Cockayne Sarah, Fairhurst Caroline, Frost Gillian, Liddle Mark, Cunningham-Burley Rachel, Zand Michael, Hewitt Catherine, Iles-Smith Heather M, Green Lorraine, Torgerson David J
Health Sciences, University of York, York, North Yorkshire, UK
Health Sciences, University of York, York, North Yorkshire, UK.
Occup Environ Med. 2021 Jan 15;78(7):472-8. doi: 10.1136/oemed-2020-106914.
Assess the effectiveness of 5* GRIP-rated slip-resistant footwear in preventing slips in the workplace compared to usual footwear (control group).
A multicentre, randomised controlled trial; 4553 National Health Service (NHS) staff were randomised 1:1 to the intervention group (provided with 5* GRIP-rated slip-resistant footwear) or the control group. The primary outcome of incidence rate of self-reported slips in the workplace over 14 weeks was analysed using a mixed-effects negative binomial model. Secondary outcome measures included incidence rate of falls from a slip, falls not from a slip, proportion of participants reporting a slip, fall or fracture and time to first slip and fall.
6743 slips were reported: 2633 in the intervention group (mean 1.16 per participant, range 0 to 36) and 4110 in the control group (mean 1.80 per participant, range 0 to 83). There was a statistically significant reduction in slip rate in the intervention group relative to the control group (incidence rate ratio (IRR) 0.63, 95% CI 0.57 to 0.70, p<0.001). Statistically significant differences, in favour of the intervention group, were observed in falls from a slip (IRR 0.51, 95% CI 0.28 to 0.92, p=0.03), the proportion of participants who reported a slip (OR 0.58, 95% CI 0.50 to 0.66, p<0.001) or fall (OR 0.73, 95% CI 0.54 to 0.99, p=0.04) and time to first slip (HR 0.73, 95% CI 0.67 to 0.80, p<0.001).
The offer and provision of 5* GRIP-rated footwear reduced slips in NHS staff in the workplace.
ISRCTN33051393.
评估与普通鞋类（对照组）相比，5星级防滑评级的防滑鞋在预防工作场所滑倒方面的有效性。
一项多中心随机对照试验；4553名国民健康服务体系（NHS）工作人员按1:1随机分为干预组（配备5星级防滑评级的防滑鞋）和对照组。使用混合效应负二项式模型分析14周内工作场所自我报告滑倒发生率这一主要结局。次要结局指标包括滑倒导致的跌倒发生率、非滑倒导致的跌倒发生率、报告滑倒、跌倒或骨折的参与者比例以及首次滑倒和跌倒的时间。
共报告6743次滑倒：干预组2633次（每位参与者平均1.16次，范围0至36次），对照组4110次（每位参与者平均1.80次，范围0至83次）。干预组的滑倒率相对于对照组有统计学显著降低（发生率比（IRR）0.63，95%置信区间0.57至0.70，p<0.001）。在滑倒导致的跌倒方面（IRR 0.51，95%置信区间0.28至0.92，p = 0.03）、报告滑倒的参与者比例（OR 0.58，95%置信区间0.50至0.66，p<0.001）或跌倒（OR 0.73，95%置信区间0.54至0.99，p = 0.04）以及首次滑倒时间（HR 0.73，95%置信区间0.67至0.80，p<0.001）方面，观察到有利于干预组的统计学显著差异。
提供5星级防滑评级的鞋类可减少NHS工作人员在工作场所的滑倒。
ISRCTN33051393
