Risks, solutions and implementation of a participatory ergonomic intervention in 16 day nurseries: A process evaluation of the TOY wait-list cluster-randomized controlled trial.

Autor:	Schønheyder M; The National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, Denmark., Dietz MU; Direktoratet for Kriminalforsorgen, Strandgade 100, Copenhagen, Denmark., Schmidt KG; The National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, Denmark., Svendsen MJ; The National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, Denmark., Sørensen OH; The National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, Denmark., Holtermann A; The National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, Denmark., Nørregaard Rasmussen CD; The National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, Denmark.
Jazyk:	angličtina
Zdroj:	Heliyon [Heliyon] 2024 Jan 05; Vol. 10 (1), pp. e24167. Date of Electronic Publication: 2024 Jan 05 (Print Publication: 2024).
DOI:	10.1016/j.heliyon.2024.e24167
Abstrakt:	More evidence-based initiatives to reduce physical work demands during childcare work to prevent ill health and promote the ability to care for the children among childcare workers are needed. In a process evaluation performed alongside a two-arm, cluster-randomized study with a waiting-list control among 16 day nurseries lasting 20-weeks that significantly reduced musculoskeletal pain-related sickness absence we investigated 1) risk factors and solutions perceived by the childcare workers, and 2) implementation of the intervention. Most of the perceived risk factors were categorized as physical (70 %) with most of the suggested solutions also being categorized as physical (61 %). The remaining risk factors were categorized as organizational risk factors (16 %) and psychosocial risk factors (13 %). The remaining solutions were distributed almost equally between the organizational (20 %) and psychosocial categories (19 %). About half (51 %) of the action plans showed high implementation success. Of 16 workshops, 100 % were delivered with a fidelity of 83 %. Average participation, exposure, responsiveness and implementation were 68 %, 56 %, 83 % and 47 %. The implementation score differed for timing of intervention but not for nursery characteristics. This study showed that complex and diverse participatory ergonomic interventions should focus on physical, organizational and psychosocial factors to have a positive effect. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu