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Implementation of an ergonomics intervention in a Swedish flight baggage handling company - a process evaluation
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0001-9612-3766
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0003-1443-6211
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. University of Gävle, Centre for Musculoskeletal Research.
Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Karolinska Institutet.
2017 (English)In: Work & Stress, ISSN 0267-8373, E-ISSN 1464-5335Article in journal (Refereed) Submitted
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.   

Place, publisher, year, edition, pages
2017.
Keyword [en]
implementation barriers, implementation facilitators, musculoskeltal disorders, loading assist devices, qualitative methods
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:hig:diva-21685OAI: oai:DiVA.org:hig-21685DiVA: diva2:938244
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761
Available from: 2016-06-16 Created: 2016-06-16 Last updated: 2017-01-16

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Bergsten, EvaMathiassen, Svend ErikLarsson, Johan
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