Safety and Health for Home Care Aides in Healthcare and Social Assistance: The Safe Home Care Intervention Study

项目总结/摘要 NIOSH PAR-18-812竞争性更新申请的重新提交涉及诺拉行业 医疗保健和社会援助以及诺拉跨部门：1）肌肉骨骼健康，2）呼吸系统健康，3） 预防传染病; 4）预防外伤。这项研究的长期目标是保护 家庭护理助理的职业安全和健康（奥什）。由于人口迅速老龄化， 助理工作是增长最快的职业之一。越来越多的证据表明， 许多严重的奥什危害，由于他们是低薪工人， 然而，HC奥什健康干预研究很少。HC奥什面临的一个主要挑战是， 控制工作环境，因为它是一个家。为了应对这些挑战， 干预研究将使HC雇主和个案经理（CM）、客户及其家人参与改变 家庭工作环境，以减少对HC助手的危害。总体目标是评价 干预措施和实施过程的有效性，并将结果转化为减少奥什 危险、疾病和伤害。这项研究建立在一个高生产力，多学科 研究团队与广泛、积极的行业-劳动-公共卫生-老年服务伙伴关系合作 网络中心假设是：a）HC辅助奥什安全和健康危害可以通过客户和家庭减少， 在客户的家庭评估期间，HC雇主和CM提供的帮助和工具;以及B） 干预措施将减少对HC助手的奥什危害。混合方法与研究到实践（r2 p） 将采用一种方法来实现以下具体目标：1）制定奥什干预措施， 减少对HC助手的奥什危害的过程; 2）评估家庭中的变化程度 通过以下方式，HC客户的环境可以减少访问他们的助手的奥什危害：2a）实施奥什 危害干预和2b）评估干预措施的有效性; 3）评估干预措施 执行进程;以及4）翻译并通过人道主义协调员伙伴传播调查结果。该方法是 创新，因为它使助手和HC客户安全保持一致;为HC提供一个新的、潜在的强大杠杆点 奥什干预措施;并寻求将奥什扩大到提供老年人保健服务。它之所以重要，是因为它 旨在减少HC助手（一个庞大的低工资劳动力）的奥什危害、伤害和疾病。奥什 危险也日益成为人力资源雇主的负担。预期产出：循证 干预措施，包括活动、工具和培训，以减少HC助手的奥什危害;经验教训 关于如何让HC客户和家庭参与奥什。预期成果-立即：减少人道主义费用 辅助奥什危害;中级：提高HC客户对辅助奥什预防措施的认识; 在长者服务和政策中加入人道主义援助奥什;奥什社区对以下方面的新知识： 有效的人力资源干预措施。长期：一个更健康，更稳定的人力资源工作队伍，以照顾我们的老龄化人口。

PROJECT SUMMARY/ABSTRACT This resubmission of a competitive renewal application for NIOSH PAR-18-812, addresses the NORA sector Healthcare and Social Assistance and NORA cross-sectors: 1) musculoskeletal health, 2) respiratory health, 3) infectious disease prevention, and 4) traumatic injury prevention. The long-term goal of the study is to protect the occupational safety and health (OSH) of home care (HC) aides. Due to the rapidly aging population, HC aide jobs are among the fastest growing occupations. There is increasing evidence that aides experience many serious OSH hazards to which they are particularly vulnerable because they are low-wage workers and yet there are few HC OSH intervention studies. A major challenge for HC OSH is that the employer has limited control over the work environment because it is a home. To address these challenges, the proposed intervention study will engage HC employers and case managers (CMs), clients and their families, in changing the home-work environment to reduce hazards for HC aides. The overall objectives are to evaluate the effectiveness of interventions and the implementation process and to translate findings to reduce OSH hazards, illness, and injuries among HC aides. The study builds on a highly productive, multidisciplinary research team working with an extensive, active industry-labor-public health-elder services partnership network. Central hypotheses are a) HC aide OSH hazards can be reduced by clients and families with assistance and tools from HC employers and CMs introduced during a client’s home assessment; and b) the interventions will lead to fewer OSH hazards to HC aides. Mixed methods with a research-to-practice (r2p) approach will be used to accomplish specific aims to: 1) Develop OSH interventions and an implementation process to reduce OSH hazards to HC aides; 2) Evaluate the extent to which changes in the home environment by HC clients can reduce the OSH hazards of the aides who visit them by: 2a) implementing OSH hazard interventions and 2b) evaluating the interventions’ effectiveness; 3) Evaluate the intervention implementation process; and 4) Translate and disseminate findings via the HC partners. The approach is innovative because it aligns aide and HC client safety; targets a new, potentially powerful leverage point for HC OSH interventions; and seeks to expand OSH into the delivery of elder HC services. It is significant because it aims to reduce OSH hazards, injuries and illnesses among HC aides, a large, low-wage workforce. OSH hazards are also increasingly becoming a burden on HC employers. Expected outputs: evidence-based interventions consisting of activities, tools, and training to reduce OSH hazards for HC aides; lessons learned about how to engage HC clients and families in aide OSH. Expected outcomes- immediate: a reduction in HC aide OSH hazards; intermediate: increased awareness of aide OSH preventive measures among HC clients; incorporation of HC aide OSH in elder services and policies; new knowledge in OSH community about effective HC interventions. Long-term: a healthier, more stable HC workforce to care for our aging population.