Engaging Families and Employers in Latino Construction Worker Injury Prevention

拉美裔移民在建筑内经历了较高的职业死亡率、伤害率和疾病发生率 行业，特别是在小型住宅建筑业。住宅中的安全倡议 建筑以工人为中心：承包商的参与和其他影响来源，如家庭 成员仍然是安全倡议长期可持续性的关键监督。该计划的总体目标 拟议的研究是为了在小规模企业中建立持续致力于工人安全的能力 雇用拉丁裔工人的住宅建筑承包商。该项目的目标将通过一个 以社区为基础的学术研究伙伴关系，大塔尔萨拉美裔商会 以及一个将实现三个具体目标的翻译研究项目：1)记录优势， 小型住宅建设承包商面临的劣势、机遇和威胁 与他们的员工一起采取预防措施；2)描述家庭成员对拉丁裔风险的信念 建筑工人在工作中遇到的风险，这些风险的可变性，以及家庭成员所具有的能力 在将这些风险降至最低的过程中；3)确定“外行健康顾问”(LHA)的额外影响，“雇主- “强化”和“家庭强化”干预策略与收到书面材料的对照组相比 单单是安全教育。这些目标将通过混合方法设计来实现，重点是 从研究到实践(R2P)。目标1和目标2将通过收集和分析 对拉丁裔承包商(AIM 1)和拉丁裔工人家属的定性深度访谈数据 (最有可能是配偶，目标2)。目标3将通过基于社区的试验来实现，其中N=40 承包商船员(由4-6名工人/船员组成)是随机化的基础。船员们将随机 被分配到四种情况之一：照常治疗(由LHA(LHA)对工人进行教育)， 雇主强化的待遇(LHA对工人的教育与承包商/班长的安全相结合 培训)、家庭强化治疗(LHA的工人教育与家庭安全培训相结合)，以及 对照组(单纯书面安全教育)。确定雇主和家庭的额外影响-- 加强战略将侧重于核心安全的前测-后测和后续变化方面的差异 行为。

Immigrant Latinos experience elevated rates of occupational fatality, injury and illness within the construction industry, particularly within the small-scale residential construction industry. Safety initiatives in residential construction focus on workers: the involvement of contractors and other sources of influence like family members remains a critical oversight to long-term sustainability of safety initiatives. The overall goal of the proposed research is to create capacity for sustained commitment to worker safety among small-scale residential construction contractors employing Latino workers. The project goal will be achieved through a community-based partnership of academic researchers, the Greater Tulsa Hispanic Chamber of Commerce and a translational research project that will accomplish three specific aims: 1) document strengths, weaknesses, opportunities and threats of contractors in small-scale residential construction to enhancing fall prevention initiatives with their workers; 2) describe beliefs held by family members about the risks Latino construction workers encounter on the job, the modifiability of those risks, and the ability family members have in minimizing those risks; 3) determine the added impact of a “Lay Health Advisor” (LHA), “employer- enhanced” and “family-enhanced” intervention strategy in comparison to a control group that receives written safety education alone. These aims will be accomplished through a mixed-method design focused on Research-to-Practice (R2P). Aims 1 and 2 will be accomplished through the collection and analysis of qualitative in-depth interview data with Latino contractors (Aim 1) and family members of Latino workers (spouses most likely, Aim 2). Aim 3 will be accomplished through a community-based trial where N=40 contractor crews (consisting of 4-6 workers/crew) are the basis for randomization. Crews will be randomly assigned to one of four conditions: treatment as usual (worker education by a Lay Health Advisor (LHA)), employer-enhanced treatment (worker education by LHA combined with contractor/crew-leader safety training), family-enhanced treatment (worker education by LHA combined with family safety training), and a control group (written safety education alone). Determination of the added impact of the employer- and family- enhanced strategies will focus on differences in pretest-posttest and follow-up changes in core safety behaviors.