Effectiveness of the Healthy Workplace Participatory Program With Peer-led Teams in Public Sector Healthcare Facilities (SHIFT)
Primary Purpose
Work-Related Condition, Burnout, Caregiver, Work-related Injury
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
CPH-NEW Healthy Workplace Participatory Program
Sponsored by
About this trial
This is an interventional other trial for Work-Related Condition focused on measuring participatory, employee engagement, process evaluation, work ability
Eligibility Criteria
Inclusion Criteria:
- Direct employee of the agency (not temporary agency or subcontractor)
Exclusion Criteria:
-
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Other
Arm Label
Immediate Intervention Group
Delayed Intervention Group
Arm Description
SHIFT study team provides coaching to Health and Safety Committee to implement a participatory program for increasing committee effectiveness.
Active Comparator for 2 years: status quo program remains in place with new ongoing data collection. Then experimental intervention as above.
Outcomes
Primary Outcome Measures
Change in Team Attendance
Attendance for each Design Team meeting (1-2 times per month)
Change in Team Engagement
Percentage of yes responses for 2 survey items collected following Design Team meetings (1-2 times per month): "I spoke up and gave my opinion at this meeting" and "My opinion was considered seriously by others at this meeting." (Yes, no, somewhat). Items are computed individually.
Change in Level of Committee Activity
A qualitative summary of field notes collected by research personnel following Design Team meetings (1-2 times per month) over the course of the study
Change in team-selected health/safety/well-being issue
Targeted pre- and post-intervention surveys will be designed and administered by the Design Team
Secondary Outcome Measures
Proportion of content followed according to the HWPP protocol
A process measure that will be determined by adherence to HWPP protocol and pre-designed agendas for Design Team meetings (1-2 times per month)
Change in scope of health/safety/well-being
Periodic interviews, designed by the research team, will be conducted with Design Team co-facilitators and Steering Committee Champions, and compared to results from baseline leadership interviews, designed by the research team, regarding scope of health/safety/well-being
Shared labor-management awareness of job-related health issues
Interim interviews, designed by the research team, will be conducted with Design Team co-facilitators and Steering Committee Champions.
Work Ability of Employees
The "All-Employee Survey" includes items from the Work Ability Index (Ilmarinen, 1991). Scores range from 7-49. Higher scores indicate better work ability.
Quality of Care of Patients/Residents: All-Employee Survey
The "All-Employee Survey" includes three items related to quality of care from Aiken et al., 2002. Items are computed individually.
Organizational Support for Health, Safety, and Wellbeing
The "All-Employee Survey" includes eight selected items from the Nordic Occupational Safety Climate Questionnaire (NOSACQ50). The score is an average of the 8 items. The score ranges from 1-4, where higher scores indicate better support from management for safety.
Employee Burnout: Exhaustion and Disengagement
The "All-Employee Survey" includes 6 questions, 3 related to exhaustion and 3 related to disengagement (Demerouti, 2000; Halbeslebeni 2005). The score is an average of the items. The score ranges from 1-5, where higher scores indicate more exhaustion and more disengagement.
Frequency of Threats, Assault, and Harassment of Employees
The "All-Employee Survey" includes 3 questions designed by the research team, including "In the past 6 months have you experienced someone who threatened to physically hurt or assault you?" "In the past 6 months have you experienced someone who did hurt or assault you?" "In the past 6 months have you experienced someone who sexually harassed you?" (Response categories: none, patient/family member/visitor, supervisor, other employee). Items are computed individually.
Change in Worker Injuries
Annual rates of work-related injuries reported to the Workers' Compensation system - overall and by job type, and selected subgroups such as assault or back injury
Musculoskeletal Pain
The "All-Employee Survey" includes questions related to musculoskeletal pain in various body regions (low back, shoulder/upper arm, forearm/wrist/hand, knee, neck, ankle/foot) in the last three months. Level of discomfort (none, mild, moderate, severe, extreme) and measures of severity (use of pain relievers, surgery/physical therapy) are also included for each body region. Pain in each body region is computed individually.
Full Information
NCT ID
NCT04251429
First Posted
November 20, 2019
Last Updated
February 22, 2021
Sponsor
University of Massachusetts, Lowell
Collaborators
National Institute for Occupational Safety and Health (NIOSH/CDC)
1. Study Identification
Unique Protocol Identification Number
NCT04251429
Brief Title
Effectiveness of the Healthy Workplace Participatory Program With Peer-led Teams in Public Sector Healthcare Facilities
Acronym
SHIFT
Official Title
Safety and Health Through Integrated Facilitated Teams (SHIFT)
Study Type
Interventional
2. Study Status
Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
September 1, 2016 (Actual)
Primary Completion Date
August 31, 2021 (Anticipated)
Study Completion Date
August 31, 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Massachusetts, Lowell
Collaborators
National Institute for Occupational Safety and Health (NIOSH/CDC)
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Safety & Health through Integrated, Facilitated Teams (SHIFT) is an intervention study to enhance employee health, safety, and well-being in public sector healthcare institutions in New England. The investigators will evaluate the effectiveness of an adapted form of the Center for the Promotion of Health in the New England Workplace (CPH-NEW) Healthy Workplace Participatory Program (HWPP) for strengthening cohesiveness, engagement, and impact of pre-existing joint labor-management health and safety committees.
The sites are enrolled in three pairs, matched by agency and type of services. For each pair of sites, one will be randomly selected for immediate HWPP coaching. The paired organization will serve as a control until the study mid-point, at which time all sites will be coached. Process evaluations will examine barriers to and facilitators of program uptake, reach, and effectiveness. Survey data and injury records will be examined in intervention and control groups to describe the frequencies of workplace and non-occupational exposures of selected health outcomes.
Detailed Description
Safety & Health through Integrated, Facilitated Teams (SHIFT) is a five-year study with etiologic, intervention, and translational research components. Six public sector healthcare institutions are enrolled, in three pairs matched by agency and type of services. The sites are four Massachusetts state healthcare facilities, which have recently been mandated by law to achieve "Occupational Health and Safety Administration (OSHA) equivalent compliance," and two Veterans Administration facilities each of which has multiple nationally mandated programs addressing employee health and safety. Using a "stepped wedge" design, one of each pair will be randomly selected as the immediate intervention site, while the other facility will be the concurrent control or "lagged intervention" site, having access only to technical reports and information until mid-project, when it will also receive the full intervention.
The intervention is the CPH-NEW Healthy Workplace Participatory Program (HWPP), a process for increasing the effectiveness of occupational health and safety committees or peer-led employee teams, through root cause analysis, prioritizing health and safety needs for effective problem-solving, identifying feasible interventions, and presenting these to leadership. Each facility has a pre-existing labor-management health and safety committee (HSC), which is the unit of intervention, so the HWPP will be adapted to joint management-labor teams. The committee is a partner in designing the program to fit the constraints and needs of the specific workplace and workforce. The research team provides training, coaching in the HWPP process, technical information, and practical assistance to committee members, facilitators, champions and leadership.
Etiologic research will entail analysis of baseline data for cross-sectional associations of work organization with worker health indicators. Intervention research will entail effectiveness and cost-outcome analysis of the HWPP. Outcomes will be both generic indicators of employee well-being and specific outcomes appropriate to the topics that the HSC's select for intervention. Translational research (process evaluation) will evaluate the efficacy of the dissemination and training strategy, as well as obstacles to and facilitators of uptake and implementation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Work-Related Condition, Burnout, Caregiver, Work-related Injury, Musculoskeletal Pain
Keywords
participatory, employee engagement, process evaluation, work ability
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
3300 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Immediate Intervention Group
Arm Type
Experimental
Arm Description
SHIFT study team provides coaching to Health and Safety Committee to implement a participatory program for increasing committee effectiveness.
Arm Title
Delayed Intervention Group
Arm Type
Other
Arm Description
Active Comparator for 2 years: status quo program remains in place with new ongoing data collection. Then experimental intervention as above.
Intervention Type
Other
Intervention Name(s)
CPH-NEW Healthy Workplace Participatory Program
Intervention Description
A participatory program for increasing effectiveness of occupational health and safety committees or peer-led employee teams through root cause analysis, prioritizing health and safety needs for effective problem-solving, identifying feasible interventions, and presenting these to senior leadership. Interventions are selected and implemented by leadership and evaluated by both teams.
Primary Outcome Measure Information:
Title
Change in Team Attendance
Description
Attendance for each Design Team meeting (1-2 times per month)
Time Frame
Through study completion, an average of three years
Title
Change in Team Engagement
Description
Percentage of yes responses for 2 survey items collected following Design Team meetings (1-2 times per month): "I spoke up and gave my opinion at this meeting" and "My opinion was considered seriously by others at this meeting." (Yes, no, somewhat). Items are computed individually.
