Partnership to Improve Workplace Safety for In-Home Care Workers

描述（申请人提供）：该研究建议解决国家职业安全与健康研究所（NIOSH）在PAR-07-283，社区参与研究中概述的优先事项，特别是通过开发和测试家庭护理工作者的预防干预措施，因为社会，经济和工作环境的特点，增加了他们遭受性骚扰和工作场所暴力的风险。我们的长期目标是利用我们的伙伴关系，制定、实施和评估工作场所干预措施，以防止性骚扰和工作场所暴力。我们的目标是：（1）确定女性家庭护理工作者中与性骚扰和工作场所暴力有关的患病率、风险和保护因素;然后，（2）合作制定和评估防止雇主（在这种情况下是消费者或患者）性骚扰和工作场所暴力的战略。我们的研究伙伴是10，000名家庭护理工作者（85%女性）的社区，他们是俄勒冈州服务员工国际联盟（SEIU）当地503的成员。研究将分三个阶段进行。在第一阶段，该小组将利用定性和定量技术确定消费者性骚扰和工作场所暴力的普遍程度、风险和保护因素。第一阶段的调查结果将由合作伙伴、我们的咨询委员会和第二阶段的主要利益攸关方用于制定和试点测试性骚扰和工作场所暴力预防干预措施。在第三阶段，我们将评估与家庭护理工作者一起预防性骚扰和工作场所暴力干预的有效性。预防干预措施将采用实验组比较设计和前后措施进行测试。家庭护理工作者（n=450）将被随机分配到三个组之一：（1）计算机为基础的教学（CBI）加上实践和讨论由受过培训的主持人;（2）CBI加上小型同行小组讨论;和（3）标准手册。将通过比较干预前后的数据来衡量有效性，这些数据包括工作中的预防行为、工作模式、性骚扰和工作场所暴力事件、健康、工作满意度和离职意图。这项研究将通过提供伙伴关系和协作模式以及验证可在全国推广的预防干预措施来增进知识，以改善工人的安全和健康做法及政策。公共卫生相关性：这项研究将建立必要的证据，通过创新的伙伴关系，设计和测试适当的性骚扰和工作场所暴力预防干预措施，推动和挑战家庭护理工作者安全和福祉的现有模式。

DESCRIPTION (provided by applicant): The study proposes to address priorities outlined by the National Institute of occupational Safety and Health (NIOSH) in PAR-07-283, Community Participation in Research, specifically, by developing and testing a prevention intervention for home care workers, a community at risk because of social, economic and work- setting characteristics that increase their exposure to sexual harassment and workplace violence. Our long-range goal is to use our partnership to develop, implement and evaluate workplace interventions to prevent sexual harassment and workplace violence. Our objectives are to: (1) determine the prevalence, risk, and protective factors related to sexual harassment and workplace violence in female home care workers; and then, (2) collaboratively develop and evaluate strategies to prevent sexual harassment and workplace violence by the employer, in this case - the consumer or patient. Our study partner is the community of 10,000 home care workers (85% female) who are members of Service Employees International Union (SEIU) Local 503 in Oregon. The study will have three phases. In phase one, the team will determine the prevalence of and risk and protective factors for sexual harassment and workplace violence by a consumer using both qualitative and quantitative techniques. The findings from phase one will then be used by the partners, our advisory board and key stakeholder in phase two to develop and pilot test a sexual harassment and workplace violence prevention intervention. In phase three, we will evaluate the effectiveness of the sexual harassment and workplace violence prevention intervention with home care workers. The prevention intervention will be tested using an experimental group comparison design with pre-post measures. Home care workers (n=450) will be randomly assigned to one of three groups: (1) Computer-based Instruction (CBI) plus practice and discussion by a trained facilitator; (2) CBI plus small peer-group discussion; and (3) standard brochure. Effectiveness will be measured by comparing pre to post-intervention data including prevention behaviors at work, work patterns, incidents of sexual harassment and workplace violence, health, job satisfaction and intent to leave employment. This study will advance knowledge by providing a model for partnership and collaboration and by validating a prevention intervention that can be disseminated nationally to improve worker safety and health practices and policies. PUBLIC HEALTH RELEVANCE: This study will build the evidence necessary to advance and challenge existing paradigms for home care worker safety and well-being through innovative partnerships, design and testing of appropriate sexual harassment and workplace violence prevention interventions.