Identification of factors affecting EMS workers adoption of MSD interventions

确定影响 EMS 工作人员采用 MSD 干预措施的因素

• 批准号: 7916463
• 负责人: Steven A Lavender
• 金额: $ 18.53万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7916463
• 关键词: Identification; factors; affecting; EMS; workers

DESCRIPTION (provided by applicant): The long-term goal of this project is to prevent musculoskeletal injuries in Emergency Medical Service (EMS) workers. Prior work by our group and others has shown that EMS tasks contain many risk factors that have been associated with musculoskeletal disorders (MSDs) in the literature. In a previously funded NIOSH study focused on intervention design and development, we built two low-cost and biomechanically effective prototype devices for assisting in the lateral transfer of supine and seated patients. The bridgeboard reduces friction and therein promotes sliding patients between surfaces. The transfer sling provides handholds for securing and moving seated patients. Usability testing further refined these concepts into commercially viable products. We know that having well designed and validated interventions does not ensure their adoption and sustained use by affected workers. Hence the primary purpose of the current application is to further our understanding of research to practice (r2p) issues surrounding the adoption and sustainability of voluntary interventions aimed at preventing MSDs. Project Aims: 1. Using the framework of the integrated technology acceptance model and task technology fit model as a starting point, we will identify and quantify the degree to which specific perceptual and attitudinal factors contribute to the adoption and sustained use of previously validated musculoskeletal disorder (MSD) interventions; 2. To quantify the degree to which individuals who step up and "champion" an intervention affect the adoption and sustained use of the intervention and to determine the nature of the successful efforts; 3. To characterize, both quantitatively and geographically, the diffusion of two specific musculoskeletal interventions within and between EMS organizations. Methods. We propose to recruit and follow 108 professional EMS workers for a 3-month period. At baseline, upon receiving the interventions and monthly thereafter, the participants will be surveyed to assess attitudes and perceptions about the interventions (Aim 1). In addition, participants will be asked to report their use of the interventions on a weekly basis. These data will be used to assess the relative effects of these perceptual and attitudinal factors on actual intervention adoption and use using a theoretical path model derived from the literature. As each participant completes their involvement, they will be asked if and how they or other individuals "championed" the interventions (Aim 2). These data will be used to expand the path model used in Aim 1. Finally, we will study the patterns of MSD intervention diffusion within and between organizations by tracking purchase data (Aim 3). Taken together, these aims will allow us to identify opportunities for secondary interventions aimed at facilitating the adoption and diffusion of validated MSD interventions. PUBLIC HEALTH RELEVANCE: Sprains, strains, and muscular pain account for over half of the injuries suffered by firefighter/ paramedics while performing non-fire emergency tasks, such as emergency medical services (EMS), and consequently there is a need for effective interventions to improve and protect the musculoskeletal health of EMS workers. Building on our prior research that designed and tested assistive devices, this project is aimed at understanding the factors that contribute to the adoption and sustained use of interventions that can reduce the burden of musculoskeletal disorders among this and other groups of workers.

描述(由申请人提供)：该项目的长期目标是预防紧急医疗服务(EMS)工作人员的肌肉骨骼损伤。我们小组和其他人之前的工作表明，EMS任务包含许多与文献中的肌肉骨骼疾病(MSD)相关的风险因素。在之前资助的一项专注于干预设计和开发的NIOSH研究中，我们建造了两个低成本和生物力学有效的原型装置，用于辅助仰卧和坐姿患者的侧向转移。桥板减少了摩擦，促进了患者在表面之间的滑动。转移吊索为固定和移动就座的患者提供把手。可用性测试进一步将这些概念提炼成商业上可行的产品。我们知道，经过良好设计和验证的干预措施并不能确保受影响的工人采用和持续使用这些干预措施。因此，目前应用的主要目的是促进我们对研究实践(R2P)问题的理解，这些问题围绕着旨在预防MSD的自愿干预措施的采用和可持续性。项目目标：1.以综合技术接受模型和任务技术匹配模型的框架为起点，我们将确定和量化特定的感知和态度因素在多大程度上有助于采用和持续使用先前有效的肌肉骨骼疾病(MSD)干预措施；2.量化加强和“倡导”干预措施的个人在多大程度上影响干预措施的采用和持续使用，并确定成功努力的性质；3.从数量和地理两个方面描述两种具体的肌肉骨骼干预措施在EMS组织内部和之间的传播情况。方法：研究方法。我们建议招聘并跟踪108名专业EMS工作人员，为期3个月。在基线阶段，在收到干预措施之后，将对参与者进行调查，以评估他们对干预措施的态度和看法(目标1)。此外，参与者将被要求每周报告他们对干预措施的使用情况。这些数据将被用来评估这些知觉和态度因素对实际干预、采用和使用的相对影响，使用从文献中得出的理论路径模型。当每个参与者完成他们的参与时，他们将被问及他们或其他个人是否以及如何“支持”干预措施(目标2)。这些数据将用于扩展目标1中使用的路径模型。最后，我们将通过跟踪采购数据来研究MSD干预在组织内部和组织之间的扩散模式(目标3)。总而言之，这些目标将使我们能够确定旨在促进采用和传播经过验证的MSD干预措施的二级干预措施的机会。 与公共卫生相关：在执行紧急医疗服务(EMS)等非火灾紧急任务时，扭伤、劳损和肌肉疼痛占消防员/护理人员受伤的一半以上，因此需要有效的干预措施来改善和保护EMS工作人员的肌肉骨骼健康。在我们之前设计和测试辅助设备的研究的基础上，该项目旨在了解有助于采用和持续使用干预措施的因素，这些干预措施可以减轻这类和其他工人群体中肌肉骨骼疾病的负担。

项目成果

A structural equation modelling approach to predicting adoption of a patient-handling intervention developed for EMS providers.

一种结构方程建模方法，用于预测为 EMS 提供商开发的患者处理干预措施的采用。

• DOI: 10.1080/00140139.2013.835075
• 发表时间: 2013
• 期刊: Ergonomics
• 影响因子: 2.4
• 作者: Weiler,MonicaR;Lavender,StevenA;Crawford,JMac;Reichelt,PaulA;Conrad,KarenM;Browne,MichaelW
• 通讯作者: Browne,MichaelW

Identification of factors that affect the adoption of an ergonomic intervention among Emergency Medical Service workers.

确定影响紧急医疗服务人员采用人体工程学干预的因素。

• DOI: 10.1080/00140139.2012.714474
• 发表时间: 2012
• 期刊: Ergonomics
• 影响因子: 2.4
• 作者: Weiler,MonicaR;Lavender,StevenA;Crawford,JMac;Reichelt,PaulA;Conrad,KarenM;Browne,MichaelW
• 通讯作者: Browne,MichaelW