Workplace Intervention for Heat Stress: Essential Elements of Design, Implementation, and Assessment.

Workplace Intervention for Heat Stress: Essential Elements of Design, Implementation, and Assessment.
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DOI:
10.3390/ijerph19073779
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发表时间:
2022-03-22
影响因子:
--
通讯作者:
Wesseling C
Wesseling C
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Glaser J;Wegman DH;Arias-Monge E;Pacheco-Zenteno F;Prince H;Chavarria D;Martinez-Cuadra WJ;Jakobsson K;Hansson E;Lucas RAI;Weiss I;Wesseling C

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Heat stress is associated with numerous health effects that potentially harm workers, especially in a warming world. This investigation occurred in a setting where laborers are confronted with occupational heat stress from physically demanding work in high environmental temperatures. Collaboration with a major Nicaraguan sugarcane producer offered the opportunity to study interventions to prevent occupational heat-stress-related kidney disease. Two aims for this study of a rest-shade-water intervention program were: (1) describe the evolving intervention, summarize findings that motivated proposed improvements, assess impact of those improvements, and identify challenges to successful implementation and (2) extract primary lessons learned about intervention research that have both general relevance to investigations of work-related disease prevention and specific relevance to this setting. The learning curve for the various stakeholders as well as the barriers to success demonstrate that effectiveness of an intervention cannot be adequately assessed without considerations of implementation. Designing, effectively implementing, and assessing both health impacts and implementation quality is a resource-intensive endeavor requiring a transdisciplinary approach. Both general and specific lessons learned are presented for decisions on study design and study elements, implementation assessment, and management engagement in understanding how productivity and health can be successfully balanced and for building effective communication between investigators and all levels of management.
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