An intervention to promote appropriate management of allergies in a heavy manufacturing workforce: Evaluating health and productivity outcomes
An intervention to promote appropriate management of allergies in a heavy manufacturing workforce: Evaluating health and productivity outcomes
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DOI：
10.1097/01.jom.0000090742.76380.8c
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发表时间：
2003-09-01
影响因子：
3.2
通讯作者：
Bunn, WB
中科院分区：
文献类型：
--
作者：
Allen, HM;Borden, S IV;Bunn, WB
这项工作提出了第一个同类的干预措施，以改善管理工人在很大程度上蓝领工业环境中的过敏症的评估。这项干预措施实施了八项教育策略，重点是在对照、非随机、前后准实验研究设计的背景下适当使用药物。2001年夏天，计划实施，通过健康和生产力的措施进行评估，从员工调查定时发生在春季和秋季过敏季节的高度，并从管理数据库开发同期不良事件的措施，与变化。在一个实验部位发现了改善的证据，但在其他实验部位或对照部位没有发现。使用探索性和验证性分析对两个假设进行了测试，将该中心过敏组的收益与1）干预过程变化和2）季节性引起的过敏严重程度变化联系起来。这两种假设都不能完全解释网站之间的差异。与其他地点相比，该地点其他疾病组的类似的前后生产力增益表明，纳入其他未测量的变量将改善解释，例如，患有慢性病的员工对该工厂具有显著挑战性的劳资谈判的反应。探讨了在管理疾病对生产力的影响方面促进行为改变的意义。
This work presents the evaluation of a first-of-its-kind intervention to improve the management of allergies among workers in a largely blue-collar industrial setting. This intervention implemented eight educational strategies focusing on appropriate medication use in the context of a controlled, nonrandomized, pre-post quasi-experimental study design. Program implementation occurred during summer 2001, with change assessed by means of measures of health and productivity, developed from employee surveys timed to occur at the height of the spring and fall allergy seasons, and measures of contemporaneous adverse events developed from administrative databases. Evidence of improvement was found at one experimental site but not at the other experimental sites or the control site. Tests using exploratory and confirmatory analyses were conducted of two hypotheses linking the gains of this site's allergy group to 1) intervention process changes and 2) changes in allergy severity caused by seasonality. Neither hypothesis is found to fully account for the explained variation between sites. Similar pre-post productivity gains for other disease groups at this site relative to the other sites suggest that the inclusion of other unmeasured variables would improve explanation, e.g., the responses of employees with chronic disease to notably challenging labor negotiations at this site. The implications for promoting behavioral change in the management of the impact of disease on productivity are explored.