Health protection and promotion of sign language interpreters through implementation of Total Worker Health®

建议书摘要/摘要 聋人社区的通信机会促进了公平和包容，因此引起了高度关注 关于影响手语口译员身心健康的诸多变量。这个 口译员伤害模型介绍了手语的产生和风格、口译情况以及口译员的情况 个体特征作为与伤害发展相关的因素。由国家研究院注册商标 在2011年的职业安全与健康(NIOSH)中，全面工人健康(TWh®)结合了健康保护 通过促进健康来预防工伤和增进福祉，使其成为一种有前途的整体方法 探讨口译员伤害的多因素影响因素。采用混合方法和临床疗效试验设计， 这项研究的总体目标将采用实施战略，以适应和评估以前的 综合TWh®计划和试点测试其对口译员福祉的有效性。 我的中心假设是，健康和福祉课程(干预)中的口译员将 与一般健康计划(对照组)相比，他们的幸福感显著提高。这个 目标1的目标是将先前集成的TWh®计划调整和定制为健康和福祉 口译员课程。在虚拟环境下，课程开发将采用群体建模的方式 与口译员的聆听会议以及报告调整和修改的框架--扩展 将指导记录适应口译环境的过程。目标2的目标是 通过集体干预后满意度调查评估课程实施结果。 最后，目标3的目标是通过NIOSH确定健康和福祉课程的效力 员工幸福感问卷(WellBQ)在干预前和干预后立即收集，以及在6- 并在平行组随机对照试验中观察12个月的时间点。拟议研究的贡献 将有效地实施健康与福祉课程，以保护和促进职业健康 口译员。该项目具有创新性，因为它将实施集成的TWh®计划 口译员的语境需求，并首次将口译领域的专家聚集在一起，为 联合介入治疗。这项工作与NIOSH关于校外的优先目标七有关 研究(促进安全和健康的工作设计和福祉)，以及目标四(减少职业 6(改善工作场所安全，以减少创伤伤害)。 来自该指导研究科学家发展奖(K01)的证据将确立我作为 独立的职业安全和健康研究员，为TWH®的工作做出贡献， 并进一步通知WellBQ开发。我已经组建了一支优秀的顾问团队，将为我提供 经过必要的培训，以确保我在三个主要领域发展专门知识：1)传播和 实施科学，2)职业健康，3)高级统计。

Proposal Summary/Abstract Communication access for deaf communities promotes equity and inclusion, thus there is heightened concern regarding the many variables that impact the physical and mental health of sign language interpreters. The Model of Interpreter Injury introduced sign production and style, the interpreting situation, and the interpreter’s individual characteristics as factors associated with injury development. Trademarked by the National Institute of Occupational Safety and Health (NIOSH) in 2011, Total Worker Health (TWH®) combines health protection with health promotion to prevent worker injury and advance well-being, making it a promising holistic approach to address the multivariate factors of interpreter injury. Using mixed-methods and a clinical efficacy trial design, the overall objective of this study will employ implementation strategies to adapt and evaluate a previous integrated TWH® program and pilot test its efficacy on interpreter well-being. My central hypothesis is that interpreters in the health and well-being curriculum (intervention) will demonstrate significantly improved well-being compared to those in a general health program (control). The goal of Aim 1 is to adapt and tailor a previous integrated TWH® program into a health and well-being curriculum for interpreters. Group model building will be used for curriculum development during virtual listening sessions with interpreters and the Framework for Reporting Adaptations and Modifications-Expanded will guide documentation of the process for adapting to the context of interpreting. The goal of Aim 2 is to evaluate implementation outcomes of the curriculum via a collective post-intervention satisfaction survey. Finally, the goal of Aim 3 is to determine the efficacy of the health and well-being curriculum via the NIOSH Worker Well-being Questionnaire (WellBQ) collected pre- and immediately post-intervention, as well as, at 6- and 12-month timepoints in a parallel group randomized control trial. The contribution of the proposed research will effectively implement a health and well-being curriculum to protect and promote the occupational health of interpreters. This project is innovative because it will implement the integrated TWH® program to the contextual needs of interpreters and bring experts in the interpreting field together for the first time to deliver a combined interventional approach. This work relates to the NIOSH priority goal seven for extramural research (promote safe and healthy work design and well-being), along with goals four (reduce occupational musculoskeletal disorders) and six (improve workplace safety to reduce traumatic injuries). Evidence from this Mentored Research Scientist Development Award (K01) will establish me as an independent occupational safety and health researcher, contribute to the body of work dedicated to TWH®, and further inform WellBQ development. I have assembled an outstanding advisory team that will provide me with the necessary training to ensure I develop expertise in three primary domains: 1) dissemination and implementation science, 2) occupational health, and 3) advanced statistics.