Using Technology to Scale-Up an Occupational Sun Protection Policy Program

利用技术扩大职业防晒政策计划

基本信息

批准号：
10470120
负责人：
DAVID B BULLER
金额：
$ 38.49万
依托单位：
KLEIN BUENDEL, INC.
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10470120
关键词：
Adopted Adoption Affordable Care Act American Attention Behavior Carcinogens Cessation of life Colorado Cost Savings Early Intervention Education Educational Intervention Effectiveness Effectiveness of Interventions Employee Enrollment Environmental Health Equilibrium Evidence based intervention Evidence based program Exposure to Fire - disasters Goals Health Hour Individual Industry Institutes Internet Intervention Massachusetts Methods Modeling Occupational Occupations Persons Policies Population Prevalence Prevention Principal Investigator Procedures Productivity Public Health Randomized Randomized Controlled Trials Research Research Personnel Resources Risk Safety Sampling Schedule Schools Series Skin Cancer Skin Carcinoma Social Network Study models Technology Testing The Sun Training Training Programs Translating Transportation UV Radiation Exposure Work Workplace base cancer diagnosis comparative cost effectiveness cost cost effective cost effectiveness cost estimate design effective intervention effectiveness trial evidence base implementation science improved innovation intervention cost medical schools meetings melanoma pressure professional atmosphere programs randomized effectiveness trial randomized trial safety education safety practice scale up school district secondary analysis secondary outcome social media solar ultraviolet radiation sun protection sun safe policies sun safety symposium virtual

项目摘要

A key goal in the Affordable Care Act is building a national culture of prevention through workplace health and safety initiatives. To achieve this goal, methods for scaling up evidence-based programs from research to wide- scale dissemination are needed to help balance effectiveness and cost. In many cases, there are pressures to reduce scale-up costs but at the expense of lower program implementation and effectiveness. A scale-up method that sacrifices effectiveness but reduces costs and reaches a larger number of employers may be acceptable. We will model the effectiveness and cost trade-off, along with the extent and representativeness of reach, when scaling up our evidence-based occupational sun protection intervention, Sun Safe Workplaces (SSW), for national distribution. The intervention, which relies on personal contact with managers and in- person employee training (SSW-IP), created large improvements in comprehensive workplace sun safety (i.e., policy adoption and employee education) in a randomized controlled trial. We will compare the existing in- person program delivery methods (SSW-IP) to a lower-cost dissemination method that utilizes Internet technology (SSW-T), i.e., virtual meetings, social networking, online training, and program materials. The aims of the research are to: 1) estimate the program reach (number and representativeness) and implementation rates (i.e., adoption of policies and delivery of education on occupational sun protection) achieved by the SSW- IP and SSW-T in a model of national distribution to public safety and public works industries; 2) estimate the costs associated with the SSW-IP and SSW-T (i.e., intervention costs and induced employer costs) and compare the estimated program benefits (i.e., policy and education) to cost; and 3) estimate the effect and cost- effectiveness of SSW-IP and SSW-T in secondary outcomes of a) changes in workplace environments and procedures for sun safety and b) workers’ sun safety practices. In a 5-year project, SSW-T will be created by redesigning our very effective SSW-IP methods to use the latest web conferencing, social networking, and online training technology for dissemination. The implementation rates (defined as policy adoption and education delivery) and costs associated with SSW-IP (n=50 employers) and SSW-T (n=150 employers) will be modeled in a randomized two-group pretest-posttest design, enrolling a national sample of 200 employers (i.e., firefighting departments and state departments of transportation). Unlike traditional randomized trials, the primary analysis will be of cost effectiveness to test the hypothesis that SSW-T can be delivered cost-effectively to an expanded group of worksites producing a lower implementation rate than SSW-IP but at substantially lower cost. Secondary analyses will compare the two scale-up strategies on implementation rate, differences in rate by employer groups (e.g., size and region), changes to workplace environment/procedures, and employee sun safety practices. The findings will have high impact by helping public health practitioners select the best strategy for scaling up evidence-based workplace health and safety programs to achieve this ACA goal.

《平价医疗法案》的一个关键目标是通过工作场所健康和为了实现这一目标，将基于证据的计划从研究扩展到广泛的方法。需要大规模传播来帮助平衡有效性和成本。在许多情况下，存在压力。降低扩大规模的成本，但代价是降低计划的实施和有效性。牺牲有效性的方法可能会降低但成本并覆盖更多的雇主我们将对有效性和成本权衡以及范围和代表性进行建模。在扩大我们基于证据的职业防晒干预措施时，达到阳光安全工作场所（SSW），用于全国分发，这依赖于与管理人员和内部人员的个人接触。员工培训 (SSW-IP)，在全面的工作场所阳光安全方面取得了巨大进步（即政策采用和员工教育）在随机对照试验中我们将比较现有的研究。将个人节目传送方法 (SSW-IP) 转变为利用互联网的低成本传播方法技术 (SSW-T)，即虚拟会议、社交网络、在线培训和计划材料。研究的目的是： 1) 估计计划的覆盖范围（数量和代表性）和实施情况 SSW- 所达到的比率（即采取有关职业防晒的政策和提供教育）公共安全和公共工程行业国家分配模型中的 IP 和 SSW-T 2) 估计与 SSW-IP 和 SSW-T 相关的成本（即干预成本和诱发的雇主成本）并进行比较估计的计划效益（即政策和教育）与成本；3）估计效果和成本； SSW-IP 和 SSW-T 在以下次要结果中的有效性：a) 工作场所环境的变化和阳光安全程序和 b) 工人的阳光安全实践在一个为期 5 年的项目中，SSW-T 将由以下人员创建。重新设计我们高效的 SSW-IP 方法，以使用最新的网络会议、社交网络和用于传播的在线培训技术。教育交付）以及与 SSW-IP（n=50 名雇主）和 SSW-T（n=150 名雇主）相关的成本采用随机两组前测后测设计建模，招募了 200 名雇主的全国样本（即与传统的随机试验不同，消防部门和国家交通部门）。主要分析将具有成本效益，以检验 SSW-T 可以经济有效地交付的假设扩大的工作场所组的实施率低于 SSW-IP，但大大提高了二次分析将比较两种扩大规模策略的实施率和差异。按雇主群体（例如规模和地区）、工作场所环境/程序的变化以及员工划分的比率研究结果将产生巨大影响，帮助公共卫生从业者选择最佳做法。扩大基于证据的工作场所健康和安全计划以实现 ACA 目标的战略。

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Association of occupational sun safety policy and actions in state transportation sector in the United States.

美国州交通部门职业阳光安全政策和行动协会。

DOI：
发表时间：
2021
期刊：
影响因子：
3.5
作者：
Buller, David B;Walkosz, Barbara J;Olivas, Savanna;Eye, Rachel;Liu, Xia;Kinsey, Alishia;Buller, Mary Klein;Grayson, Andrew
通讯作者：
Grayson, Andrew

Design and baseline data of a randomized trial comparing two methods for scaling-up an occupational sun protection intervention.

一项随机试验的设计和基线数据，比较了两种扩大职业防晒干预措施的方法。

DOI：
发表时间：
2020
期刊：
影响因子：
2.2
作者：
Buller, David B;Buller, Mary Klein;Meenan, Richard;Cutter, Gary R;Berteletti, Julia;Eye, Rachel;Walkosz, Barbara J;Pagoto, Sherry
通讯作者：
Pagoto, Sherry