months, and 6 months	Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum; 1:maximum
Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.	Change from Baseline at 2 months, 4 months, and 6 months	Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum; 1:maximum
Worker Health Behaviors: Diet	Change from Baseline at 2 months, 4 months, and 6 months	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
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	Dichotomous questions adapted from the National Adult Tobacco Survey (NATS) Scale:0-2 0:minimum 2:maximum
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	Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum; 1:maximum

Trial Locations

Locations (1)

Harvard T.H. Chan School of Public Health; 🇺🇸 Boston, Massachusetts, United States