Adherence to the NAGCAT and Injury Risk Reduction

遵守 NAGCAT 和减少伤害风险

• 批准号: 6799569
• 负责人: JOHN R WILKINS
• 金额: $ 37.38万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2006-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6799569
• 关键词: adolescence (12-20); agriculture worker; attitude; behavioral /social science research tag; child (0-11); children; clinical research; clinical trials; health care policy; health education; household; human subject; information dissemination; injury prevention; longitudinal human study; motivation; occupational hazard; outcomes research; parent offspring interaction; questionnaires

DESCRIPTION: (provided by applicant): In 1999, the North American Guidelines for Children's Agricultural Tasks (NAGCAT) were published. Based on expert opinion and child development theories (but not empirical evidence), the Guidelines are intended to help parents (and other adult Care givers) in assigning developmentally-appropriate jobs to youth 7-18 years of age who work in agriculture. The effectiveness of these guidelines has yet to be fully evaluated -especially in regards to their work-related injury risk reduction potential. The overarching goal of the proposed research is to evaluate the effectiveness of the NAGCA T as an approach to the primary prevention of childhood agricultural injury. We are therefore proposing to conduct a randomized controlled trial having an experimental time series design, permitting a rigorous test of NAGCAT's effectiveness. We expect our findings to provide informative evidence-based answers to the following questions. First, to what extent can compliance with the NAGCA T be maximized through a theory-based dissemination strategy? Second, to what extent can compliance with the NAGCAT actually reduce the risk of work-related injury among youth exposed to agricultural hazards? Third, to inform future NAGCA T dissemination efforts, what parental characteristics are most strongly associated with maximal compliance? The panel's hypothesis is that hazard-exposed youth in households who receive messages about the NAGCA T based on Protection Motivation Theory will exhibit greater compliance / conformity to the NAGCAT and lower injury rates than youth in control households. Specific Aims are: 1. Quantitatively assess the extent to which youth working conditions and safety behaviors are in compliance/conformity with the NAGCAT . 2. Evaluate the effectiveness of a dissemination strategy based on Protection Motivation Theory in terms of changes in youth working conditions and safety behaviors. 3. Quantify risk of work related injury among a sample of youth exposed to agricultural hazards. 4. Taking into account the experimental time series design of the proposed study, conduct statistical analyses to evaluate the functional relationship between adherence to the Guidelines and work related injury risk. 5. Identify parental characteristics and attitudes that most strongly predict high compliance / conformity with the NAGCAT.

描述：（申请人提供）：1999年，出版了《北美儿童农业任务指南》（NAGCAT）。《准则》以专家意见和儿童发展理论（而非经验证据）为基础，旨在帮助父母（和其他成人照料者）为7-18岁从事农业工作的青年分配适合发展的工作。这些指导方针的有效性尚未得到充分评估，特别是在减少工伤风险方面。 拟议研究的总体目标是评估NAGCA T作为儿童农业伤害一级预防方法的有效性。因此，我们建议进行一项随机对照试验，具有实验时间序列设计，允许严格测试NAGCAT的有效性。我们希望我们的研究结果能为以下问题提供翔实的循证答案。第一，通过基于理论的传播策略，在多大程度上可以最大限度地遵守NAGCA T？第二，遵守NAGCAT在多大程度上可以实际降低暴露于农业危害的青年的工伤风险？第三，告知未来NAGCA T传播的努力，父母的特点是最强烈的最大的依从性？ 该小组的假设是，家庭中的危险暴露青年谁收到的消息NAGCA T的基础上保护动机理论将表现出更大的遵守/符合NAGCAT和较低的伤害率比青年在控制家庭。具体目标是： 1.量化评估青年工作条件和安全行为符合NAGCAT的程度。 2.评估基于保护动机理论的传播战略在青年工作条件和安全行为变化方面的有效性。 3.量化暴露于农业危害的青年样本中与工作有关的伤害风险。 4.考虑到拟议研究的实验时间序列设计，进行统计分析，以评估遵守指南和工伤风险之间的函数关系。 5.确定父母的特征和态度，最强烈地预测高依从性/符合NAGCAT。