The multi-level heat education and awareness tools [HEAT] intervention study for farmworkers: Rationale and methods
| Autor: | Jose Carmona, Erica Chavez Santos, Paul D. Sampson, June T. Spector, Maria Blancas, Diana Marquez, Elizabeth B. Torres, Jennifer Krenz, Pablo Palmández |
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| Rok vydání: | 2021 |
| Předmět: |
Medicine (General)
Heat Education and Awareness Tools (HEAT) Psychological intervention Heat strain Prevention approach Article Heat stress 03 medical and health sciences R5-920 0302 clinical medicine Intervention (counseling) Environmental health Medicine Agricultural health 030212 general & internal medicine American Conference of Governmental Industrial Hygienists (ACGIH) Washington State (WA) Pharmacology expert working group (EWG) Intervention study social-ecological model (SEM) business.industry General Medicine Prevention intervention wet-bulb globe temperature (WBGT) Intervention studies Test (assessment) Physiological Strain Index (PSI) Physical work Heat-related illness United States (US) Physiological monitoring heat-related illness (HRI) business 030217 neurology & neurosurgery |
| Zdroj: | Contemporary Clinical Trials Communications Contemporary Clinical Trials Communications, Vol 22, Iss, Pp 100795-(2021) |
| ISSN: | 2451-8654 |
| DOI: | 10.1016/j.conctc.2021.100795 |
| Popis: | Background The burden of adverse health effects from heat exposure is substantial, and outdoor workers who perform heavy physical work are at high risk. Though heat prevention interventions have been developed, studies have not yet systematically evaluated the effectiveness of approaches that address risk factors at multiple levels. Objective We sought to test the effectiveness of a multi-level heat prevention approach (heat education and awareness tools [HEAT]), which includes participatory training for outdoor agricultural workers that addresses individual and community factors and a heat awareness mobile application for agricultural supervisors that supports decisions about workplace heat prevention, in the Northwest United States. Design We designed the HEAT study as a parallel, comparison, randomized group intervention study that recruited workers and supervisors from agricultural workplaces. In intervention arm crews, workers received HEAT training, and supervisors received the HEAT awareness application. In comparison arm crews, workers were offered non-HEAT training. Primary outcomes were worker physiological heat strain and heat-related illness (HRI) symptoms. In both worker groups, we assessed HRI symptoms approximately weekly, and heat strain physiological monitoring was conducted at worksites approximately monthly, from June through August. Discussion To our knowledge, this is the first study to evaluate the effectiveness of a multi-level heat prevention intervention on physiological heat strain and HRI symptoms for outdoor agricultural workers. Trial registration ClinicalTrials.gov Registration Number: NCT04234802 |
| Databáze: | OpenAIRE |
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