270566 Implementation of a participatory ergonomics program in construction Facilitators and barriers

Monday, October 29, 2012

Lisa Jaegers, MS OTR/L , General Medical Sciences, Washington University School of Medicine, St. Louis, MO
Ann Marie Dale, PhD , Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO
Nancy Weaver, PhD, MS , Department of Behavioral Sciences and Health Education, Saint Louis University, St. Louis, MO
Bryan Buchholz, PhD , Work Environment Department, University of Massachusetts Lowell, Lowell, MA
Brad Evanoff, MD, MPH , Division of General Medical Sciences, Washington University School of Medicine in St. Louis, St. Louis, MO
Laura Welch, MD , Center for Construction Research and Training, Silver Spring, MD
Objectives: The construction industry continues to experience high rates of musculoskeletal injuries. Participatory ergonomics (PE), has been suggested as one approach to engage workers and employers in implementation of solutions, although a recent systematic review of PE programs showed inconclusive results with gaps in facilitators and barriers evidence. In this presentation we will: 1. describe a PE training for construction workers; 2. describe the process evaluation used; 3. describe facilitators and barriers to program implementation. Methods: Workers were recruited from partnering contractors. Researchers conducted ergonomic assessments to identify the high-risk work tasks. Using examples from these assessments, we trained workers in ergonomic principles and how to identify and implement solutions to these tasks. We triangulated data from surveys, researcher field observations, interviews, focus groups, and work logs to identify the facilitators and barriers to the program implementation, program fidelity, and worker participation. Results: Workers are active participants, identifying problem tasks and potential solutions. They are motivated to implement solutions but their ability to do so is limited by the barriers in construction including the availability of innovations and the variability in their work tasks. We will present the researchers' description of the training context and implementation and discuss the most important facilitators and barriers. Conclusions: Participatory ergonomics programs, though suggested as an effective way for infusing ergonomics into the construction industry, have shown inconsistent results. Identification of the facilitators and barriers of implementation will facilitate the delivery, evaluation, and real-world use of these programs.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Occupational health and safety
Planning of health education strategies, interventions, and programs

Learning Objectives:
Attendees will be able to: 1. Describe a participatory ergonomics training program for construction workers. 2.Describe the process evaluation used along with the main facilitators and barriers to program implementation.

Keywords: Occupational Safety, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As an occupational therapist I have been actively involved in research focused on work-related musculoskeletal disorders for over 10 years. I am the research coordinator, primary data collector and qualitative data analyst for a federally funded participatory ergonomics study in construction. As a doctoral student in public health behavioral science, my research interests include the development and implementation of process evaluation measures in construction-related participatory ergonomics programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.