Burnout, Caregiver, Musculoskeletal Pain, Work-Related Condition, Work-related Injury
Conditions
Keywords
participatory, employee engagement, process evaluation, work ability
Brief summary
Safety & Health through Integrated, Facilitated Teams (SHIFT) is an intervention study to enhance employee health, safety, and well-being in public sector healthcare institutions in New England. The investigators will evaluate the effectiveness of an adapted form of the Center for the Promotion of Health in the New England Workplace (CPH-NEW) Healthy Workplace Participatory Program (HWPP) for strengthening cohesiveness, engagement, and impact of pre-existing joint labor-management health and safety committees. The sites are enrolled in three pairs, matched by agency and type of services. For each pair of sites, one will be randomly selected for immediate HWPP coaching. The paired organization will serve as a control until the study mid-point, at which time all sites will be coached. Process evaluations will examine barriers to and facilitators of program uptake, reach, and effectiveness. Survey data and injury records will be examined in intervention and control groups to describe the frequencies of workplace and non-occupational exposures of selected health outcomes.
Detailed description
Safety & Health through Integrated, Facilitated Teams (SHIFT) is a five-year study with etiologic, intervention, and translational research components. Six public sector healthcare institutions are enrolled, in three pairs matched by agency and type of services. The sites are four Massachusetts state healthcare facilities, which have recently been mandated by law to achieve "Occupational Health and Safety Administration (OSHA) equivalent compliance," and two Veterans Administration facilities each of which has multiple nationally mandated programs addressing employee health and safety. Using a "stepped wedge" design, one of each pair will be randomly selected as the immediate intervention site, while the other facility will be the concurrent control or "lagged intervention" site, having access only to technical reports and information until mid-project, when it will also receive the full intervention. The intervention is the CPH-NEW Healthy Workplace Participatory Program (HWPP), a process for increasing the effectiveness of occupational health and safety committees or peer-led employee teams, through root cause analysis, prioritizing health and safety needs for effective problem-solving, identifying feasible interventions, and presenting these to leadership. Each facility has a pre-existing labor-management health and safety committee (HSC), which is the unit of intervention, so the HWPP will be adapted to joint management-labor teams. The committee is a partner in designing the program to fit the constraints and needs of the specific workplace and workforce. The research team provides training, coaching in the HWPP process, technical information, and practical assistance to committee members, facilitators, champions and leadership. Etiologic research will entail analysis of baseline data for cross-sectional associations of work organization with worker health indicators. Intervention research will entail effectiveness and cost-outcome analysis of the HWPP. Outcomes will be both generic indicators of employee well-being and specific outcomes appropriate to the topics that the HSC's select for intervention. Translational research (process evaluation) will evaluate the efficacy of the dissemination and training strategy, as well as obstacles to and facilitators of uptake and implementation.
Interventions
OTHERCPH-NEW Healthy Workplace Participatory Program
A participatory program for increasing effectiveness of occupational health and safety committees or peer-led employee teams through root cause analysis, prioritizing health and safety needs for effective problem-solving, identifying feasible interventions, and presenting these to senior leadership. Interventions are selected and implemented by leadership and evaluated by both teams.
Sponsors
University of Massachusetts, Lowell
National Institute for Occupational Safety and Health (NIOSH/CDC)
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Direct employee of the agency (not temporary agency or subcontractor)
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Team Attendance | Through study completion, an average of three years | Attendance for each Design Team meeting (1-2 times per month) |
| Change in Team Engagement | Through study completion, an average of three years | Percentage of yes responses for 2 survey items collected following Design Team meetings (1-2 times per month): "I spoke up and gave my opinion at this meeting" and "My opinion was considered seriously by others at this meeting." (Yes, no, somewhat). Items are computed individually. |
| Change in Level of Committee Activity | Through study completion, an average of three years | A qualitative summary of field notes collected by research personnel following Design Team meetings (1-2 times per month) over the course of the study |
| Change in team-selected health/safety/well-being issue | Through study completion, an average of two years | Targeted pre- and post-intervention surveys will be designed and administered by the Design Team |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of content followed according to the HWPP protocol | Through study completion, an average of three years | A process measure that will be determined by adherence to HWPP protocol and pre-designed agendas for Design Team meetings (1-2 times per month) |
| Change in scope of health/safety/well-being | Through study completion, an average of three years | Periodic interviews, designed by the research team, will be conducted with Design Team co-facilitators and Steering Committee Champions, and compared to results from baseline leadership interviews, designed by the research team, regarding scope of health/safety/well-being |
| Shared labor-management awareness of job-related health issues | Through study completion, an average of two years | Interim interviews, designed by the research team, will be conducted with Design Team co-facilitators and Steering Committee Champions. |
| Work Ability of Employees | Prior to random selection of immediate and delayed intervention site, and 3 years later | The "All-Employee Survey" includes items from the Work Ability Index (Ilmarinen, 1991). Scores range from 7-49. Higher scores indicate better work ability. |
| Quality of Care of Patients/Residents: All-Employee Survey | Prior to random selection of immediate and delayed intervention site, and 3 years later | The "All-Employee Survey" includes three items related to quality of care from Aiken et al., 2002. Items are computed individually. |
| Organizational Support for Health, Safety, and Wellbeing | Prior to random selection of immediate and delayed intervention site, and 3 years later | The "All-Employee Survey" includes eight selected items from the Nordic Occupational Safety Climate Questionnaire (NOSACQ50). The score is an average of the 8 items. The score ranges from 1-4, where higher scores indicate better support from management for safety. |
| Employee Burnout: Exhaustion and Disengagement | Prior to random selection of immediate and delayed intervention site, and 3 years later | The "All-Employee Survey" includes 6 questions, 3 related to exhaustion and 3 related to disengagement (Demerouti, 2000; Halbeslebeni 2005). The score is an average of the items. The score ranges from 1-5, where higher scores indicate more exhaustion and more disengagement. |
| Frequency of Threats, Assault, and Harassment of Employees | Prior to random selection of immediate and delayed intervention site, and 3 years later | The "All-Employee Survey" includes 3 questions designed by the research team, including "In the past 6 months have you experienced someone who threatened to physically hurt or assault you?" "In the past 6 months have you experienced someone who did hurt or assault you?" "In the past 6 months have you experienced someone who sexually harassed you?" (Response categories: none, patient/family member/visitor, supervisor, other employee). Items are computed individually. |
| Change in Worker Injuries | Through study completion, an average of five years | Annual rates of work-related injuries reported to the Workers' Compensation system - overall and by job type, and selected subgroups such as assault or back injury |
| Musculoskeletal Pain | Prior to random selection of immediate and delayed intervention site, and 3 years later | The "All-Employee Survey" includes questions related to musculoskeletal pain in various body regions (low back, shoulder/upper arm, forearm/wrist/hand, knee, neck, ankle/foot) in the last three months. Level of discomfort (none, mild, moderate, severe, extreme) and measures of severity (use of pain relievers, surgery/physical therapy) are also included for each body region. Pain in each body region is computed individually. |
Contacts
PRINCIPAL_INVESTIGATORLaura Punnett, ScD
University of Massachusetts, Lowell
Outcome results
None listed