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

Author

Listed:
  • Susan E. Peters

    (Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Michael P. Grant

    (Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Justin Rodgers

    (Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

  • Justin Manjourides

    (Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

  • Cassandra A. Okechukwu

    (Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Jack T. Dennerlein

    (Harvard Center for Work, Health and Wellbeing, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
    Department of Physical Therapy, Movement and Rehabilitation Science, Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

Abstract

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.

Suggested Citation

  • Susan E. Peters & Michael P. Grant & Justin Rodgers & Justin Manjourides & Cassandra A. Okechukwu & Jack T. Dennerlein, 2018. "A Cluster Randomized Controlled Trial of a Total Worker Health ® Intervention on Commercial Construction Sites," IJERPH, MDPI, vol. 15(11), pages 1-20, October.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2354-:d:178152
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    References listed on IDEAS

    as
    1. Nicola Magnavita, 2018. "Obstacles and Future Prospects: Considerations on Health Promotion Activities for Older Workers in Europe," IJERPH, MDPI, vol. 15(6), pages 1-14, May.
    2. Nicola Magnavita, 2018. "Medical Surveillance, Continuous Health Promotion and a Participatory Intervention in a Small Company," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
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    Cited by:

    1. Susan E. Peters & Hao D. Trieu & Justin Manjourides & Jeffrey N. Katz & Jack T. Dennerlein, 2020. "Designing a Participatory Total Worker Health ® Organizational Intervention for Commercial Construction Subcontractors to Improve Worker Safety, Health, and Well-Being: The “ARM for Subs” Trial," IJERPH, MDPI, vol. 17(14), pages 1-15, July.
    2. Ami Sedani & Derry Stover & Brian Coyle & Rajvi J. Wani, 2019. "Assessing Workplace Health and Safety Strategies, Trends, and Barriers through a Statewide Worksite Survey," IJERPH, MDPI, vol. 16(14), pages 1-14, July.
    3. Aurora B. Le & Abdulrazak O. Balogun & Todd D. Smith, 2022. "Long Work Hours, Overtime, and Worker Health Impairment: A Cross-Sectional Study among Stone, Sand, and Gravel Mine Workers," IJERPH, MDPI, vol. 19(13), pages 1-9, June.
    4. Achim Siegel & Aileen C. Hoge & Anna T. Ehmann & Peter Martus & Monika A. Rieger, 2021. "Attitudes of Company Executives toward a Comprehensive Workplace Health Management—Results of an Exploratory Cross-Sectional Study in Germany," IJERPH, MDPI, vol. 18(21), pages 1-20, October.
    5. Gretchen Macy & Jacqueline Basham & Cecilia Watkins & Vijay Golla, 2021. "Workplace Health in Kentucky: A Statewide Comparison," IJERPH, MDPI, vol. 18(10), pages 1-10, May.
    6. Nufail Khan & Alison Kennedy & Jacqueline Cotton & Susan Brumby, 2019. "A Pest to Mental Health? Exploring the Link between Exposure to Agrichemicals in Farmers and Mental Health," IJERPH, MDPI, vol. 16(8), pages 1-20, April.

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