Implementing ROPS Programs: Key Factors in OSH Evidence-Based Practice Adoption

实施 ROPS 计划：采用 OSH 循证实践的关键因素

• 批准号: 10227653
• 负责人: Julie Ann Sorensen
• 金额: $ 46.19万
• 依托单位: MARY IMOGENE BASSETT HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10227653
• 关键词: Implementing; ROPS; Programs; Key; Factors

Project Description/Abstract Farmers have considerably elevated rates of occupational fatality, as compared to other U.S. industries. Although this fact alone warrants consideration, it is even more remarkable to note that the most frequent cause of death on farms, tractor overturns, has a readily amenable solution, which is the installation of rollover protective structures (ROPS). ROPS are commercially available and 99% effective in protecting a tractor operator from death and injury. However, 40% of U.S. tractors lack this crucial safety technology. Over the past decade a ROPS program model has been developed and tested in seven states. Prior research shows us that these programs have been well received by the farm community, that they are cost- effective and that they save lives. Given this evidence-base, it is difficult to understand why U.S. states with the highest number of tractor overturn fatalities have still not adopted ROPS programs. The proposed research provides an ideal opportunity to explore this question, assess the utility of media advocacy as a catalyst for implementing OSH, evidence-based research and in the process fill in existing gaps in OSH implementation research. This will be done by using media advocacy to establish ROPS installation programs in several high-risk states (treatment states), while at the same time monitoring activities in several high-risk, comparison states. The implementation process in high-risk and comparison states will then be monitored using the Theoretical Domains Framework and the Consolidated Framework for Implementation Research. Implementation monitoring will provide valuable information on the success of media advocacy as a strategy for implementing OSH evidence-based research. In particular, it will allow researchers to identify key constructs that must be targeted for effective OSH program implementation. This project addresses several NORA Agriculture, Forestry and Fishing Sector and NORA Cross-sector goals. These include: Intermediate Goal #2.4: Strategic Goal #3: Intermediate Goal #3.3, Action Step #3.3.4 Strategic Goal #4: Intermediate Goal #4a.2: Intermediate Goal #4.1 Numerous Outputs and Outcomes are also expected and include: Outputs-publications, presentations/posters, investigator career development, databases, website, tools, promotional materials; Intermediate Outcomes-citations in the literature, adoption of technologies, partnerships, programs, R2P methods; and End Outcomes-reductions in fatalities and injuries.

项目描述/摘要 与美国其他行业相比，农民的职业死亡率大大提高。 虽然这一事实本身就值得考虑，但更值得注意的是， 农场死亡的原因，拖拉机翻倒，有一个容易接受的解决方案，那就是安装 翻车保护结构（ROPS）。ROPS是市售的，在保护 拖拉机司机的死亡和受伤。然而，40%的美国拖拉机缺乏这一关键的安全技术。 在过去的十年中，ROPS程序模型已经在七个州开发和测试。之前 研究表明，这些计划受到了农场社区的欢迎，它们的成本- 有效，并能挽救生命。鉴于这种证据基础，很难理解为什么美国各州 最高数量的拖拉机翻车事故仍然没有采用ROPS程序。 本研究为探讨这一问题、评估媒体的效用提供了一个理想的机会 倡导作为实施奥什的催化剂，循证研究和在此过程中填补现有的 奥什实施研究方面的差距。这将通过利用媒体宣传建立ROPS来实现 安装程序在几个高风险状态（治疗状态），而在同一时间监测 在几个高风险的比较国家开展活动。实施过程中的高风险和比较 然后，将使用理论领域框架和综合框架对各州进行监测 实施研究。执行情况监测将提供关于成功执行《公约》的宝贵信息， 将媒体宣传作为实施奥什循证研究的战略。特别是，它将允许 研究人员确定关键结构，必须有针对性的有效实施奥什计划。 本项目涉及若干诺拉农业、林业和渔业部门以及诺拉跨部门 目标.其中包括：中期目标#2.4：战略目标#3：中期目标#3.3，行动步骤#3.3.4 战略目标#4：中期目标#4a.2：中期目标#4.1： 还包括：产出-出版物、演示文稿/海报、研究者职业发展， 数据库、网站、工具、宣传材料;中间结果-文献引用、采用 技术、伙伴关系、方案、保护责任方法;以及最终成果-减少死亡和 受伤