Results of a Randomized Trial on an Intervention Promoting Adoption of Occupational Sun Protection Policies.

Results of a Randomized Trial on an Intervention Promoting Adoption of Occupational Sun Protection Policies.
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一项关于促进职业防晒政策采用的干预随机试验的结果。

DOI:
10.1177/0890117117704531
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发表时间:
2018-05
期刊:
American journal of health promotion : AJHP
影响因子:
--
通讯作者:
Cutter G
Cutter G
中科院分区:
其他
文献类型:
--
作者:
Buller DB;Walkosz BJ;Buller MK;Wallis A;Andersen PA;Scott MD;Eye R;Liu X;Cutter G

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评估一项促进雇主采用职业防晒政策的干预措施的随机试验。在2010-13年进行了为期两年的随访的随机前测-后测对照设计。科罗拉多的地方政府组织,他们在公共工程、公共安全和/或公园和娱乐方面有户外工作者。98个地方政府组织(n=51个市、10个县和37个特区)。组织被随机分配接受政策和教育干预,包括个人接触和基于理论的培训和材料,或注意力控制组。职业政策文件由一名训练有素的研究助理对阳光安全内容进行编码。政策得分进行了分析,逻辑和泊松回归模型使用插补。在后测中,干预组中有更多的组织比对照组有防晒政策(OR=4.91,p<0.05;意向治疗:OR=5.95,p<0.05)和政策更广泛(χ2=31.29,p<0.01;意向治疗:χ2=73.79,p<0.01)和更强(χ2=24.50,p<0.01;意向治疗:χ2=51.95,p<0.01)。随着接触次数和培训次数的增加,政策采纳率更高(p<0.05)。这种干预对正式防晒政策的采用产生了很大的影响,也许是因为它符合法律的要求,以保持安全的工作场所。即使在这个通信技术和社交媒体的时代,与管理人员的个人接触对职业政策的采纳也有影响。
To evaluate an intervention promoting adoption of occupational sun protection policy by employers in a randomized trial. A randomized pretest-posttest controlled design with two-year follow-up was conducted in 2010–13. Local government organizations in Colorado who had outdoor workers in public works, public safety, and/or parks and recreation. 98 local government organizations (n=51 municipalities, 10 counties, and 37 special districts). Organizations were randomly assigned to receive a policy and education intervention comprised of personal contacts and theory-based training and materials or to an attention-control group. Occupational policy documents were coded for sun safety content by a trained research assistant blind to condition. Policy scores were analyzed with logistic and Poisson regression models using imputation. At posttest, more organizations in the intervention group had a sun protection policy than in the control group (OR=4.91, p<0.05; intent-to-treat: OR=5.95, p<0.05) and policies were more extensive (χ2=31.29, p<0.01; intent-to-treat: χ2=73.79, p<0.01) and stronger (χ2=24.50, p<0.01; intent-to-treat: χ2=51.95, p<0.01). Policy adoption was higher when number of contacts and trainings increased (p<0.05). The intervention had a large effect on adoption of formal sun protection policies, perhaps because of its fit with legal requirements to maintain safe workplaces. Personal contacts with managers were influential on adoption of occupational policy even in this age of communication technology and social media.
DOI: 10.5888/pcd9.120092
发表时间: 2012
影响因子: 5.5
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DOI: 10.1177/1090198111420287
发表时间: 2012-08
期刊: Health education & behavior : the official publication of the Society for Public Health Education
影响因子: --
作者:
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影响因子: 4.2
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影响因子: 3.5
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DOI: 10.1097/jom.0b013e31802ec6a3
发表时间: 2007-02-01
影响因子: 3.2
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