GoldiCare: Can Work be Organized to Become More Health Promoting for Employees in Home Care Services?
This is a two-group, cluster randomized controlled trial designed to assess a health promoting intervention in the home care sector. The intervention aims to evenly distribute the patients requiring high levels of demanding care across all workers on the units, which may lower the working strain and thus the incidence of musculoskeletal pain. The two groups in the study will be a control group and an intervention group. The intervention will last for approximately 4 months.
|Condition or Disease||Intervention/Treatment||Phase|
This is a two-group cluster randomized controlled trial to compare an organizational intervention to control. The home care units will be treated as clusters to avoid contamination within units.
Control group: No intervention, their work will continue as usual without any instructions from researchers.
Intervention group: The intervention will consist of the operational managers distributing the physically strenuous shifts evenly between the workers in each home care unit. This will be achieved using a tool developed in Microsoft Excel which gives an overview over how much strain we expect each shift to have and gives a score on how well the operational manager distributes the strain between employees.
The intervention will last for approximately 4 months, depending on duration of pre and post measurements.
Arms and Interventions
|No Intervention: Control
This arm will have no intervention or instructions from researchers. Participants in this arm will perform their work planning as normal.
Introduce a deliberate variation between workers in how much they care for physically strenuous users. Some workers may receive more strenuous work compared to before, some less.
Behavioral: Goldilocks work principle
Using the Goldilocks work principle we have tried to find the "just right" distribution of physical strain in the home care sector. This is an intervention to test if it possible to distribute the physical strain experienced in the home care sector in a way that may be more health promoting for the workers.
Primary Outcome Measures
- Between group changes in musculoskeletal pain in the neck and shoulder from pre to post measurement [7 days during baseline measurements, 7 days during post measurements]
The workers will rate their musculoskeletal pain in the neck and shoulder area after each working day for a week. The measurement will be repeated at the end of the intervention to assess any changes in the experience of musculoskeletal pain. The question assessing musculoskeletal pain in shoulder and neck area is phrased as "How much pain did you have in your shoulder/neck at the end of this working day?" (Translated from Norwegian).
- in musculoskeletal pain in the lower back from pre to post measurement [7 days during baseline measurements, 7 days during post measurements]
The workers will rate their musculoskeletal pain in the lower back after each working day for one week. The measurement will be repeated at the end of the intervention to assess any changes in the experience of musculoskeletal pain. The question assessing musculoskeletal pain in the lower back area is phrased as "how much pain did you have in your lower back at the end of the working day?" (Translated from Norwegian).
Secondary Outcome Measures
- Between group changes in the composition of time spent standing, arms elevated and trunk inclined [7 days during baseline measurements, 7 days during post measurements]
The difference in physical behavior composition from baseline measurements to post measurements between control and intervention group. The specific variables will be time spent standing, arms elevated, and trunk inclined.
- Between group changes in fatigue at end of shift [7 days during baseline measurements, 7 days during post measurements]
The difference between intervention and control group from pre- to post-measurements in how fatigued the workers were at the end of the shift.
Home care worker in one of the included home care units in Trondheim municipality.
More than or equal to 50% working position at the home care unit.
Physically incapable of performing day to day tasks.
Any illness during the measurement week
Contacts and Locations
Sponsors and Collaborators
- Norwegian University of Science and Technology
- Norwegian Labour and Welfare Administration
- Trondheim Kommune
Study Documents (Full-Text)None provided.