Evidenced-based Firefighter Worksite Health and Safety Intervention

循证消防员工作现场健康与安全干预

• 批准号: 8779881
• 负责人: Diane Louise Elliot
• 金额: $ 71.43万
• 依托单位: ODYSSEY SCIENCE INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-03-01 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8779881
• 关键词: Accountability; Agreement; Behavior; Behavioral; Cardiovascular Diseases; Cellular Phone; Computers; Development; E-learning; Effectiveness; Elements; Employee; Environment; Feedback; Fire - disasters; Funding; Habits; Health; Health Promotion; Health Sciences; Health protection; Healthcare; Heart Diseases; Human Resources; Individual; Injury; Institution; International; Internet; Intervention; Investments; Lead; Licensing; Life Style; Location; Malignant Neoplasms; Marketing; Mediating; Medical; Methods; Mission; Online Systems; Oregon; Outcome; Paper; Perception; Phase; Production; Productivity; Program Acceptability; Psyche structure; Randomized; Recommendation; Research Infrastructure; Research Personnel; Resources; Safety; Science; Series; Services; Small Business Technology Transfer Research; Structure; Surveys; Tablet Computer; Technology; Time; United States National Institutes of Health; Universities; Work; Workplace; base; behavioral outcome; cancer risk; collaborative environment; commercialization; computer design; cost; demographics; design; disability; economic outcome; effectiveness trial; evidence base; experience; healthy lifestyle; high risk; improved; innovation; meetings; monitoring device; novel; occupational health/safety; programs; prospective; public health relevance; randomized trial; resilience; stress disorder; stress management; stress related disorder; success; tool; uptake; usability; web site; week trial

DESCRIPTION (provided by applicant): Worksite health promotion is a means to improve employees' lifestyles, enhance their wellbeing and increase productivity, while reducing healthcare and disability costs. However, most existing worksite health programs are not evidence-based. Our company, Odyssey Science Innovations, LLC, was formed by experienced health promotion researchers to take our science-based programs to service. We have a unique proven intervention paradigm that builds on coworker bonding, accountability and support, resulting in positive durable changes and a high return on investment (ROI). Firefighting is emblematic of workplace health and safety needs. Firefighters' lifesaving work comes with increased risk for cancer, heart disease, stress-related disorders and injuries. This project's content and intervention strategy are based on the PHLAME (Promoting Healthy Lifestyles) program, which is the only evidence-based health and safety program for firefighters. Although the original PHLAME was effective and had a high ROI, its widespread use is limited by its workbook-based structure and the time required for weekly meetings. These are overcome with an innovative web-based format, which maintains its mediating features with engaging eLearning activities, behavior tracking, and mutual accountability in a competitive online environment. Our Phase I work transferred three PHLAME sessions to a web-based format, accessible by smartphone, tablet and computer. It was used by firefighters, who found it fun, educational and motivating. Those findings and the web-based version where reviewed by individuals responsible for fire department recommendations and purchases, and they endorsed full development of web-based PHLAME, as an integral tool for fire departments. This Phase II proposal will build the complete web-based PHLAME program and validate its effectiveness. Working with our Phase I partnering web design firm and eLearning Production Company, we will complete the program, including its initial public pages and implementation components, during proposal year 1. In year 2, we will assess program use and behavioral and economic outcomes in a prospective randomized trial with 4 intervention and 4 control departments, representing different sizes and locations. The research infrastructure and resources of Oregon Health & Science University (OHSU), our partnering institution in this STTR, provide value added for OSI and OHSU. Year 2 work and findings also will inform and guide commercialization. We have a decade of collaborative work with the fire service and strong support from their national union. Most fire departments do not have a health and safety program, and an extensive market awaits an easy-to-implement, innovative web-based derivative of the only fire service evidence-based worksite health and safety program. The novel format will be specific to the fire service, but the platform, once developed, can be modified and applied for health and safety promotion with other worker groups.

描述(申请人提供)：工作场所健康促进是一种手段，以改善员工的生活方式，提高他们的福祉和提高生产力，同时降低医疗保健和残疾成本。然而，大多数现有的工作场所健康计划都不是基于证据的。我们的公司，奥德赛科学创新有限责任公司，是由经验丰富的健康促进研究人员组成的，以实施我们以科学为基础的计划。我们拥有独特的经验证的干预模式，建立在同事之间的联系、责任和支持的基础上，从而产生积极的持久变化和高投资回报(ROI)。消防是工作场所健康和安全需求的象征。消防员的救生工作伴随着癌症、心脏病、压力相关疾病和伤害风险的增加。该项目的内容和干预策略基于PHLAME(促进健康生活方式)计划，这是唯一一个针对消防员的循证健康和安全计划。虽然最初的PHLAME是有效的，具有高ROI，但其广泛使用受到其基于工作簿的结构和每周会议所需时间的限制。这些都被一种创新的基于网络的形式所克服，这种形式通过参与性的电子学习活动、行为跟踪和在竞争激烈的在线环境中的相互问责来保持其中介功能。我们的第一阶段工作将三次PHLAME会议转移到基于网络的格式，智能手机、平板电脑和电脑都可以访问。消防员使用了它，他们发现它很有趣，有教育意义，而且很有激励作用。这些调查结果和网络版本由负责消防部门建议和采购的个人审查，他们赞同充分开发基于网络的PHLAME，作为消防部门的一个不可或缺的工具。这项第二阶段提案将建立完整的基于网络的PHLAME计划，并验证其有效性。与我们的第一阶段合作网站设计公司和电子学习制作公司合作，我们将在提案的第一年完成该计划，包括其初始公共页面和实施组件。在第二年，我们将在4个干预部门和4个控制部门的前瞻性随机试验中评估计划的使用以及行为和经济结果，代表不同的规模和地点。俄勒冈健康科学大学(OHSU)是我们在这项科技研究中的合作机构，其研究基础设施和资源为OSI和OHSU提供附加值。第二年的工作和发现也将为商业化提供信息和指导。我们与消防部门进行了十年的合作，并得到了他们的全国工会的大力支持。大多数消防部门没有健康和安全计划，一个广泛的市场等待着一个易于实施的、创新的、基于网络的衍生品，它是唯一一个基于证据的消防工作场所健康和安全计划。这一新的形式将专门针对消防服务，但该平台一旦开发，就可以进行修改，并与其他工人群体一起应用于健康和安全促进。