TY - JOUR
T1 - The COMmunity of Practice And Safety Support (COMPASS) total worker health™ study among home care workers
T2 - Study protocol for a randomized controlled trial
AU - Olson, Ryan
AU - Elliot, Diane
AU - Hess, Jennifer
AU - Thompson, Sharon
AU - Luther, Kristy
AU - Wipfli, Brad
AU - Wright, Robert
AU - Buckmaster, Annie Mancini
N1 - Funding Information:
This research was supported with funding from the NIOSH as part of the Oregon Healthy Workforce Center (U19OH010154), a NIOSH Center of Excellence in Total Worker Health™. We are grateful to many members of our partner organizations, the SEIU Local 503 and the Oregon Home Care Commission, for their instrumental role in our research. Key supporting members from these organizations include Jereme Gryzbowski and Deborah Schwarz (SEIU), and Leslie Houston and Cheryl Miller (Oregon Home Care Commission).
Publisher Copyright:
© 2014 Olson et al.; licensee BioMed Central Ltd.
PY - 2014/10/27
Y1 - 2014/10/27
N2 - Background: Home care workers are a high-risk group for injury and illness. Their unique work structure presents challenges to delivering a program to enhance their health and safety. No randomized controlled trials have assessed the impact of a Total Worker Health™ program designed for their needs. Methods/design: The COMPASS (COMmunity of Practice And Safety Support) study is a cluster randomized trial being implemented among Oregon's unionized home care workers. Partnering with the Oregon Home Care Commission allowed recruiting 10 pairs of home care worker groups with 8 participants per group (n = 160) for balanced randomization of groups to intervention and control conditions. Physiologic and survey evaluation of all participants will be at enrollment, 6months and 12months. Primary outcomes are to increase health promoting (for example, healthy nutrition and regular physical activity) and health protecting (that is, safety) behaviors. In addition to assessing outcomes adjusted for the hierarchical design, mediation analyses will be used to deconstruct and confirm the program's theoretical underpinnings and intervention processes. Intervention groups will participate in a series of monthly 2-hour meetings designed as ritualized, scripted peer-led sessions to increase knowledge, practice skills and build support for healthy actions. Self-monitoring and individual and team level goals are included to augment change. Because generalizability, reach and achieving dissemination are priorities, following initial wave findings, a second wave of COMPASS groups will be recruited and enrolled with tailoring of the program to align with existing Home Care Commission educational offerings. Outcomes, process and mediation of those tailored groups will be compared with the original wave's findings. Discussion: The COMPASS trial will assess a novel program to enhance the safety and health of a vulnerable, rapidly expanding group of isolated caregivers, whose critical work allows independent living of frail seniors and the disabled. Trial registration: ClinicalTrials.gov identifier:NCT02113371, first registered 11 March 2014.
AB - Background: Home care workers are a high-risk group for injury and illness. Their unique work structure presents challenges to delivering a program to enhance their health and safety. No randomized controlled trials have assessed the impact of a Total Worker Health™ program designed for their needs. Methods/design: The COMPASS (COMmunity of Practice And Safety Support) study is a cluster randomized trial being implemented among Oregon's unionized home care workers. Partnering with the Oregon Home Care Commission allowed recruiting 10 pairs of home care worker groups with 8 participants per group (n = 160) for balanced randomization of groups to intervention and control conditions. Physiologic and survey evaluation of all participants will be at enrollment, 6months and 12months. Primary outcomes are to increase health promoting (for example, healthy nutrition and regular physical activity) and health protecting (that is, safety) behaviors. In addition to assessing outcomes adjusted for the hierarchical design, mediation analyses will be used to deconstruct and confirm the program's theoretical underpinnings and intervention processes. Intervention groups will participate in a series of monthly 2-hour meetings designed as ritualized, scripted peer-led sessions to increase knowledge, practice skills and build support for healthy actions. Self-monitoring and individual and team level goals are included to augment change. Because generalizability, reach and achieving dissemination are priorities, following initial wave findings, a second wave of COMPASS groups will be recruited and enrolled with tailoring of the program to align with existing Home Care Commission educational offerings. Outcomes, process and mediation of those tailored groups will be compared with the original wave's findings. Discussion: The COMPASS trial will assess a novel program to enhance the safety and health of a vulnerable, rapidly expanding group of isolated caregivers, whose critical work allows independent living of frail seniors and the disabled. Trial registration: ClinicalTrials.gov identifier:NCT02113371, first registered 11 March 2014.
KW - Ergonomics
KW - Health promotion
KW - Home care workers
KW - Occupational safety
KW - Total worker health
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U2 - 10.1186/1745-6215-15-411
DO - 10.1186/1745-6215-15-411
M3 - Article
C2 - 25348013
AN - SCOPUS:84934764455
SN - 1745-6215
VL - 15
JO - Trials
JF - Trials
IS - 1
M1 - 411
ER -