Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment (All the Right Moves for Subcontractors)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 144
- Locations
- 2
- Primary Endpoint
- Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •All workers employed by the recruited contractors at the eligible worksites
Exclusion Criteria
- •Companies with less than 5 workers
Outcomes
Primary Outcomes
Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers
Time Frame: 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.
Time Frame: 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
Time Frame: 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
Time Frame: 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)
Time Frame: 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 Outcomes
- 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)
- 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)
- Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.(Change from Baseline at 2 months, 4 months, and 6 months)
- Worker Health Behaviors: Diet(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)
Investigators
Jack Dennerlein
Associate Director, Center for Work, Health, & Well-being
Harvard School of Public Health (HSPH)