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Active, Not Recruiting

NCT Number: NCT06058949

Health Protection and Promotion of Sign Language Interpreters Through Implementation of Total Worker Health®

Using mixed-methods and a clinical efficacy trial design, the overall objective of this study will employ implementation strategies to adapt and evaluate a previous integrated Total Worker Health® (TWH®) program and pilot test its efficacy on sign language interpreter well-being. The central hypothesis is that interpreters in the health protection and promotion program (intervention) will demonstrate significantly improved well-being compared to those in a general health program (control).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Conditions

Well-Being, Psychological Behavior Personal Satisfaction Psychological Well-Being

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Rochester Medical Center

Rochester, New York, 14642, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Bilingual in English and American Sign Language
  • Certified sign language interpreter working at least 10 hours/week in any interpreter setting.
  • Apparently healthy

Exclusion criteria

  • Less than 18 year old
  • Not yet certified as a sign language interpreter
  • Unable to provide consent

Treatment and study plan

Health Protection and Promotion

Behavioral

An adaptive integrated Total Worker Health® program. Virtual 8-week program that's been contextualized to the physical and mental health needs of sign language interpreters. It will examine biomechanics, sleep hygiene, vicarious trauma and burnout, demand-control schema, physical activity, emotional management strategies, proper nutrition and examination of worksite.

General Health Program

Behavioral

Virtual 8-week program that addresses participant sleep hygiene, physical activity and proper nutrition.

Primary outcomes

  1. mean change in acceptability using the Training Acceptability Rating Scale-1 (TARS-1)

    Time frame: 15 to 24 months

    TARS-1 measures acceptability using six items (1=strongly disagree; 6=strongly agree) and demonstrates good test-retest reliability, internal consistency, and construct and concurrent validity. The scale ranges from 6 to 36 with higher scores indicating better acceptability.

  2. mean change in acceptability using the Training Acceptability Rating Scale-2 (TARS-2)

    Time frame: 15 to 24 months

    TARS-2 assesses perceived impact with eight items (0=not at all; 3=a great deal) and demonstrates good face and concurrent validity. Of particular interest, TARS-2 also includes three qualitative items asking about the most helpful part of the program and any recommended changes and invites other comments. The scale ranges from 0-24 with higher scores indicating better outcomes.

  3. mean change in Acceptability, Feasibility, and Appropriateness Scale

    Time frame: 15 to 24 months

    This acceptability (six items), feasibility (three items), and appropriateness (five items) instrument will be used to assess whether or not the intervention efforts were successful. The 14 total items across three subscales demonstrate good to excellent internal consistency and are rated on a five-point scale (1=not at all; 5=extremely). High scores of 30, 15, and 25 and low scores of 6, 3, and 5 indicate excellent and poor acceptability, feasibility, and appropriateness, respectively.

  4. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- work evaluation and experience

    Time frame: baseline to post intervention (approximately 15-24 months)

    Work evaluation and experience is the first of five domains in this comprehensive measure of worker well-being and has 16 total questions. Total summed scores within this section range from 23-128 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  5. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- work evaluation and experience

    Time frame: baseline to 6 months post intervention (approximately 21-30 months)

    Work evaluation and experience is the first of five domains in this comprehensive measure of worker well-being and has 16 total questions. Total scores within this section range from 23-128 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  6. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- workplace policies and culture

    Time frame: baseline to post intervention (approximately 15-24 months)

    Workplace policies and culture is the second of five domains in this comprehensive measure of worker well-being and has 14 total questions. Total scores within this section range from 12-75 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  7. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- workplace policies and culture

    Time frame: baseline to 6 months post intervention (approximately 21-30 months)

    Workplace policies and culture is the second of five domains in this comprehensive measure of worker well-being and has 14 total questions. Total scores within this section range from 12-75 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  8. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- workplace physical environment and safety climate

    Time frame: baseline to post intervention (approximately 15-24 months)

    Workplace physical environment and safety climate is the third of five domains in this comprehensive measure of worker well-being and has 10 total questions. Total scores within this section range from 14-60 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  9. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- workplace physical environment and safety climate

    Time frame: baseline to 6 months post intervention (approximately 21-30 months)

    Workplace physical environment and safety climate is the third of five domains in this comprehensive measure of worker well-being and has 10 total questions. Total scores within this section range from 14-60 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  10. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- health status

    Time frame: baseline to post intervention (approximately 15-24 months)

    Health status is the fourth of five domains in this comprehensive measure of worker well-being and has 23 total questions. There are five open text box items within this section (i.e. asking for the number of days the respondent gets high intensity physical activity). Otherwise, total scores of the Likert scale items within this section range from 24-146 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  11. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- health status

    Time frame: baseline to 6 months post intervention (approximately 21-30 months)

    Health status is the fourth of five domains in this comprehensive measure of worker well-being and has 23 total questions. There are five open text box items within this section (i.e. asking for the number of days the respondent gets high intensity physical activity). Otherwise, total scores of the Likert scale items within this section range from 24-146 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  12. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- home, community, and society

    Time frame: baseline to post intervention (approximately 15-24 months)

    Home, community, and society is the final domain in this comprehensive measure of worker well-being and has 5 total questions. Total scores within this section range from 11-65 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

  13. mean change in the National Institute of Occupational Safety and Health's Worker Well-Being Questionnaire- home, community, and society

    Time frame: baseline to 6 months post intervention (approximately 21-30 months)

    Home, community, and society is the final domain in this comprehensive measure of worker well-being and has 5 total questions. Total scores within this section range from 11-65 with higher scores indicating better outcomes (accounting for inverse scoring on negative items).

Sponsors and collaborators

Lead sponsor

University of Rochester

Other

Collaborators

  • Centers for Disease Control and Prevention

Registry information

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Sep 28, 2023
Registry last updated
May 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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