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Completed

NCT Number: NCT03781245

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

"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.

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Key information

Conditions

Worker Health Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Safety Climate Signs and Symptoms Work Injury

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Harvard T.H. Chan School of Public Health

Boston, Massachusetts, 02115, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

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

Exclusion criteria

  • Companies with less than 5 workers

Treatment and study plan

All the Right Moves for Subcontractors

Other

"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.

Other names: ARM for SUBS

Primary outcomes

  1. Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum

    1:maximum

  2. Worker Outcomes: Pain assessed by the Nordic Musculoskeletal Questionnaire

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum

    1:maximum

  3. Enterprise Outcomes: Work Productivity and Activity Impairment assessed by Work Productivity and Activity Impairment Questionnaire (WPAI)

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    Work Productivity and Activity Impairment Questionnaire (WPAI) measures impairment due to the specified problem and all health problems.

    Scale:0-1 0:minimum

    1:maximum

  4. Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    Questions 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

  5. Enterprise Outcomes: Safety Climate assessed by using the validated scale: An English/Spanish safety climate scale for construction workers.

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    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

Secondary outcomes

  1. Worker Health Behaviors: Diet

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    PrimeScreen 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

  2. Worker Health Behaviors: Leisure Physical Activity

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    International 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

  3. Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    National 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

  4. Worker Health Behaviors: Tobacco Use assessed by modifying questions from the National Adult Tobacco Survey (NATS)

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    Dichotomous questions adapted from the National Adult Tobacco Survey (NATS) Scale:0-2 0:minimum 2:maximum

  5. Psychosocial Work Environment: Co-worker Support assessed by assessed by Job Content Questionnaire (JCQ), a validated scale.

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum

    1:maximum

  6. Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale.

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum

    1:maximum

  7. Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.

    Time frame: Change from Baseline at 2 months, 4 months, and 6 months

    Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum

    1:maximum

Sponsors and collaborators

Lead sponsor

Harvard School of Public Health (HSPH)

Other

Registry information

Official study title

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

Acronym: ARM For SUBS

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Dec 19, 2018
Registry last updated
Nov 10, 2021

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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