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

项目说明/摘要 与美国其他行业相比，农民的职业性死亡率相当高。 尽管这一事实本身就值得考虑，但更值得注意的是，最常见的 农场的死因是拖拉机倾覆，有一个现成的解决办法，那就是安装 翻车保护结构(ROPS)。ROP是商业上可用的，99%有效地保护 拖拉机操作员死伤。然而，40%的美国拖拉机缺乏这项关键的安全技术。 在过去十年中，在七个州开发并测试了ROPS方案模式。之前 研究表明，这些计划得到了农场社区的好评，而且它们的成本- 它们很有效，而且它们拯救了生命。在这样的证据基础下，很难理解为什么美国各州 拖拉机倾覆死亡人数最多的人仍然没有采用ROPS计划。 拟议的研究为探索这一问题、评估媒体的效用提供了一个理想的机会 宣传作为实施职业安全健康和循证研究的催化剂，并在此过程中填补现有的 职业安全卫生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 多个高危状态(治疗状态)的安装程序，同时监控 在几个高风险、可比较的州的活动。高风险中的实施过程及比较 然后将使用理论领域框架和综合框架对各国进行监测 用于实施研究。执行情况监测将提供有关以下项目成功的宝贵信息 将媒体宣传作为实施职业安全与健康循证研究的战略。特别是，它将允许 研究人员确定有效实施职业安全卫生计划必须针对的关键结构。 该项目涉及几个Nora农林渔业部门和Nora跨部门 目标。其中包括：中间目标#2.4：战略目标#3：中间目标#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 预计还包括：产出--出版物、演示文稿/海报、调查员职业发展、 数据库、网站、工具、宣传材料；中间结果-文献中的引用、采用 技术、伙伴关系、方案、R2P方法；和最终结果--减少死亡和 受伤。

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.