Rothmore Paul, Aylward Paul, Oakman Jodi, Tappin David, Gray Jodi, Karnon Jonathan
School of Public Health, University of Adelaide, Australia.
Discipline of Public Health, School of Health Sciences, Flinders University, Australia.
Appl Ergon. 2017 Mar;59(Pt A):225-233. doi: 10.1016/j.apergo.2016.08.033. Epub 2016 Sep 13.
The Stage of Change (SOC) approach has been proposed as a method to improve the implementation of ergonomics advice. However, despite evidence for its efficacy there is little evidence to suggest it has been adopted by ergonomics consultants. This paper investigates barriers and facilitators to the implementation, monitoring and effectiveness of ergonomics advice and the adoption of the SOC approach in a series of focus groups and a subsequent survey of members of the Human Factors Societies of Australia and New Zealand. A proposed SOC assessment tool developed for use by ergonomics practitioners is presented. Findings from this study suggest the limited application of a SOC based approach to work-related musculoskeletal injury prevention by ergonomics practitioners is due to the absence of a suitable tool in the ergonomists' repertoire, the need for training in this approach, and their limited access to relevant research findings. The final translation of the SOC assessment tool into professional ergonomics practice will require accessible demonstration of its real-world usability to practitioners and the training of ergonomics practitioners in its application.
行为改变阶段（SOC）方法已被提议作为一种改进人体工程学建议实施的方法。然而，尽管有证据证明其有效性，但几乎没有证据表明它已被人体工程学顾问所采用。本文通过一系列焦点小组以及随后对澳大利亚和新西兰人类因素协会成员的调查，研究了人体工程学建议实施、监测和有效性以及SOC方法采用的障碍和促进因素。文中还介绍了一种供人体工程学从业者使用的拟议SOC评估工具。本研究结果表明，人体工程学从业者在基于SOC的方法预防与工作相关的肌肉骨骼损伤方面应用有限，原因在于人体工程学专家的工具库中缺乏合适的工具、需要接受该方法的培训以及他们获取相关研究结果的机会有限。将SOC评估工具最终转化为专业人体工程学实践，需要向从业者展示其在现实世界中的可用性，并对人体工程学从业者进行该工具应用方面的培训。