Time Frame
Through study completion, an average of three years
Title
Change in Level of Committee Activity
Description
A qualitative summary of field notes collected by research personnel following Design Team meetings (1-2 times per month) over the course of the study
Time Frame
Through study completion, an average of three years
Title
Change in team-selected health/safety/well-being issue
Description
Targeted pre- and post-intervention surveys will be designed and administered by the Design Team
Time Frame
Through study completion, an average of two years
Secondary Outcome Measure Information:
Title
Proportion of content followed according to the HWPP protocol
Description
A process measure that will be determined by adherence to HWPP protocol and pre-designed agendas for Design Team meetings (1-2 times per month)
Time Frame
Through study completion, an average of three years
Title
Change in scope of health/safety/well-being
Description
Periodic interviews, designed by the research team, will be conducted with Design Team co-facilitators and Steering Committee Champions, and compared to results from baseline leadership interviews, designed by the research team, regarding scope of health/safety/well-being
Time Frame
Through study completion, an average of three years
Title
Shared labor-management awareness of job-related health issues
Description
Interim interviews, designed by the research team, will be conducted with Design Team co-facilitators and Steering Committee Champions.
Time Frame
Through study completion, an average of two years
Title
Work Ability of Employees
Description
The "All-Employee Survey" includes items from the Work Ability Index (Ilmarinen, 1991). Scores range from 7-49. Higher scores indicate better work ability.
Time Frame
Prior to random selection of immediate and delayed intervention site, and 3 years later
Title
Quality of Care of Patients/Residents: All-Employee Survey
Description
The "All-Employee Survey" includes three items related to quality of care from Aiken et al., 2002. Items are computed individually.
Time Frame
Prior to random selection of immediate and delayed intervention site, and 3 years later
Title
Organizational Support for Health, Safety, and Wellbeing
Description
The "All-Employee Survey" includes eight selected items from the Nordic Occupational Safety Climate Questionnaire (NOSACQ50). The score is an average of the 8 items. The score ranges from 1-4, where higher scores indicate better support from management for safety.
Time Frame
Prior to random selection of immediate and delayed intervention site, and 3 years later
Title
Employee Burnout: Exhaustion and Disengagement
Description
The "All-Employee Survey" includes 6 questions, 3 related to exhaustion and 3 related to disengagement (Demerouti, 2000; Halbeslebeni 2005). The score is an average of the items. The score ranges from 1-5, where higher scores indicate more exhaustion and more disengagement.
Time Frame
Prior to random selection of immediate and delayed intervention site, and 3 years later
Title
Frequency of Threats, Assault, and Harassment of Employees
Description
The "All-Employee Survey" includes 3 questions designed by the research team, including "In the past 6 months have you experienced someone who threatened to physically hurt or assault you?" "In the past 6 months have you experienced someone who did hurt or assault you?" "In the past 6 months have you experienced someone who sexually harassed you?" (Response categories: none, patient/family member/visitor, supervisor, other employee). Items are computed individually.
Time Frame
Prior to random selection of immediate and delayed intervention site, and 3 years later
Title
Change in Worker Injuries
Description
Annual rates of work-related injuries reported to the Workers' Compensation system - overall and by job type, and selected subgroups such as assault or back injury
Time Frame
Through study completion, an average of five years
Title
Musculoskeletal Pain
Description
The "All-Employee Survey" includes questions related to musculoskeletal pain in various body regions (low back, shoulder/upper arm, forearm/wrist/hand, knee, neck, ankle/foot) in the last three months. Level of discomfort (none, mild, moderate, severe, extreme) and measures of severity (use of pain relievers, surgery/physical therapy) are also included for each body region. Pain in each body region is computed individually.
Time Frame
Prior to random selection of immediate and delayed intervention site, and 3 years later
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Direct employee of the agency (not temporary agency or subcontractor)
Exclusion Criteria:
-
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Laura Punnett, ScD
Organizational Affiliation
University of Massachusetts, Lowell
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
32993607
Citation
Punnett L, Nobrega S, Zhang Y, Rice S, Gore R, Kurowski A; SHIFT Project Research Team. Safety and Health through Integrated, Facilitated Teams (SHIFT): stepped-wedge protocol for prospective, mixed-methods evaluation of the Healthy Workplace Participatory Program. BMC Public Health. 2020 Sep 29;20(1):1463. doi: 10.1186/s12889-020-09551-2.
Results Reference
derived
Learn more about this trial
Effectiveness of the Healthy Workplace Participatory Program With Peer-led Teams in Public Sector Healthcare Facilities
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