Milkovich Pamela J, Johnson Andrew, Yoder Aaron, Downes Willard, Funkenbusch Karen, Larson Tawnie, Brokesh Ed, Janssen Brandi, Curnick Jackie, Sorensen Julie A
The Northeast Center for Occupational Health and Safety: Agriculture, Forestry, Fishing, 1 Atwell Road, Cooperstown, NY, 13326, USA.
University of Nebraska Medical Center, 984388 Nebraska Medical Center, Omaha, NE, 68198, USA.
BMC Public Health. 2025 Jul 8;25(1):2407. doi: 10.1186/s12889-025-23642-y.
To increase tension for change and encourage adoption of policies supporting health and safety practice, media advocacy employs a grassroots approach to raising awareness of issues. Allies and authentic voices are strategically engaged to share messages about social issues and the policies that can remedy them.
Given its success in other areas of public health, this study aims to trial media advocacy as a method of implementing ROPS Rebate Programs in three states with high rates of tractor overturn fatalities. This manuscript focuses on a process evaluation of the media advocacy campaign.
This study ultimately demonstrates low fidelity to the principles of media advocacy due to the context within which the study was attempted.
Despite these results, this study provides a clearer picture of the contextual issues states face in attempting to adopt and implement agricultural safety and health programs, such as the National ROPS Rebate Program.
为加大变革力度并鼓励采纳支持健康与安全实践的政策，媒体宣传采用基层方法来提高对相关问题的认识。策略性地动员盟友和真实发声者分享有关社会问题以及可解决这些问题的政策的信息。
鉴于其在其他公共卫生领域取得的成功，本研究旨在尝试将媒体宣传作为在拖拉机翻车致死率高的三个州实施翻车保护结构（ROPS）回扣计划的一种方法。本手稿着重于对媒体宣传活动的过程评估。
由于开展本研究的背景因素，本研究最终表明对媒体宣传原则的遵循度较低。
尽管有这些结果，但本研究更清晰地展现了各州在尝试采纳和实施诸如国家翻车保护结构回扣计划等农业安全与健康计划时所面临的背景问题。
