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

医疗保健和社会援助中家庭护理助手的安全与健康：安全家庭护理干预研究

• 批准号: 10162443
• 负责人: MARGARET M QUINN
• 金额: $ 62.04万
• 依托单位: UNIVERSITY OF MASSACHUSETTS LOWELL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10162443
• 关键词: Safety; Health; Home; Care; Aides

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.

项目摘要/摘要 重新提交NIOSH PAR-18-812的竞争性续签申请，涉及Nora部门 医疗保健和社会援助以及NARA跨部门：1)肌肉骨骼健康，2)呼吸健康，3) 传染病预防；4)创伤性损伤预防。这项研究的长期目标是保护 家庭护理(HC)助理的职业安全与健康(OSH)。由于人口迅速老龄化，HC 助理工作是增长最快的职业之一。越来越多的证据表明，助手们经历了 许多严重的职业安全健康危害，他们特别容易受到这些危害，因为他们是低薪工人和 然而，关于HC OSH干预的研究很少。HC OSH面临的一个主要挑战是，雇主对 控制工作环境，因为它是一个家。为了应对这些挑战，拟议的 干预研究将使HC雇主和案例经理(CMS)、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。总体目标是评估 干预措施的有效性和实施过程，并将结果转化为减少职业安全和健康 HC助手中的危险、疾病和伤害。这项研究建立在高效、多学科的基础上 研究团队与广泛、活跃的行业-劳工-公共卫生-老年服务伙伴关系合作 网络。中心假设是a)HC辅助的OSH危害可以由以下客户和家庭减少 在客户的房屋评估期间，来自HC雇主和CMS的援助和工具；以及b) 干预措施将减少职业安全卫生对HC助手的危害。研究与实践相结合的混合方法(R2P) 将使用方法来实现以下具体目标：1)制定职业健康安全干预措施和实施 减少职业安全与健康危害的过程；2)评估家庭变化的程度 HC客户的环境可以通过以下方式减少来访的助手的OSH危害：2A)实施OSH 2)评估干预措施的有效性；3)评估干预措施 执行进程；以及4)通过人力资源中心伙伴翻译和传播调查结果。方法是 创新，因为它使AIDE和HC客户的安全保持一致；目标是HC的一个新的、潜在的强大杠杆点 职业安全及健康措施；并寻求将职业安全及健康服务扩展至提供安老服务。它意义重大，因为它 旨在减少HC助手中的OSH危害、伤害和疾病，HC助手是一个庞大的、低工资的劳动力队伍。奥什 危险也越来越多地成为HC雇主的负担。预期产出：以证据为基础 由活动、工具和培训组成的干预措施，以减少HC助手的OSH危害；吸取的经验教训 关于如何吸引HC客户和家庭参与AIDE OSH。预期结果--立即：减少HC 辅助职业安全卫生危害；中级：提高HC客户对辅助职业安全卫生预防措施的认识； 将安老会助理员职业安全健康纳入安老服务和政策；职业安全健康社区的新知识 有效的HC干预。长期：一支更健康、更稳定的人力资源队伍，以照顾我们老龄化的人口。