@article{0739f0de05ba4229b1b9d107f5768bff,
title = "From research-to-practice: An adaptation and dissemination of the compass program for home care workers",
abstract = "The COMmunity of Practice And Safety Support (COMPASS) program was developed to prevent injuries and advance the health and well-being of home care workers. The program integrates elements of peer-led social support groups with scripted team-based programs to help workers learn together, solve problems, set goals, make changes, and enrich their supportive professional network. After a successful pilot study and randomized controlled trial, COMPASS was adapted for the Oregon Home Care Commission{\textquoteright}s training system for statewide dissemination. The adapted program included fewer total meetings (7 versus 13), an accelerated meeting schedule (every two weeks versus monthly), and a range of other adjustments. The revised approach was piloted with five groups of workers (total n = 42) and evaluated with pre-and post-program outcome measures. After further adjustments and planning, the statewide rollout is now in progress. In the adaptation pilot several psychosocial, safety, and health outcomes changed by a similar magnitude relative to the prior randomized controlled trial. Preliminary training evaluation data (n = 265) show high mean ratings indicating that workers like the program, find the content useful, and intend to make changes after meetings. Facilitating factors and lessons learned from the project may inform future similar efforts to translate research into practice.",
keywords = "Dissemination, Health, Home care workers, Occupational, Safety, Well-being, Workplace",
author = "Ryan Olson and Hess, {Jennifer A.} and Parker, {Kelsey N.} and Thompson, {Sharon V.} and Anjali Rameshbabu and Rhoten, {Kristy Luther} and Miguel Marino",
note = "Funding Information: Other dissemination research highlights the importance of commitment from organizational leaders (including financial support) and the presence of workplace champions. The successful large-scale adoption of the evidence-based Stand Up Australia intervention (disseminated as the BeUpstanding ProgramTM) was attributed by researchers in part to a strong partnership with and timely funding support from the adopter (government, in this case). The authors also reported the importance of packaging the intervention into an online toolkit, and then transferring the toolkit to a workplace champion. The toolkit helped champions by providing practical strategies for making a business case for the intervention, obtaining buy-in from organizational leaders, and how to deliver and evaluate the program [19]. Qualitative research with adopters and non-adopters of the evidence-based PHLAME wellness program for firefighters highlighted the importance of a committed chief and the presence of a workplace wellness champion at adopting fire stations (i.e., the “champ-and-chief” model of adoption) [20]. Funding Information: The original three-year long COMPASS research project [21] included intervention development followed by a pilot study [22] and cluster RCT [10]. The original trial design involved baseline, 6 month, and 12 month measurements. Participants were recruited from among the population of HCWs caring for consumer-employers who qualified for publicly funded home care services through the OHCC managed system. As the RCT was underway, the Oregon Healthy Workforce Center applied for and was awarded an additional two years of funding. In that extended two-year agenda an additional follow-up measurement was added (≈24 months post-baseline), as well as qualitative research focused on caregivers{\textquoteright} experiences at work and in the COMPASS program [2]. Further research was planned to conduct interviews with leaders and workers at private home care agencies to inform future dissemination in that industry segment. However, when the opportunity arose to adapt and potentially disseminate COMPASS within the OHCC training system, dissemination aims with private agencies were postponed and the intervention was adapted and piloted for dissemination in the Commission{\textquoteright}s training program. Translation and dissemination efforts continued after research grant funding for COMPASS ended in 2016. Further adaptation of the intervention materials and process was completed with financial support from the Commission and the Oregon Institute of Occupational Health Sciences at Oregon Health & Science University. In the Fall of 2017 COMPASS was added to the OHCC{\textquoteright}s training system as a paid course offering for workers. Below we describe the methods for each phase of the COMPASS research with an emphasis on how intervention materials and processes were adapted, piloted, and translated into practice. Funding Information: Funding: This research was funded by the National Institute for Occupational Safety & Health grant number (U19 OH010154), a contract from the Oregon Home Care Commission, and the Oregon Institute of Occupational Health Sciences.",
year = "2018",
month = dec,
doi = "10.3390/ijerph15122777",
language = "English (US)",
volume = "15",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "12",
}