Ludwick Teralynn, Creagh Nicola Stephanie, Goller Jane L, Nightingale Claire Elizabeth, Ferdinand Angeline Samantha
Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Glob Implement Res Appl. 2023 May 30:1-13. doi: 10.1007/s43477-023-00085-4.
The coronavirus (COVID-19) pandemic has caused major disruptions to industries and workplaces. Rapid Antigen Tests (RATs) for COVID-19, which allow individuals to self-administer tests and receive timely results without laboratory testing, provide the opportunity for surveillance testing of asymptomatic individuals in non-medical settings. However, the literature offers few lessons regarding how to create enabling conditions for effective and sustainable implementation in a workplace setting. Guided by the RE-AIM framework, we assessed factors associated with the adoption, implementation, and maintenance of mandatory RAT in a large-scale construction project in Victoria, Australia. We used a mixed methods approach involving site observation, worker surveys ( = 30), and interviews with 51 site workers and managers to understand the implementation experience. Factors which facilitated adoption included easy, non-invasive testing procedure; sense of workplace safety; and strong backing by management and acceptance by workers that RATs helped limit COVID-19-related lost days of work. Gaps in knowledge and adherence to testing protocols, logistical challenges (test kit supply, observation of test results), and low appetite for long-term, mandatory testing emerged as challenges for effective implementation and sustainability. As RAT becomes normalized in a range of workplace settings, strategies will be required to support the sustainability of implementation, including longer-term acceptability of surveillance testing and adherence to testing protocols.
The online version contains supplementary material available at 10.1007/s43477-023-00085-4.
冠状病毒（COVID-19）大流行对各行业和工作场所造成了重大干扰。新冠病毒快速抗原检测（RATs）使个人能够自行检测并在无需实验室检测的情况下及时获得结果，为在非医疗环境中对无症状个体进行监测检测提供了机会。然而，关于如何在工作场所创造有效且可持续实施的有利条件，相关文献提供的经验很少。在RE-AIM框架的指导下，我们评估了澳大利亚维多利亚州一个大型建筑项目中与强制使用RATs的采用、实施和维持相关的因素。我们采用了混合方法，包括现场观察、工人调查（n = 30）以及对51名现场工人和管理人员的访谈，以了解实施经验。促进采用的因素包括简便、无创的检测程序；工作场所安全感；以及管理层的大力支持和工人对RATs有助于减少与COVID-19相关的误工天数的认可。知识差距、对检测方案遵守情况、后勤挑战（检测试剂盒供应、检测结果观察）以及对长期强制检测的低意愿成为有效实施和可持续性的挑战。随着RATs在一系列工作场所环境中常态化，将需要采取策略来支持实施的可持续性，包括监测检测的长期可接受性和对检测方案的遵守情况。
在线版本包含可在10.1007/s43477-023-00085-4获取的补充材料。
