A Policy Developed Intervention With Additional Participatory Dialogue and Guidance for Improved Occupational Health and Safety (OHS) Among Workplaces With WEA (Working Environment Authority) Violations
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 4,500
- 试验地点
- 2
- 主要终点
- WEA notices - all
研究概览
简要总结
With the aim to inspire and motivate workplaces in their work to prevent and reduce occupational health and safety hazards, the Danish Working Environment Authority (WEA) developed the intervention 'Dialogue and Guidance' aimed at workplaces receiving notices (prohibition notice, immediate improvement notice and notice with time limit) from WEA during inspections. At present, WEA gives dialogue and guidance as standard practice during WEA inspections to all workplaces receiving a notice with the purpose to help workplaces resolve the occupational health and safety problem that led to the notice. In the intervention 'Dialogue and Guidance' the experimental groups are receiving additional dialogue and guidance at a subsequent meeting (over the telephone or physical presence) that takes place after the inspection and after the deadline for appealing the notice has expired. The control group is receiving dialogue and guidance during inspection as usual.
The aim of this RCT study is to evaluate the policy-developed intervention with additional 'Dialogue and Guidance' in regards to the effect on motivation and priority of occupational health and safety work at the workplace after 6 months follow-up and for WEA notices by next WEA inspection (approx. follow-up by 12-18 months).
Study is risk assessed and approved under Danish Data Protection Agency via the National Research Centre for the Working Environment's umbrella approval.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
盲法说明
None (Open Label) During inspection by the WEA the intervention status is masked for both the inspector and the assessed workplace. After the inspection is complete and all violation notices are sent to the company, the intervention group additionally receives invitation to a dialogue and guidance meeting. From this point the intervention is not masked.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects under inspection are workplaces, and respondents of the questionnaires are the workplace manager and a work environment representative or shop steward.
- •Inclusion Criteria:
- •Workplaces (production units) who receives a WEA notice during WEA inspection through the period of intervention. The following WEA notices are included:
- •Immediate improvement notice
- •Notice with time limit (material)
排除标准
- •Companies with 0-1 employees.
- •Production units from the construction industry met on temporary worksites (such as construction sites) that have more than one employee and does not have a certified occupational health and safety management system.
- •Companies receiving notices only about issues in the formal/procedural aspects of the work environment (such as flaws in the workplace risk assessment) and no other notices.
- •Companies receiving more than four reactions from WEA at the inspection (as these receive a competency notice and are not included in the study).
- •Companies that receive a prohibition notice by the WEA inspector due to severity of work environment violations.
- •A WEA improvement notice is not eligible for inclusion in the study if the workplace has entered into a collaborative agreement with WEA on improvement of the issue, or if they have received a competency notice on the WEA issue.
- •Companies receiving WEA inspections in relation to initiatives targeting social dumping
结局指标
主要结局
WEA notices - all
时间窗: Through study completion, approx. 12-18 months
Change from baseline WEA inspection in number of received WEA notices at next WEA inspection (approx. 12-18 months after). WEA notices included for study: 1. prohibition notice (all) 2. immediate notice (all) 3. notice with time limit (all) Register data provided by the Danish Labour Authority (Intervention is hypothesized to lead to fewer notices)
WEA notices - specific
时间窗: Through study completion, approx. 12-18 months
Change from baseline WEA inspection in number of WEA notices of the same specific type (topic-code specific) at next WEA inspection (approx. 12-18 months after). WEA notices included for study: 1. prohibition notice (+ topic-code) 2. immediate notice (+ topic-code) 3. notice with time limit (+ topic-code) Register data provided by the Danish Labour Authority (Intervention is hypothesized to lead to fewer notices)
OHS problem solution
时间窗: Baseline to 6 months follow-up
Comparison of item score between intervention groups and comparison group on the following: • One single item on if they solved the OHS problem that led to WEA notice (response categories: yes, no, partially). (Intervention is hypothesized to lead to higher rates of having solved the OHS problems in question)
Sustainable OHS solutions
时间窗: Baseline to 6 months follow-up
Comparison of an index score consisting of two items scored on a 5-point Likert-scale between intervention groups and comparison group on whether the implemented solution to WEA violation has led to sustainable changes in the workplace . Sample item: "The implemented OHS solution to solve the WEA violation makes it unlikely that a similar OHS problem will arise in the future" An index score is calculated from the mean of the two items (i.e. the index has a range from 1 to 5) Higher scores equals higher sustainability of OHS solutions. (intervention is hypothesized to lead to higher values)
次要结局
- Other WEA reactions(Through study completion, approx. 12-18 months)
- OHS motivation(Baseline to 6 months follow-up)
- OHS priority(Baseline to 6 months follow-up)
- OHS practice efficacy(Baseline to 6 months follow-up)
- Diffusion of OHS knowledge(Baseline to 6 months follow-up)
研究者
Johan Simonsen Abildgaard
Senior Researcher
National Research Centre for the Working Environment, Denmark