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Implementation of an ergonomics intervention in a Swedish flight baggage handling company: a process evaluation
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID-id: 0000-0001-9612-3766
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.ORCID-id: 0000-0003-1443-6211
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.ORCID-id: 0000-0002-7322-9346
Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Karolinska Institutet.
2018 (engelsk)Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, nr 3, artikkel-id e0191760Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: To conduct a process evaluation of the implementation of an ergonomics training program aimed at increasing the use of loading assist devices in flight baggage handling.

Methods: Feasibility (recruitment, reach, context, dose delivered, dose received, satisfaction); intermediate outcomes (skills, confidence and behaviors); and barriers and facilitators of the training intervention were assessed by qualitative and quantitative methods.

Results: Implementation proved feasible regarding dose delivered, dose received and satisfaction. Confidence among participants in the training program in using and talking about devices, observed use of devices among colleagues, and internal feedback on work behavior increased significantly (p<0.01). Main facilitators were self-efficacy, motivation, and perceived utility of training among the trainees. Barriers included lack of peer support, opportunities to observe and practice behaviors, and follow-up activities; as well as staff reduction and job insecurity.

Conclusions: In identifying important barriers and facilitators for a successful outcome, our study can help supporting the effectiveness of future interventions. Our results show that barriers caused by organizational changes may likely be alleviated by recruiting motivated trainees and securing strong organizational support for the implementation.   

  

sted, utgiver, år, opplag, sider
2018. Vol. 13, nr 3, artikkel-id e0191760
Emneord [en]
implementation barriers, implementation facilitators, musculoskeltal disorders, loading assist devices, qualitative methods
HSV kategori
Identifikatorer
URN: urn:nbn:se:hig:diva-21685DOI: 10.1371/journal.pone.0191760ISI: 000426896800008PubMedID: 29513671Scopus ID: 2-s2.0-85043373121OAI: oai:DiVA.org:hig-21685DiVA, id: diva2:938244
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761Tilgjengelig fra: 2016-06-16 Laget: 2016-06-16 Sist oppdatert: 2018-12-11bibliografisk kontrollert
Inngår i avhandling
1. Working conditions and musculoskeletal disorders in flight baggage handling
Åpne denne publikasjonen i ny fane eller vindu >>Working conditions and musculoskeletal disorders in flight baggage handling
2017 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

Introduction: Baggage handling is considered to be a heavy manual handling job including biomechanical exposures suspected of increasing the risk for musculoskeletal disorders. Aims: To document low back pain (LBP), shoulder pain (SP), and physical and psychosocial factors in baggage handlers, and to evaluate the implementation of an ergonomic intervention aiming to increase the use of loading assist devices. Methods: A questionnaire was utilized to characterize pain and psychosocial work conditions in 525 baggage handlers. The postures of 55 baggage handlers during 114 shifts were measured using inclinometry, half shift video-recordings were made for subsequent task analysis, and the number of aircraft handled was registered. Associations for psychosocial and biomechanical exposures with pain were assessed using regression analyses. An ergonomic intervention was implemented and evaluated using questionnaires and repeated interviews. Feasibility, intermediate outcomes, barriers and facilitators were assessed. Results: The prevalence rates of reported LBP and SP were 70% and 60%, respectively. Pain interfering with work (LBP - 30% and SP - 18%) and high pain intensity (LBP - 34% and SP - 28%) were associated with poor psychosocial working conditions. Extreme postures with arms elevated >60° occurred for 6.4% of the total time, and in trunk flexion >60° for 2.1% total time. In contrast, 71% of the total time was spent in a neutral trunk posture. The 90th percentile trunk forward flexion was 34.1°.  Daily shoulder pain increased in approximately one-third of all shifts and was positively associated with extreme work posture and the number of aircraft handled; this association was modified by influence and support. The intervention was delivered as planned, and dose received and satisfaction were rated as high. Motivated trainees facilitated implementation while lack of manager support, opportunities to observe and practice behaviors, follow-up activities, staff reduction, and job insecurity were barriers. Conclusion: The high prevalence rates of LBP and SP in baggage handlers were associated with psychosocial exposures, and daily shoulder pain was associated with higher biomechanical exposure. Barriers to implementation can be minimized by recruiting motivated trainees, securing strong organizational support, and carrying out follow-up activities.

sted, utgiver, år, opplag, sider
Uppsala: Acta Universitatis Upsaliensis, 2017. s. 59
Serie
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1321
Emneord
epidemiology, low back pain, shoulder pain, physical exposures, psychosocial exposures, inclinometry, implementation, process evaluation
HSV kategori
Identifikatorer
urn:nbn:se:hig:diva-25324 (URN)
Disputas
2017-05-17, Frödingesalen, Ulleråkersvägen, Uppsala, 09:30 (engelsk)
Opponent
Veileder
Tilgjengelig fra: 2017-09-27 Laget: 2017-09-26 Sist oppdatert: 2018-03-13bibliografisk kontrollert

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