TY - JOUR
T1 - Safety and health support for home care workers
T2 - The COMPASS randomized controlled trial
AU - Olson, Ryan
AU - Thompson, Sharon V.
AU - Elliot, Diane L.
AU - Hess, Jennifer A.
AU - Rhoten, Kristy Luther
AU - Parker, Kelsey N.
AU - Wright, Robert R.
AU - Wipfli, Brad
AU - Bettencourt, Katrina M.
AU - Buckmaster, Annie
AU - Marino, Miguel
PY - 2016/10
Y1 - 2016/10
N2 - Objectives. To determine the effectiveness of the Community of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. Methods. We randomized 16 clusters of workers (n = 149) to intervention or usual practice control conditions. The 12-month intervention was scripted and peer-led, and involved education on safety, health, and well-being; goal setting and self-monitoring; and structured social support. We collected measures at baseline, 6 months, and 12 months, which included workers' experienced community of practice (i.e., people engaged in a common activity who interact regularly for shared learning and improvement). Implementation occurred during 2013 and 2014 in Oregon. Results. In an intent-to-treat analysis, relative to control, the intervention produced significant and sustained improvements in workers' experienced community of practice. Additional significant improvements included the use of ergonomic tools or techniques for physical work, safety communication with consumer-employers, hazard correction in homes, fruit and vegetable consumption, lost work days because of injury, high-density lipoprotein cholesterol, and grip strength. Consumer-employers' reports of caregiver safety behaviors also significantly improved. Conclusions. COMPASS was effective for improving home care workers' social resources and simultaneously impacted both safety and health factors.
AB - Objectives. To determine the effectiveness of the Community of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. Methods. We randomized 16 clusters of workers (n = 149) to intervention or usual practice control conditions. The 12-month intervention was scripted and peer-led, and involved education on safety, health, and well-being; goal setting and self-monitoring; and structured social support. We collected measures at baseline, 6 months, and 12 months, which included workers' experienced community of practice (i.e., people engaged in a common activity who interact regularly for shared learning and improvement). Implementation occurred during 2013 and 2014 in Oregon. Results. In an intent-to-treat analysis, relative to control, the intervention produced significant and sustained improvements in workers' experienced community of practice. Additional significant improvements included the use of ergonomic tools or techniques for physical work, safety communication with consumer-employers, hazard correction in homes, fruit and vegetable consumption, lost work days because of injury, high-density lipoprotein cholesterol, and grip strength. Consumer-employers' reports of caregiver safety behaviors also significantly improved. Conclusions. COMPASS was effective for improving home care workers' social resources and simultaneously impacted both safety and health factors.
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U2 - 10.2105/AJPH.2016.303327
DO - 10.2105/AJPH.2016.303327
M3 - Article
C2 - 27552270
AN - SCOPUS:84987984467
SN - 0090-0036
VL - 106
SP - 1823
EP - 1832
JO - American journal of public health
JF - American journal of public health
IS - 10
ER -