PREVENTION--UPPER EXTREMITY CUMULATIVE TRAUMA DISORDERS

描述：（改编自研究者摘要） 这项研究继续了研究人员对上呼吸道感染的结果的研究。 肢体累积性创伤障碍（UECTD）。 其具体目标是 预防与工作相关的UECTD并改善功能结果 对于患有UECTD的人来说。 累积性创伤性疾病 在美国，上肢仍然是造成误工伤主要原因 行业劳工统计局（BLS）1995年关于失业的报告 工作日伤害显示，因腕管综合症而致残的员工 综合征经历了最大的中位损失工作日率， 禁用条件。 研究者目前的描述 流行病学研究表明，患有UECTD的个体 持续的功能，情感和经济问题，尽管 看病 将进行一项随机试验，以评估 一项旨在显著减少 随后上肢累积性创伤疾病的发生率 （UECTD）对于接受干预措施的雇主， 改善受伤员工的功能结果，沿着 与他们的医生和雇主，干预相比， 不接受干预。 从马里兰州工人赔偿中确定的所有UECTD索赔人 12个月内的佣金（WCC）索赔（沿着其雇主 和治疗医生）将被随机分配到 干预组或对照组。 干预将是一个 一系列的教育工作，包括将由 电子邮件（书面和视听）和现场教育 会议/演练。 对照组不接受任何干预， 但会衡量结果。 这些教育的有效性 干预措施和结果数据将由CATI（计算机）收集 电话采访）。 12个月期间的后续索赔 观察期将被记录为每个雇主在这两个 干预组和对照组。 员工将回答问题 关于功能、情感和财务结果。

DESCRIPTION: (Adapted from Investigator's Abstract) This study continues the investigators' research on outcomes of upper extremity cumulative trauma disorders (UECTDs). Its specific aims are the prevention of work-related UECTDs and improved functional outcomes for individuals suffering UECTDs. Cumulative trauma disorders of the upper extremity remain a major cause of lost-time injuries in American industry. The Bureau of Labor Statistics (BLS) 1995 Report on Lost- Workday Injuries showed that employees disabled by carpal tunnel syndrome experienced the largest median lost-work day rate among disabling conditions. The investigators current descriptive epidemiological study has demonstrated that individuals with UECTDs have persisting functional, emotional, and financial problems, despite medical treatment. A randomized trial will be conducted to evaluate the effectiveness of an educational intervention designed to significantly reduce the incidence of subsequent upper extremity cumulative trauma disorders (UECTDs) for employers who receive interventions and significantly improve functional outcomes for injured employees who receive, along with their physicians and employers, interventions compared to those who do not receive intervention. All UECTD claimants identified from Maryland Workers Compensation Commission (WCC) claims in a 12 month period (along with their employers and treating physicians) will be randomized and assigned to either an intervention group or a comparison group. The intervention will be a series of educational efforts including materials to be distributed by mail (written and audiovisual) and an educational on-site meeting/walkthrough. The comparison group will receive no intervention, but will have outcomes measured. The effectiveness of these educational interventions and outcome data will be collected by CATI (computer assisted telephone interview). Subsequent claims during the 12 month observation period will be recorded for each employer in both intervention and comparison groups. Employees will respond to questions about functional, emotional, and financial outcomes.