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评估一项行为改变干预措施以提高农场拖拉机安全性的可行性、保真度和可接受性:BeSafe拖拉机安全可行性研究方案

Assessing the feasibility, fidelity and acceptability of a behaviour change intervention to improve tractor safety on farms: protocol for the BeSafe tractor safety feasibility study.

作者信息

Surendran Aswathi, McSharry Jenny, Meredith David, McNamara John, Bligh Francis, Meade Oonagh, O'Hora Denis

机构信息

School of Psychology, University of Galway, University Road, Galway, H91 TK33, Ireland.

TEAGASC, Oak Park, Carlow, R93 XE12, Ireland.

出版信息

Pilot Feasibility Stud. 2023 Jul 4;9(1):114. doi: 10.1186/s40814-023-01319-w.

Abstract

BACKGROUND

In Ireland, the agriculture sector reports the highest number of fatalities even though farmers constitute only 6% of the working population. Tractor-related behaviours are implicated in 55% of all vehicle work-related fatalities and 25% of reported injuries, and many of these occur in farmyards. There is limited research on the feasibility and acceptability of behaviour change interventions to improve tractor safety. Target behaviours that promote safe operation in farmyards, determining and addressing blind spots of tractors, were identified, and an intervention was developed following the Behaviour Change Wheel Approach. The objective of the study is to examine the feasibility, fidelity and acceptability of a behaviour change intervention to enhance the safe operation of tractors in farmyards with a particular focus on tractor blind spots.

METHOD

A single group feasibility study will be undertaken. Approximately 16 farmers from four major farm types will be recruited for the study between August and September 2022. The intervention involves an in-person demo session, facilitated discussion and personalised safety training procedure with safety goals. The study will collect data from participants at three time points: baseline (3-10 days prior to the intervention), during the intervention and at the follow-up session (7-30 days post-intervention). Quantitative data will be collected through a pre-intervention interview and feedback surveys. A pre- and post-intervention qualitative interview will also be conducted with the participants and will be supplemented with qualitative data from recruitment logs, observational memos and logs and feedback from recruiters. Evaluation of the feasibility, acceptability and fidelity of the intervention will be guided by a pre-determined feasibility checklist, fidelity framework and theoretical framework of acceptability, respectively. Interviews will be analysed using the content analysis.

DISCUSSION

The current study can determine the feasibility and fidelity of delivering a systematic, theoretically driven, tailored behaviour change intervention. It will also assess whether the intervention, its ingredients and delivery are acceptable to the farming population. This study will also inform the development of a future larger trial to test the effectiveness of the intervention.

TRIAL REGISTRATION

ISRCTN Identifier: ISRCTN22219089. Date applied 29 July 2022.

摘要

背景

在爱尔兰,尽管农民仅占劳动人口的6%,但农业部门报告的死亡人数却是最多的。在所有与车辆作业相关的死亡事故中,55%与拖拉机相关行为有关,在报告的受伤事故中这一比例为25%,其中许多事故发生在农场院子里。关于行为改变干预措施以提高拖拉机安全性的可行性和可接受性的研究有限。确定了促进在农场院子里安全操作的目标行为,即确定并解决拖拉机的盲区问题,并遵循行为改变轮方法制定了一项干预措施。本研究的目的是检验一项行为改变干预措施的可行性、保真度和可接受性,该措施旨在加强农场院子里拖拉机的安全操作,特别关注拖拉机的盲区。

方法

将进行一项单组可行性研究。2022年8月至9月期间,将从四种主要农场类型中招募约16名农民参与该研究。干预措施包括一次面对面的演示环节、促进讨论以及带有安全目标的个性化安全培训程序。该研究将在三个时间点收集参与者的数据:基线期(干预前3 - 10天)、干预期间以及随访期(干预后7 - 30天)。定量数据将通过干预前访谈和反馈调查收集。还将对参与者进行干预前后的定性访谈,并辅以招募日志、观察记录和日志中的定性数据以及招募人员的反馈。将分别根据预先确定的可行性清单、保真度框架和可接受性理论框架,对干预措施的可行性、可接受性和保真度进行评估。访谈将采用内容分析法进行分析。

讨论

当前的研究可以确定提供一种系统的、理论驱动的、量身定制的行为改变干预措施的可行性和保真度。它还将评估该干预措施及其组成部分和实施方式是否为农业人口所接受。本研究还将为未来更大规模的试验的开展提供信息,以测试该干预措施的有效性。

试验注册

ISRCTN标识符:ISRCTN22219089。申请日期:2022年7月29日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816e/10318716/6e197efdc1f7/40814_2023_1319_Fig1_HTML.jpg

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