Engaging Families and Employers in Latino Construction Worker Injury Prevention

移民拉丁美洲人的经验上升率的职业死亡，受伤和疾病的建设 工业，特别是小型住宅建筑业。住宅安全措施 建筑工人的重点：承包商的参与和家庭等其他影响来源 委员会成员对安全举措的长期可持续性仍然是一个重要的监督。的总体目标 拟议的研究是建立能力，持续致力于工人安全的小规模 雇用拉丁裔工人的住宅建筑承包商该项目的目标将通过一个 大塔尔萨西班牙裔商会是一个以社区为基础的学术研究人员合作伙伴关系 和一个转化研究项目，将实现三个具体目标：1）文件的优势， 小规模住宅建筑承包商的弱点、机会和威胁，以提高秋季 预防措施与他们的工人; 2）描述信念举行的家庭成员对风险拉丁美洲人 建筑工人在工作中遇到的风险，这些风险的可修改性，以及家庭成员的能力 3）确定“非专业健康顾问”（LHA）、“雇主- 增强的”和“家庭增强的”干预策略，与对照组相比， 只有安全教育。这些目标将通过混合方法设计来实现， 研究到实践（R2 P）。目标1和2将通过收集和分析 对拉丁裔承包商（目标1）和拉丁裔工人家庭成员的定性深入访谈数据 （最有可能是配偶，目标2）。目标3将通过基于社区的试验（N=40）实现 承包商工作人员（由4-6名工人/工作人员组成）是随机化的基础。工作人员将随机 分配到四种情况之一：照常治疗（由非专业健康顾问（LHA）进行工人教育）， 雇主强化待遇（LHA对工人的教育与承包商/机组组长的安全相结合 培训），家庭强化治疗（工人教育LHA结合家庭安全培训），以及 对照组（仅进行书面安全教育）。确定雇主和家庭的额外影响， 增强的策略将侧重于核心安全性的前后测和随访变化的差异 行为。

Immigrant Latinos experience elevated rates of occupational fatality, injury and illness within the construction industry, particularly within the small-scale residential construction industry. Safety initiatives in residential construction focus on workers: the involvement of contractors and other sources of influence like family members remains a critical oversight to long-term sustainability of safety initiatives. The overall goal of the proposed research is to create capacity for sustained commitment to worker safety among small-scale residential construction contractors employing Latino workers. The project goal will be achieved through a community-based partnership of academic researchers, the Greater Tulsa Hispanic Chamber of Commerce and a translational research project that will accomplish three specific aims: 1) document strengths, weaknesses, opportunities and threats of contractors in small-scale residential construction to enhancing fall prevention initiatives with their workers; 2) describe beliefs held by family members about the risks Latino construction workers encounter on the job, the modifiability of those risks, and the ability family members have in minimizing those risks; 3) determine the added impact of a “Lay Health Advisor” (LHA), “employer- enhanced” and “family-enhanced” intervention strategy in comparison to a control group that receives written safety education alone. These aims will be accomplished through a mixed-method design focused on Research-to-Practice (R2P). Aims 1 and 2 will be accomplished through the collection and analysis of qualitative in-depth interview data with Latino contractors (Aim 1) and family members of Latino workers (spouses most likely, Aim 2). Aim 3 will be accomplished through a community-based trial where N=40 contractor crews (consisting of 4-6 workers/crew) are the basis for randomization. Crews will be randomly assigned to one of four conditions: treatment as usual (worker education by a Lay Health Advisor (LHA)), employer-enhanced treatment (worker education by LHA combined with contractor/crew-leader safety training), family-enhanced treatment (worker education by LHA combined with family safety training), and a control group (written safety education alone). Determination of the added impact of the employer- and family- enhanced strategies will focus on differences in pretest-posttest and follow-up changes in core safety behaviors.