Oakman Jodi, Rothmore Paul, Tappin David
Centre for Ergonomics and Human Factors, La Trobe University, Melbourne, Australia.
School of Public Health, The University of Adelaide, Adelaide, Australia.
Appl Ergon. 2016 Sep;56:179-86. doi: 10.1016/j.apergo.2016.03.019. Epub 2016 Apr 15.
Work related musculoskeletal disorders remain an intractable OHS problem. In 2002, Haslam proposed applying the stage of change model to target ergonomics interventions and other health and safety prevention activities. The stage of change model proposes that taking into account an individual's readiness for change in developing intervention strategies is likely to improve uptake and success. This paper revisits Haslam's proposal in the context of interventions to reduce musculoskeletal disorders. Effective MSD interventions require a systematic approach and need to take into account a combination of measures. Research evidence suggests that in practice, those charged with the management of MSDs are not consistently adopting such an approach. Consequently, intervention development may not represent contemporary best practice. We propose a potential method of addressing this gap is the stage of change model, and use a case study to illustrate this argument in tailoring intervention development for managing MSDs.
与工作相关的肌肉骨骼疾病仍然是一个难以解决的职业健康与安全问题。2002年,哈斯拉姆提议应用变革阶段模型来针对人体工程学干预措施以及其他健康与安全预防活动。变革阶段模型提出,在制定干预策略时考虑个人对变革的准备程度可能会提高接受度并取得成功。本文在减少肌肉骨骼疾病的干预措施背景下重新审视哈斯拉姆的提议。有效的肌肉骨骼疾病干预措施需要系统的方法,并且需要综合考虑多种措施。研究证据表明,在实际操作中,负责管理肌肉骨骼疾病的人员并未始终采用这种方法。因此,干预措施的制定可能并不代表当代的最佳实践。我们提出,解决这一差距的一种潜在方法是变革阶段模型,并通过一个案例研究来说明在为管理肌肉骨骼疾病量身定制干预措施制定时的这一论点。