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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

Author

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  • Susan E. Peters

    (Harvard Center for Work, Health, and Well-Being, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
    Dana-Farber Cancer Institute, Boston, MA 02115, USA)

  • Hao D. Trieu

    (Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

  • Justin Manjourides

    (Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

  • Jeffrey N. Katz

    (Departments of Orthopedic Surgery and Medicine, Brigham and Women’s Hospital, Boston, MA 02115, USA
    Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Jack T. Dennerlein

    (Harvard Center for Work, Health, and Well-Being, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
    Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

Abstract

Background: Evidence supports organizational interventions as being effective for improving worker safety, health and well-being; however, there is a paucity of evidence-based interventions for subcontracting companies in commercial construction. Methods: A theory-driven approach supplemented by formative research through key stakeholder interviews and focus groups and an iterative vetting process with stakeholders, resulted in the development of an intervention for subcontractors in the commercial construction industry. We piloted the intervention in one subcontracting commercial construction company. We used these findings to adapt and finalize the intervention design to be tested in a future large-scale trial. Results: There were several key findings from the formative research, including challenges faced by companies and assets that should be considered in the intervention design. This resulted in a communication infrastructure company-based, continual improvement, participatory intervention design, consisting of a needs assessment and report, committee-led prioritization, action planning and implementation, and worker communication/feedback cycle. The pilot contributed to the final intervention design with modifications made with respect to timing, implementation support, capacity building, adaptability and sustainability. Conclusions: The use of a theory-driven participatory approach to developing an integrated organizational intervention for commercial construction subcontracting companies was important and necessary. It allowed us to consider the empirical evidence and relevant theories and tailor these to meet the needs of our target population. This study gives pragmatic insight into the early development of a complex intervention, with practical experience of how we adapted our intervention at each stage. This intervention will be tested in a future randomized trial.

Suggested Citation

  • Susan E. Peters & Hao D. Trieu & Justin Manjourides & Jeffrey N. Katz & Jack T. Dennerlein, 2020. "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," IJERPH, MDPI, vol. 17(14), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5093-:d:384651
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    References listed on IDEAS

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    1. Sara L. Tamers & L. Casey Chosewood & Adele Childress & Heidi Hudson & Jeannie Nigam & Chia-Chia Chang, 2019. "Total Worker Health ® 2014–2018: The Novel Approach to Worker Safety, Health, and Well-Being Evolves," IJERPH, MDPI, vol. 16(3), pages 1-19, January.
    2. Guido J. L. Micheli & Enrico Cagno & Antonio Calabrese, 2018. "The Transition from Occupational Safety and Health (OSH) Interventions to OSH Outcomes: An Empirical Analysis of Mechanisms and Contextual Factors within Small and Medium-Sized Enterprises," IJERPH, MDPI, vol. 15(8), pages 1-22, July.
    3. Minkler, M. & Blackwell, A.G. & Thompson, M. & Tamir, H.B., 2003. "Community-Based Participatory Research: Implications for Public Health Funding," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1210-1213.
    4. Susan E. Peters & Michael P. Grant & Justin Rodgers & Justin Manjourides & Cassandra A. Okechukwu & Jack T. Dennerlein, 2018. "A Cluster Randomized Controlled Trial of a Total Worker Health ® Intervention on Commercial Construction Sites," IJERPH, MDPI, vol. 15(11), pages 1-20, October.
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