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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：
10225514
负责人：
DAVID B BULLER
金额：
$ 28.95万
依托单位：
KLEIN BUENDEL, INC.
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10225514
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 comparative cost effectiveness cost cost effective cost effectiveness cost estimate design effective intervention effectiveness trial evidence base implementation science improved innovation intervention cost medical schools meetings melanoma pressure professional atmosphere programs randomized effectiveness trial 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》的一个关键目标是通过工作场所的健康和