ARM For SUBS: Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment

Sponsor

Harvard School of Public Health (HSPH) (Other)

Overall Status

Completed

CT.gov ID

NCT03781245

Collaborator

(none)

144

Enrollment

Location

Arms

27.9

Actual Duration (Months)

5.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

"All the Right Moves for Subcontractors" aims to improve safety, health and well-being, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers (project, operations and safety) work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and well-being detailed in Harvard Center for Work, Health and Well-being's Implementation Guidelines (McLellan et al, 2016).

The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. We will evaluate this program by measuring safety climate, health climate, pain and injury and health behaviors.

Condition or Disease	Intervention/Treatment	Phase
Worker Health Work Injury Safety Climate Pain	Other: All the Right Moves for Subcontractors	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

144 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Other

Official Title:

Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment (All the Right Moves for Subcontractors)

Actual Study Start Date :

Jul 24, 2018

Actual Primary Completion Date :

Sep 28, 2020

Actual Study Completion Date :

Nov 20, 2020

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Early Intervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently.	Other: All the Right Moves for Subcontractors "All the Right Moves for Subcontractors" aims to improve safety, health and wellbeing, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and wellbeing detailed in Harvard Center for Work, Health and Wellbeing's Implementation Guidelines (McLellan et al, 2016). The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. Other Names: ARM for SUBS
Active Comparator: Lagged Intervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently.	Other: All the Right Moves for Subcontractors "All the Right Moves for Subcontractors" aims to improve safety, health and wellbeing, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and wellbeing detailed in Harvard Center for Work, Health and Wellbeing's Implementation Guidelines (McLellan et al, 2016). The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. Other Names: ARM for SUBS

Arm

Intervention/Treatment

Experimental: Early

Intervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently.

Other: All the Right Moves for Subcontractors

"All the Right Moves for Subcontractors" aims to improve safety, health and wellbeing, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and wellbeing detailed in Harvard Center for Work, Health and Wellbeing's Implementation Guidelines (McLellan et al, 2016). The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change.

Other Names:

ARM for SUBS

Active Comparator: Lagged

Intervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently.

Other: All the Right Moves for Subcontractors

Other Names:

ARM for SUBS

Outcome Measures

Primary Outcome Measures

Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire [Change from Baseline at 2 months, 4 months, and 6 months]
NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum 1:maximum
Worker Outcomes: Pain assessed by the Nordic Musculoskeletal Questionnaire [Change from Baseline at 2 months, 4 months, and 6 months]
NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Work Productivity and Activity Impairment assessed by Work Productivity and Activity Impairment Questionnaire (WPAI) [Change from Baseline at 2 months, 4 months, and 6 months]
Work Productivity and Activity Impairment Questionnaire (WPAI) measures impairment due to the specified problem and all health problems. Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers [Change from Baseline at 2 months, 4 months, and 6 months]
Questions adapted from safety climate scale: Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., & Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442. Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Safety Climate assessed by using the validated scale: An English/Spanish safety climate scale for construction workers. [Change from Baseline at 2 months, 4 months, and 6 months]
Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., & Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442. Scale:0-1 0:minimum 1:maximum

Secondary Outcome Measures

Worker Health Behaviors: Diet [Change from Baseline at 2 months, 4 months, and 6 months]
PrimeScreen Questionnaire; Rifas-Shiman SL, Willett WC, Lobb R, Kotch J, Dart C, Gillman MW. PrimeScreen, a brief dietary screening tool: reproducibility and comparability with both a longer food frequency questionnaire and biomarkers. Public Health Nutr. 2001 Apr;4(2):249-54 Scale: 0-4 0:minimum 4:maximum
Worker Health Behaviors: Leisure Physical Activity [Change from Baseline at 2 months, 4 months, and 6 months]
International Physical Activity Questionnaire (Short Form)http://uacc.arizona.edu/sites/default/files/ipaq_english_telephone_short.pdf Scale: 0-7 days 0=minimum 7=maximum
Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA [Change from Baseline at 2 months, 4 months, and 6 months]
National Institute on Alcohol Abuse and Alcoholism Scale:0-9 0:minimum 9:maximum https://www.niaaa.nih.gov/research/guidelines-and-resources/recommended-alcohol-questions
Worker Health Behaviors: Tobacco Use assessed by modifying questions from the National Adult Tobacco Survey (NATS) [Change from Baseline at 2 months, 4 months, and 6 months]
Dichotomous questions adapted from the National Adult Tobacco Survey (NATS) Scale:0-2 0:minimum 2:maximum
Psychosocial Work Environment: Co-worker Support assessed by assessed by Job Content Questionnaire (JCQ), a validated scale. [Change from Baseline at 2 months, 4 months, and 6 months]
Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum 1:maximum
Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale. [Change from Baseline at 2 months, 4 months, and 6 months]
Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum 1:maximum
Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale. [Change from Baseline at 2 months, 4 months, and 6 months]
Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum 1:maximum

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

All workers employed by the recruited contractors at the eligible worksites

Exclusion Criteria:

Companies with less than 5 workers

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Harvard T.H. Chan School of Public Health	Boston	Massachusetts	United States	02115

Sponsors and Collaborators

Harvard School of Public Health (HSPH)

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Implementing an Integrated Approach Weaving Worker Health, Safety, and Well-being into the Fabric of Your Organization.

Publications

Peters SE, Trieu HD, Manjourides J, Katz JN, Dennerlein JT. Designing a Participatory Total Worker Health(®) Organizational Intervention for Commercial Construction Subcontractors to Improve Worker Safety, Health, and Well-Being: The "ARM for Subs" Trial. Int J Environ Res Public Health. 2020 Jul 15;17(14). pii: E5093. doi: 10.3390/ijerph17145093.

Responsible Party:

Jack Dennerlein, Associate Director, Center for Work, Health, & Well-being, Harvard School of Public Health (HSPH)

ClinicalTrials.gov Identifier:

NCT03781245

Other Study ID Numbers:

IRB13-1948

First Posted:

Dec 19, 2018

Last Update Posted:

Nov 10, 2021

Last Verified:

Nov 1, 2021

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Study Results

No Results Posted as of Nov 10, 2021