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      Guidance strategies for a participatory ergonomic intervention to increase the use of ergonomic measures of workers in construction companies: a study design of a randomised trial

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          Abstract

          Background

          More than seven out of 10 Dutch construction workers describe their work as physically demanding. Ergonomic measures can be used to reduce these physically demanding work tasks. To increase the use of ergonomic measures, employers and workers have to get used to other working methods and to maintaining them. To facilitate this behavioural change, participatory ergonomics (PE) interventions could be useful. For this study a protocol of a PE intervention is adapted in such a way that the intervention can be performed by an ergonomics consultant through face-to-face contacts or email contacts. The objective of this study is to evaluate the effectiveness of the face-to-face guidance strategy and the e-guidance strategy on the primary outcome measure: use of ergonomic measures by individual construction workers, and on the secondary outcome measures: the work ability, physical functioning and limitations due to physical problems of individual workers.

          Methods/Design

          The present study is a randomised intervention trial of six months in 12 companies to establish the effects of a PE intervention guided by four face-to-face contacts (N = 6) or guided by 13 email contacts (N = 6) on the primary and secondary outcome measures at baseline and after six months. Construction companies are randomly assigned to one of the guidance strategies with the help of a computer generated randomisation table. In addition, a process evaluation for both strategies will be performed to determine reach, dose delivered, dose received, precision, competence, satisfaction and behavioural change to find possible barriers and facilitators for both strategies. A cost-benefit analysis will be performed to establish the financial consequences of both strategies. The present study is in accordance with the CONSORT statement.

          Discussion

          The outcome of this study will help to 1) evaluate the effect of both guidance strategies, and 2) find barriers to and facilitators of both guidance strategies. When these strategies are effective, implementation within occupational health services can take place to guide construction companies (and others) with the implementation of ergonomic measures.

          Trail registration

          Trailnumber: ISRCTN73075751, Date of registration: 30 July 2013.

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          Most cited references21

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          Psychometric qualities of the RAND 36-Item Health Survey 1.0: a multidimensional measure of general health status.

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            Effectiveness of participatory ergonomic interventions on health outcomes: a systematic review.

            The objective of this study was to conduct a systematic review of the literature on the effectiveness of participatory ergonomic (PE) interventions for improving workers' health. The search strategy targeted six electronic databases and identified 442 potential articles. Each article was examined by pairs of reviewers for relevance (assessed a participative ergonomic workplace intervention, with at least one health outcome, published in English in peer reviewed literature). Twenty-three articles met relevance criteria and were then appraised for methodological strength. Using a best evidence synthesis approach, 12 studies that were rated as 'medium' or higher provided partial to moderate evidence that PE interventions have a positive impact on: musculoskeletal symptoms, reducing injuries and workers' compensation claims, and a reduction in lost days from work or sickness absence. However, the magnitude of the effect requires more precise definition.
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              A simple approximation for calculating sample sizes for comparing independent proportions.

              A simple approximation is provided to the formula for the sample sizes needed to detect a difference between two binomial probabilities with specified significance level and power. The formula for equal sample sizes was derived by Casagrande, Pike and Smith (1978, Biometrics 34 , 483-486) and can be easily generalized to the case of unequal sample sizes. It is shown that over fairly wide ranges of parameter values and ratios of sample sizes, the percentage error which results from using the approximation is no greater than 1%. The approximation is especially useful for the inverse problem of estimating power when the sample sizes are given.
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                Author and article information

                Contributors
                Journal
                BMC Musculoskelet Disord
                BMC Musculoskelet Disord
                BMC Musculoskeletal Disorders
                BioMed Central
                1471-2474
                2014
                17 April 2014
                : 15
                : 132
                Affiliations
                [1 ]Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, P.O. Box 22660, Amsterdam 1100 DD, The Netherlands
                [2 ]Arbouw, P.O. Box 213, Harderwijk 3840 AE, The Netherlands
                Article
                1471-2474-15-132
                10.1186/1471-2474-15-132
                3997435
                24742300
                ecab7c61-b855-4fba-9554-69679a0a5a4a
                Copyright © 2014 Visser et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

                History
                : 23 July 2013
                : 10 April 2014
                Categories
                Study Protocol

                Orthopedics
                participatory ergonomics,ergonomic measures,physical work demands,construction industry

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