Using Technology to Scale-Up an Occupational Sun Protection Policy Program

利用技术扩大职业防晒政策计划

基本信息

批准号：
9333520
负责人：
DAVID B BULLER
金额：
$ 68.26万
依托单位：
KLEIN BUENDEL, INC.
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9333520
关键词：
Adopted Adoption Affordable Care Act American Attention Behavior Carcinogens Cessation of life Colorado Cost Savings Early Intervention Education Educational Intervention Effectiveness Effectiveness of Interventions Employee Enrollment Environmental Health Equilibrium Evidence based intervention Evidence based program Exposure to Fire - disasters Goals Health Hour Individual Industry Institutes Internet Intervention Massachusetts Methods Modeling Occupational Occupations Persons Policies Population Prevalence Prevention Principal Investigator Procedures Productivity Public Health Randomized Randomized Controlled Trials Research Research Personnel Resources Risk Safety Sampling Schedule Schools Series Skin Cancer Skin Carcinoma Social Network Study models Technology Testing The Sun Training Training Programs Translating Transportation UV Radiation Exposure Ultraviolet Rays Work Workplace base cancer diagnosis collaborative environment cost cost effective cost effectiveness design effective intervention effectiveness trial evidence base implementation science improved innovation medical schools meetings melanoma pressure programs randomized trial safety education safety practice scale up school district secondary analysis secondary outcome social media sun protection sun safe policies sun safety symposium virtual

项目摘要

A key goal in the Affordable Care Act is building a national culture of prevention through workplace health and safety initiatives. To achieve this goal, methods for scaling up evidence-based programs from research to wide- scale dissemination are needed to help balance effectiveness and cost. In many cases, there are pressures to reduce scale-up costs but at the expense of lower program implementation and effectiveness. A scale-up method that sacrifices effectiveness but reduces costs and reaches a larger number of employers may be acceptable. We will model the effectiveness and cost trade-off, along with the extent and representativeness of reach, when scaling up our evidence-based occupational sun protection intervention, Sun Safe Workplaces (SSW), for national distribution. The intervention, which relies on personal contact with managers and in- person employee training (SSW-IP), created large improvements in comprehensive workplace sun safety (i.e., policy adoption and employee education) in a randomized controlled trial. We will compare the existing in- person program delivery methods (SSW-IP) to a lower-cost dissemination method that utilizes Internet technology (SSW-T), i.e., virtual meetings, social networking, online training, and program materials. The aims of the research are to: 1) estimate the program reach (number and representativeness) and implementation rates (i.e., adoption of policies and delivery of education on occupational sun protection) achieved by the SSW- IP and SSW-T in a model of national distribution to public safety and public works industries; 2) estimate the costs associated with the SSW-IP and SSW-T (i.e., intervention costs and induced employer costs) and compare the estimated program benefits (i.e., policy and education) to cost; and 3) estimate the effect and cost- effectiveness of SSW-IP and SSW-T in secondary outcomes of a) changes in workplace environments and procedures for sun safety and b) workers’ sun safety practices. In a 5-year project, SSW-T will be created by redesigning our very effective SSW-IP methods to use the latest web conferencing, social networking, and online training technology for dissemination. The implementation rates (defined as policy adoption and education delivery) and costs associated with SSW-IP (n=50 employers) and SSW-T (n=150 employers) will be modeled in a randomized two-group pretest-posttest design, enrolling a national sample of 200 employers (i.e., firefighting departments and state departments of transportation). Unlike traditional randomized trials, the primary analysis will be of cost effectiveness to test the hypothesis that SSW-T can be delivered cost-effectively to an expanded group of worksites producing a lower implementation rate than SSW-IP but at substantially lower cost. Secondary analyses will compare the two scale-up strategies on implementation rate, differences in rate by employer groups (e.g., size and region), changes to workplace environment/procedures, and employee sun safety practices. The findings will have high impact by helping public health practitioners select the best strategy for scaling up evidence-based workplace health and safety programs to achieve this ACA goal.

《平价医疗法案》的关键目标是通过工作场所健康和安全计划。为了实现这一目标，将基于证据的计划从研究到广泛的方法扩展 - 需要扩展规模以帮助平衡效率和成本。在许多情况下，有压力降低规模成本，但以较低的计划实施和有效性为代价。扩展牺牲有效性但降低成本并达到更多员工的方法可能是可以接受。我们将建模有效性和成本权衡，以及到达时，在扩大我们的循证占据占据防晒干预时，太阳安全工作场所（SSW），用于国家分销。干预措施依赖于与经理和内在的个人接触人员雇员培训（SSW-IP）在综合工作场所安全方面取得了重大改进（即政策采用和员工教育）在一项随机对照试验中。我们将比较现有的In- 人计划交付方法（SSW-IP）到使用互联网的低成本传播方法技术（SSW-T），即虚拟会议，社交网络，在线培训和计划材料。目的研究的内容是：1）估计计划范围（数量和代表性）和实施 SW- IP和SSW-T在公共安全和公共工业的国家分销模型中； 2）估计与SSW-IP和SSW-T相关的成本（即干预成本和雇主成本），并比较估计的计划收益（即政策和教育）成本； 3）估计效果和成本 - SSW-IP和SSW-T在a）工作场所环境变化的次级结果中的有效性太阳安全和b）工人的太阳安全实践的程序。在一个5年的项目中，SSW-T将由重新设计我们非常有效的SSW-IP方法，以使用最新的网络会议，社交网络和在线培训技术进行传播。实施率（定义为采用政策和教育交付）和与SSW-IP（n = 50名雇主）和SSW-T（n = 150名雇主）相关的成本将是以随机的两组预测试设计设计，招募了200名雇主的国家样本（即消防部门和国家运输部门）。与传统的随机试验不同，主要分析将具有成本效益，以检验可以成本效益交付SSW-T的假设扩展的一组工作人员，其实施速率比SSW-IP较低，但是较低的成本。次要分析将比较实施率的两种扩展策略，员工群体（例如大小和地区）的费用，工作场所环境/程序的变化以及员工太阳安全实践。这些发现将通过帮助公共卫生实践者选择最佳人选，从而产生很大的影响扩展基于证据的工作场所健康和安全计划以实现此ACA目标的策略。