SHIFT Onboard: Protecting New Transit Operators Against Safety and Health Hazards

项目摘要 职业司机中肥胖的发生率是普通人群的两倍。肥胖和 相关的健康状况增加了车辆碰撞的风险，并增加了成本和损失的工作时间 80%的人受伤。然而，有效的干预措施很少。在上一个融资周期， 证明了名为“安全与健康”的减肥干预（三级预防）的有效性 卡车司机的参与”（）。在这一成功的基础上，我们将通过调整我们的 公共汽车运营商首次运营期间一级预防体重增加的技术和策略 多年的就业。我们的竞争性更新战略也将通过整合组织科学来推进组织科学。 通过传统的新员工培训和社会化过程进行有效的健康干预。五十年 流行病学的证据是明确的-公共汽车驾驶增加了肥胖和健康问题的风险， 干预的时间。我们的初步数据表明，新司机在他们的第一次 年早年的健康破坏性转变，如长时间久坐不动的工作时间，轮班工作和压力， 也影响到运输业中代价高昂的缺勤和碰撞问题。然而，体重增加 缺乏对进入致胖职业的雇员的预防干预措施， 新雇员的培训和社会化方案（称为入职）明确处理健康危害。 入职是一个重要的社会化过程，员工在此过程中获得核心技能能力， 支持工作的社会关系，学习企业价值观，并遵守和适应工作场所的规范。因此，在本发明中， 在这一关键时期，对健康和安全造成长期影响的可能性很大。我们 通过一个移动的友好的网站实施有效的电子邮件干预， 激励性游戏式竞争，由行为和体重记录支持，基于计算机 培训和激励面试在我们提议的适应性调整中，“船上安全”（安全和健康影响 对于公交司机在上车）将旨在防止体重增加之间的新的巴士司机， 帮助他们早日适应和工作成功。我们的主要假设是，相对于通常的做法， ·船上的参与者将有（1）上级的睡眠，饮食和运动行为;（2）更轻的体重 增益我们还将评估对新员工调整和经济成果的影响，这对 雇主;职业健康创新的最终采用者。我们成功的能力是由我们的 过去在运输工人、组织入职专业知识和强大的运输方面取得的独特成功 劳动和管理支持。为了验证我们的假设，我们将进行形成性研究， 随机对照试验。我们的五年计划将实现三个具体目标：（1）调整我们行之有效的策略， 公共交通巴士司机的试点车载自动驾驶仪;（2）确定车载自动驾驶仪对预防 体重增加;和（3）评估新员工的调整和经济影响的costonboard。

PROJECT SUMMARY Obesity is twice as prevalent among occupational drivers than in the general population. Obesity and associated health conditions increase the risk of vehicle collisions and increase the costs and lost work time associated with injuries by 80%. However, effective interventions are scarce. In our prior funding period we demonstrated the efficacy of a weight loss intervention (tertiary prevention) named “Safety and Health Involvement For Truckers” (SHIFT). Building on this success, we will advance the field further by adapting our technology and tactics for primary prevention of weight gain among mass transit bus operators during their first years of employment. Our competing renewal strategy will also advance organizational science by integrating an effective health intervention with traditional new employee training and socialization processes. Fifty years of epidemiological evidence is clear – bus driving increases the risk for obesity and health problems, and it is time for interventions. Our preliminary data suggest that new drivers gain substantial weight during their first year. Health disruptive transitions in early years, like long sedentary work hours, shift work, and stress, may also impact costly problems of absenteeism and collisions in the transit industry. However, weight gain prevention interventions are lacking for employees entering obesogenic occupations, and few workplace training and socialization programs for new hires (referred to as onboarding) explicitly address health hazards. Onboarding is a critical socialization process where employees acquire core skill competencies, establish work-supportive social relationships, learn corporate values, and observe and adapt to workplace norms. Thus, the potential for creating long-lasting impacts on both health and safety during this critical period is high. Our effective SHIFT intervention is implemented through a mobile friendly website, and tactics include an incentivized game-like competition that is supported with behavior and body weight logging, computer-based training, and motivational interviewing. In our proposed adaptation “SHIFT Onboard” (Safety & Health Impact For Transit drivers during Onboarding) will be designed to prevent weight gain among new bus drivers and support their early adjustment and job success. Our primary hypotheses are that relative to usual practice, SHIFT Onboard participants will have (1) superior sleep, eating, and exercise behaviors; and (2) less weight gain. We will also evaluate impacts on new employee adjustment and economic outcomes that are critical to employers; the ultimate adopters of occupational health innovations. Our ability to succeed is bolstered by our unique past success with transportation workers, expertise in organizational onboarding, and strong transit labor and management support. To test our hypotheses, we will conduct formative research followed by a randomized controlled trial. Our 5-year plan will accomplish 3 specific aims: (1) Adapt our proven tactics and pilot SHIFT Onboard for mass transit bus drivers; (2) Determine the efficacy of SHIFT Onboard for preventing weight gain; and (3) Evaluate new employee adjustment and economic impacts of SHIFT Onboard.