A feasibility study to develop a multilevel occupational health intervention program for nail salon employees and owners

项目摘要/摘要 占美国美甲沙龙工人人口主要部分的种族/少数民族- 尤其是越南移民--往往承受着不成比例的职业健康负担 由于文化和语言障碍、健康和安全培训不足、劳工保护薄弱和 经济压力。不良健康后果的证据包括急性和慢性影响，如皮肤 问题、呼吸道刺激、认知症状、肌肉骨骼疾病和潜在的不良反应 生殖健康风险。政策上的差距和缺乏针对越南钉子的循证干预 沙龙工作人员迫切需要优先考虑在这一人群中增加研究的努力。在这 项目，我们建议进行可行性研究，以发展多层次的职业健康干预。 为美甲沙龙员工和业主提供的程序/工具包。第一个目标将集中在发展一套自我 评估核对表和技术援助手册，所有者/管理人员可以使用它们来评估和修改 沙龙的环境。这些材料将涵盖有关化学安全的重要健康和安全信息， 感染控制、人体工程学和劳工权利。在第二个目标中，我们将招募12名沙龙(业主和 每个沙龙内的员工(至少36名受访者)在费城大都市区 参与研究。12个沙龙将被指派接受干预方案(自我评估 清单+技术援助手册+视频培训+辅导)，并跟踪3个月。可行性 评估将侧重于四个重要领域：流程、资源、数据和人力管理及成果 评估(例如，健康症状的减少和沙龙环境的积极变化)。这项研究将 使我们不仅能够评估我们的干预内容和交付机制，而且还能够评估可行性 将为更大规模研究的规划提供信息的措施。该项目涉及NIOSH战略优先事项 目标1“减少职业性癌症、心血管疾病、不良生殖后果和其他 和中期活动目标1.12.2(干预研究)“ss”。它的目标是诺拉 服务业与癌症、生殖、心血管等慢性病预防 跨部门计划。这项可行性研究的预期产出将是一个干预工具包， 公布试点研究的结果，并进行系统的可行性评估，以便为规划 更大规模的研究。预期的最终结果将是将这些材料提供给其他当地卫生机构 各部门和以社区为基础的组织的外展工作--不仅仅是越南美甲沙龙 技术人员，但可能是其他少数民族群体。该项目具有很高的潜在影响，因为一旦 该计划被证明是有效的，可以改编成供其他地方/州组织使用或在线交付 位于资源有限地区的沙龙。

PROJECT SUMMARY/ABSTRACT Racial/ethnic minorities who occupy a major portion of the nail salon worker population in the U.S. – particularly Vietnamese immigrants – often experience disproportional occupational health burden because of cultural and language barriers, inadequate health and safety training, weak labor protections and economic pressures. Evidence of adverse health outcomes include acute and chronic effects such as skin problems, respiratory irritations, cognitive symptoms, musculoskeletal illnesses, and potential adverse reproductive health risks. Gaps in policy and lack of evidenced-based interventions tailored to Vietnamese nail salon workers present a critical need to prioritize the increased effort for research in this population. In this project, we propose to conduct a feasibility study to develop a multilevel occupational health intervention program/toolkit for nail salon employees and owners. The first aim will focus on developing a set of self- assessment checklists and technical assistance manual that owners/managers can use to assess and modify the salon's environment. These materials will cover important health and safety information about chemical safety, infection control, ergonomics and labor rights. In the second aim, we will recruit 12 salons (owners and employees within each salon for minimum of 36 respondents) in the Philadelphia metropolitan area to participate in the study. Twelve salons will be assigned to receive an intervention package (self-assessment checklists + technical assistance manual + video training + coaching) and followed for 3 months. The feasibility assessment will focus on four important areas: process, resource, data and human management and outcomes assessment (e.g., reduction in health symptoms and positive changes in salon's environment). This study will enable us to not only evaluate our intervention content and delivery mechanism but also to assess feasibility measures that will inform the planning of a larger study. This project addresses NIOSH strategic priority goal 1 of “reducing occupational cancer, cardiovascular disease, adverse reproductive outcomes, and other chronic diseases” and intermediate activity goal 1.12.2 (Intervention Research) “ss”. It targets NORA Service sector and Cancer, Reproductive, Cardiovascular and Other Chronic Disease Prevention cross-sector program. The expected outputs from this feasibility study will be an intervention toolkit, publication of results from the pilot study, and a systematic feasibility assessment to inform the planning of a larger study. The expected end outcomes will be to make the materials available to other local health departments and community-based organizations for their outreach efforts – not only for Vietnamese nail salon technicians but potentially other ethnic minority groups. The project has high potential impact because once proven effective, the program can be adapted for use by other local/state organizations or online delivery to salons located in resource-limited areas.