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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
University of Massachusetts, Lowell
About
Eligibility
Locations
Arms
Outcomes
Full info

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

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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

    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)
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    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

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    Effectiveness of the Healthy Workplace Participatory Program With Peer-led Teams in Public Sector Healthcare Facilities

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