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

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

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03781245
Acronym
ARM For SUBS
Enrollment
144
Registered
2018-12-19
Start date
2018-07-24
Completion date
2020-11-20
Last updated
2021-11-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain, Safety Climate, Worker Health, Work Injury

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.

Interventions

OTHERAll 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.

Sponsors

Harvard School of Public Health (HSPH)
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

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

Exclusion criteria

* Companies with less than 5 workers

Design outcomes

Primary

MeasureTime frameDescription
Worker Outcomes: Injury assessed by the Nordic Musculoskeletal QuestionnaireChange from Baseline at 2 months, 4 months, and 6 monthsNMQ 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 QuestionnaireChange from Baseline at 2 months, 4 months, and 6 monthsNMQ 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 monthsWork Productivity and Activity Impairment Questionnaire (WPAI) measures impairment due to the specified problem and all health problems. Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workersChange from Baseline at 2 months, 4 months, and 6 monthsQuestions 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 monthsJorgensen, 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

Secondary

MeasureTime frameDescription
Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale.Change from Baseline at 2 months, 4 months, and 6 monthsUses 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: DietChange from Baseline at 2 months, 4 months, and 6 monthsPrimeScreen 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
Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.Change from Baseline at 2 months, 4 months, and 6 monthsUses 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: Leisure Physical ActivityChange from Baseline at 2 months, 4 months, and 6 monthsInternational 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 NIAAAChange from Baseline at 2 months, 4 months, and 6 monthsNational 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
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 monthsDichotomous 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 monthsUses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek\_et\_al\_\_1998 Scale:0-1 0:minimum 1:maximum

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026