Dale Ann Marie, Jaegers Lisa, Welch Laura, Gardner Bethany T, Buchholz Bryan, Weaver Nancy, Evanoff Bradley A
Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri.
Occupational Science and Occupational Therapy, Saint Louis University Doisy College of Health Sciences, St. Louis, Missouri.
Am J Ind Med. 2016 Jun;59(6):465-75. doi: 10.1002/ajim.22586. Epub 2016 Apr 20.
Work-related musculoskeletal disorders (WMSD) among construction workers remain high. Participatory ergonomics (PE) interventions that engage workers and employers in reducing work injury risks have shown mixed results.
Eight-six workers from seven contractors participated in a PE program. A logic model guided the process evaluation and summative evaluation of short-term and intermediate impacts and long-term outcomes from surveys and field records.
Process measures showed good delivery of training, high worker engagement, and low contractor participation. Workers' knowledge improved and workers reported changes to work practices and tools used; contractor provision of appropriate equipment was low (33%). No changes were seen in symptoms or reported physical effort.
The PE program produced many worker-identified ergonomic solutions, but lacked needed support from contractors. Future interventions should engage higher levels of the construction organizational system to improve contractor involvement for reducing WMSD. Am. J. Ind. Med. 59:465-475, 2016. © 2016 Wiley Periodicals, Inc.
建筑工人中与工作相关的肌肉骨骼疾病(WMSD)发生率仍然很高。让工人和雇主参与降低工伤风险的参与式工效学(PE)干预措施,效果不一。
来自7个承包商的86名工人参加了一项PE计划。一个逻辑模型指导了对短期和中期影响以及来自调查和现场记录的长期结果的过程评估和总结性评估。
过程指标显示培训交付良好、工人参与度高、承包商参与度低。工人的知识有所提高,并且工人报告了工作实践和使用工具的变化;承包商提供适当设备的比例较低(33%)。症状或报告的体力消耗没有变化。
PE计划产生了许多工人认可的工效学解决方案,但缺乏承包商所需的支持。未来的干预措施应促使建筑组织系统的更高层级参与,以提高承包商在减少WMSD方面的参与度。《美国工业医学杂志》59:465 - 475,2016年。©2016威利期刊公司。