A Cluster Randomized Controlled Trial of a Total Worker Health® Intervention on Commercial Construction Sites

Bibliographic Data

ID15470586
AuthorsSusan E Peters (0000-0002-2705-643X, Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA), Michael P Grant (0000-0002-2948-8391, Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA), Jordan Rodgers (0000-0002-5018-8684, Northeastern University), Justin Rodgers (Northeastern University), Justin Manjourides (0000-0002-2454-4489, Northeastern University), Cassandra A Okechukwu (0000-0002-4429-7120, Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA), Jack T Dennerlein (0000-0001-7703-643X, Northeastern University, corresponding author)
Year2018
Volume15
Issue11
Pages2354-2354
Publication date2018-10-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15112354
PMID30366387
OpenAlexW2898131103
LanguageEN
Citations received10
References cited55

This study evaluated the efficacy of an integrated Total Worker Health ® program, "All the Right Moves", designed to target the conditions of work and workers' health behaviors through an ergonomics program combined with a worksite-based health promotion Health Week intervention. A matched-pair cluster randomized controlled trial was conducted on ten worksites (five intervention ( n = 324); five control sites ( n = 283)). Worker surveys were collected at all sites pre- and post- exposure at one- and six-months. Linear and logistic regression models evaluated the effect of the intervention on pain and injury, dietary and physical activity behaviors, smoking, ergonomic practices, and work limitations. Worker focus groups and manager interviews supplemented the evaluation. After controlling for matched intervention and control pairs as well as covariates, at one-month following the ergonomics program we observed a significant improvement in ergonomic practices (B = 0.20, p = 0.002), and a reduction in incidences of pain and injury (OR = 0.58, p = 0.012) in the intervention group. At six months, we observed differences in favor of the intervention group for a reduction in physically demanding work (B = -0.25, p = 0.008), increased recreational physical activity (B = 35.2, p = 0.026) and higher consumption of fruits and vegetables (B = 0.87, p = 0.008). Process evaluation revealed barriers to intervention implementation fidelity and uptake, including a fissured multiemployer worksite, the itinerant nature of workers, competing production pressures, management support, and inclement weather. The All the Right Moves program had a positive impact at the individual level on the worksites with the program. For the longer term, the multi-organizational structure in the construction work environment needs to be considered to facilitate more upstream, long-term changes

Cluster (spacecraft · Cluster randomised controlled trial · Environmental health · Health promotion · Injury prevention · Intervention (counseling · Logistic regression · Occupational safety and health · Physical therapy · Poison control · Public health · Randomized controlled trial · Recreation · Suicide prevention · Workplace health promotion · Human Factors and Ergonomics · Medicine · Musculoskeletal pain and rehabilitation · Nursing · Occupational Health and Safety Research · Psychology · Workplace Health and Well-being · Surgery

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