PREVENTION--UPPER EXTREMITY CUMULATIVE TRAUMA DISORDERS

描述：(改编自《调查者摘要》) 这项研究延续了研究者对UP结果的研究 四肢累积创伤障碍(UECTD)。它的具体目标是 预防与工作相关的UECTD和改善功能结果 适用于患有UECTD的个人。累积性创伤障碍 上肢仍然是美国人失去时间受伤的主要原因 工业。美国劳工统计局(BLS)1995年遗失人口报告 工作日受伤显示，因腕管致残的员工 综合症经历了最大的中位数损失工作日比率 禁用条件。调查人员目前的描述是 流行病学研究表明，患有UECTDS的个人有 持续存在的功能、情感和财务问题，尽管 医疗救治。 将进行一项随机试验，以评估 教育干预旨在显著减少 继发性上肢累积性创伤障碍的发生率 (UECTDS)适用于接受干预并显著 改善受伤员工的功能结果，这些员工 与他们的医生和雇主相比，干预措施 不要接受干预。 所有从马里兰州工人赔偿中确认的UECTD索赔人 委员会(WCC)在12个月内(与其雇主一起)索赔 和治疗医生)将被随机分配到 干预组或对照组。这次干预将是一次 一系列教育工作，包括将由 邮件(书面和视听)和现场教育 会议/漫游。对照组不会接受任何干预， 但将对结果进行衡量。这些教育的有效性 干预和结果数据将由CATI(计算机)收集 辅助电话采访)。12个月内其后提出的申索 每个雇主的观察期将被记录在这两个 干预组和对照组。员工将回答问题 关于功能、情感和财务结果。

DESCRIPTION: (Adapted from Investigator's Abstract) This study continues the investigators' research on outcomes of upper extremity cumulative trauma disorders (UECTDs). Its specific aims are the prevention of work-related UECTDs and improved functional outcomes for individuals suffering UECTDs. Cumulative trauma disorders of the upper extremity remain a major cause of lost-time injuries in American industry. The Bureau of Labor Statistics (BLS) 1995 Report on Lost- Workday Injuries showed that employees disabled by carpal tunnel syndrome experienced the largest median lost-work day rate among disabling conditions. The investigators current descriptive epidemiological study has demonstrated that individuals with UECTDs have persisting functional, emotional, and financial problems, despite medical treatment. A randomized trial will be conducted to evaluate the effectiveness of an educational intervention designed to significantly reduce the incidence of subsequent upper extremity cumulative trauma disorders (UECTDs) for employers who receive interventions and significantly improve functional outcomes for injured employees who receive, along with their physicians and employers, interventions compared to those who do not receive intervention. All UECTD claimants identified from Maryland Workers Compensation Commission (WCC) claims in a 12 month period (along with their employers and treating physicians) will be randomized and assigned to either an intervention group or a comparison group. The intervention will be a series of educational efforts including materials to be distributed by mail (written and audiovisual) and an educational on-site meeting/walkthrough. The comparison group will receive no intervention, but will have outcomes measured. The effectiveness of these educational interventions and outcome data will be collected by CATI (computer assisted telephone interview). Subsequent claims during the 12 month observation period will be recorded for each employer in both intervention and comparison groups. Employees will respond to questions about functional, emotional, and financial outcomes.