Occupational Safety and Health Research (R01)

移民拉丁美洲人的职业死亡率上升，伤害和疾病， 建筑业，特别是小型住宅建筑业。安全措施 住宅建筑工人的重点：承包商的参与和其他来源的影响一样 家庭成员仍然是安全举措长期可持续性的关键监督因素。总目标 拟议的研究的一个目的是在小企业中建立持续致力于工人安全的能力。 大规模的住宅建筑承包商雇用拉丁美洲工人。项目目标将实现 通过以社区为基础的学术研究人员的伙伴关系，大塔尔萨西班牙裔商会， 商业和翻译研究项目，将实现三个具体目标：1）文件 小型住宅建筑承包商的优势、劣势、机会和威胁， 加强与工人的跌倒预防措施; 2）描述家庭成员对以下问题的信念： 拉丁裔建筑工人在工作中遇到的风险，这些风险的可修改性，以及他们的能力。 家庭成员在最大限度地减少这些风险方面的作用; 3）确定“非专业健康顾问”的额外影响 (LHA)，“雇主强化”和“家庭强化”干预策略与对照组相比 仅接受书面安全教育的。这些目标将通过混合方法来实现 设计注重研究到实践（R2 P）。目标1和2将通过收集 和分析定性深入访谈数据与拉丁美洲承包商（目标1）和家庭成员的 拉丁裔工人（配偶最有可能，目标2）。目标3将通过社区试验来实现 其中N=40个承包商工作人员（由4-6名工人/工作人员组成）是随机化的基础。工作人员将 被随机分配到四个条件之一：治疗照常（工人教育由一个外行健康 顾问（LHA））、雇主强化待遇（LHA结合承包商/机组人员培训的工人教育 领导人安全培训}、家庭强化治疗（由LHA结合家庭安全进行工人教育 培训）和对照组（仅书面安全教育）。确定《公约》的附加影响 雇主和家庭强化战略将侧重于前后测试和后续行动方面的差异， 核心安全行为的变化。 相关性（参见说明）：

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. RELEVANCE (See instructions):