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Workplace Intervention for Heat Stress: Essential Elements of Design, Implementation, and Assessment

Author

Listed:
  • Jason Glaser

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA)

  • David H. Wegman

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA
    University of Massachusetts Lowell, Lowell, MA 01854, USA)

  • Esteban Arias-Monge

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA
    Unidad de Gestión Ambiental y Seguridad Laboral, Instituto Tecnológico de Costa Rica, 15th Street, 14th Avenue, Cartago 159-7050, Costa Rica)

  • Felipe Pacheco-Zenteno

    (School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Göteborg, Sweden)

  • Heath Prince

    (Ray Marshall Center, LBJ School of Public Affairs, University of Texas at Austin, 3001 Lake Austin Blvd., Ste. 3.200, Austin, TX 78703, USA)

  • Denis Chavarria

    (Occupational Health, Ingenio San Antonio, Chinandega 26100, Nicaragua)

  • William Jose Martinez-Cuadra

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA)

  • Kristina Jakobsson

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA
    School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Göteborg, Sweden
    Occupational and Environmental Medicine, Sahlgrenska University Hospital, 405 30 Göteborg, Sweden)

  • Erik Hansson

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA
    School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Göteborg, Sweden)

  • Rebekah A. I. Lucas

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA
    School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK)

  • Ilana Weiss

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA)

  • Catharina Wesseling

    (La Isla Network, 2219 California Ave NW, #52, Washington, DC 20008, USA
    Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Solnavägen 4, 113 65 Stockholm, Sweden)

Abstract

Heat stress is associated with numerous health effects that potentially harm workers, especially in a warming world. This investigation occurred in a setting where laborers are confronted with occupational heat stress from physically demanding work in high environmental temperatures. Collaboration with a major Nicaraguan sugarcane producer offered the opportunity to study interventions to prevent occupational heat-stress-related kidney disease. Two aims for this study of a rest-shade-water intervention program were: (1) describe the evolving intervention, summarize findings that motivated proposed improvements, assess impact of those improvements, and identify challenges to successful implementation and (2) extract primary lessons learned about intervention research that have both general relevance to investigations of work-related disease prevention and specific relevance to this setting. The learning curve for the various stakeholders as well as the barriers to success demonstrate that effectiveness of an intervention cannot be adequately assessed without considerations of implementation. Designing, effectively implementing, and assessing both health impacts and implementation quality is a resource-intensive endeavor requiring a transdisciplinary approach. Both general and specific lessons learned are presented for decisions on study design and study elements, implementation assessment, and management engagement in understanding how productivity and health can be successfully balanced and for building effective communication between investigators and all levels of management.

Suggested Citation

  • Jason Glaser & David H. Wegman & Esteban Arias-Monge & Felipe Pacheco-Zenteno & Heath Prince & Denis Chavarria & William Jose Martinez-Cuadra & Kristina Jakobsson & Erik Hansson & Rebekah A. I. Lucas , 2022. "Workplace Intervention for Heat Stress: Essential Elements of Design, Implementation, and Assessment," IJERPH, MDPI, vol. 19(7), pages 1-18, March.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3779-:d:776999
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    References listed on IDEAS

    as
    1. Junhyeong Lee & Wanhyung Lee & Won-Jun Choi & Seong-Kyu Kang & Seunghon Ham, 2019. "Association between Exposure to Extreme Temperature and Injury at the Workplace," IJERPH, MDPI, vol. 16(24), pages 1-10, December.
    2. Marshall Burke & Solomon M. Hsiang & Edward Miguel, 2015. "Global non-linear effect of temperature on economic production," Nature, Nature, vol. 527(7577), pages 235-239, November.
    3. Mohammed Al-Bouwarthan & Margaret M. Quinn & David Kriebel & David H. Wegman, 2020. "Risk of Kidney Injury among Construction Workers Exposed to Heat Stress: A Longitudinal Study from Saudi Arabia," IJERPH, MDPI, vol. 17(11), pages 1-16, May.
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    Cited by:

    1. Neil F. Katzman & Navin Pandey & Kent Norsworthy & John-Michael Maury & Sabrina Lord & Laura E. Tomedi, 2023. "Healthcare Sustainability: Educating Clinicians through Telementoring," Sustainability, MDPI, vol. 15(24), pages 1-11, December.
    2. Samira Barbara Jabakhanji & Stephen Robert Arnold & Kristin Aunan & Matthew Francis Chersich & Kristina Jakobsson & Alice McGushin & Ina Kelly & Niall Roche & Anne Stauffer & Debbi Stanistreet, 2022. "Public Health Measures to Address the Impact of Climate Change on Population Health—Proceedings from a Stakeholder Workshop," IJERPH, MDPI, vol. 19(20), pages 1-18, October.

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