Olson Ryan, Elliot Diane, Hess Jennifer, Thompson Sharon, Luther Kristy, Wipfli Brad, Wright Robert, Buckmaster Annie Mancini
Division of Health Promotion & Sports Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L606, Portland, OR 97239-3098, USA.
Trials. 2014 Oct 27;15:411. doi: 10.1186/1745-6215-15-411.
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, 6 months and 12 months. 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.
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.
ClinicalTrials.gov identifier: NCT02113371, first registered 11 March 2014.
家庭护理工作者是受伤和患病的高危群体。他们独特的工作结构给实施一项旨在增进其健康和安全的计划带来了挑战。尚无随机对照试验评估过专门为满足其需求而设计的全职工健康™计划的影响。
方法/设计：COMPASS（实践与安全支持社区）研究是一项在俄勒冈州加入工会的家庭护理工作者中开展的整群随机试验。与俄勒冈家庭护理委员会合作，得以招募10对家庭护理工作者小组，每组8名参与者（n = 160），以便将各小组随机均衡分配至干预组和对照组。所有参与者的生理和调查评估将在入组时、6个月和12个月时进行。主要结局是增加健康促进行为（例如，健康营养和定期体育活动）以及健康保护行为（即安全行为）。除了评估针对分层设计进行调整后的结局外，还将使用中介分析来解构和确认该计划的理论基础及干预过程。干预组将参加一系列每月一次、每次2小时的会议，这些会议设计为仪式化、按脚本进行的同伴主导课程，以增加知识、练习技能并为健康行为建立支持。包括自我监测以及个人和团队层面的目标，以促进改变。由于普遍性、覆盖面和实现传播是优先事项，在首轮研究结果出来后，将招募并纳入第二轮COMPASS小组，并对该计划进行调整，使其与现有的家庭护理委员会教育课程保持一致。将把那些经过调整的小组的结局、过程和中介分析结果与首轮研究结果进行比较。
COMPASS试验将评估一项新颖的计划，以增进一群脆弱、迅速扩大且孤立的护理人员的安全和健康，他们的重要工作使体弱的老年人和残疾人能够独立生活。
ClinicalTrials.gov标识符：NCT02113371，首次注册于2014年3月11日。
