REDUCING OCCUPATIONAL DISABILITY IN RURAL WORKERS

减少农村劳动力的职业残疾

• 批准号: 2735477
• 负责人: Patricia G Butterfield
• 金额: $ 10.63万
• 依托单位: MONTANA STATE UNIVERSITY - BOZEMAN
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-07-01 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2735477
• 关键词: back injury; behavioral /social science research tag; clinical research; community health services; disease /disorder proneness /risk; human subject; human therapy evaluation; injury prevention; nursing intervention; occupational health /safety; outcomes research; rural area

DESCRIPTION (Adapted from the Investigator's Abstract): A total of 6.8 million injuries and illnesses were reported in private industry workers during 1994. Return-to-work (RTW) programs promote optimal recovery in injured workers; the rationale for RTW programs is based on evidence that proactive management of occupational injuries can significantly reduce the magnitude and duration of work-related disability. However this evidence comes almost exclusively from large companies (e.g., Boeing) in metropolitan areas. The objective of the proposed project is to systematically evaluate the feasibility of delivering nurse-coordinated RTW services in rural settings. Rather than transfer a centralized system to the rural setting, the RTW intervention will capitalize on the familiarity and expertise of local community nurses and physicians to direct and provide interventions in their own communities. The project will be conducted in three phases. Phase 1 includes a secondary analysis of data from three Oregon studies (n=927 workers) directed toward rural workers. These data, combined with clinical findings addressing low-back injuries, form the empirical foundation for the RTW intervention. Phase 2 includes a feasibility study delivered in two sites (Missoula, Montana and LaGrande, Oregon), 60 workers will be randomly assigned to either the RTW intervention or standard care. The intervention is comprised of four home/worksite visits to injured workers focusing on targeted areas of disability reduction. Phase 3 focuses on the development of an empirically-based risk reduction model for rural workers employed in small companies. Within this context, specific aims include: 1) Finalize components of the RTW intervention using data from the Oregon studies, 2) Train local nurses to provide the intervention, 3) Conduct a feasibility study testing the intervention in two communities, 4) Compare clinical and employment outcomes between the experimental and control groups, 5) Evaluate the feasibility of a multi-site clinical trial in rural communities, and 6) Develop an empirically-based model of risk reduction for injured workers in rural communities.

描述（改编自调查员的摘要）：总计6.8 私营工人员报告了百万受伤和疾病 在1994年期间。返回工作（RTW）计划促进最佳恢复 受伤的工人； RTW计划的理由是基于证据 积极管理职业伤害可以显着减少 与工作相关的残疾的大小和持续时间。 但是这个证据 几乎来自大都市的大型公司（例如波音） 区域。 拟议项目的目的是系统地评估 在农村提供护士协调的RTW服务的可行性 设置。 而不是将集中系统转移到农村环境中，而是 RTW干预将利用 当地社区护士和医生指导和提供干预措施 他们自己的社区。 该项目将分为三个阶段。 第1阶段包括对三项俄勒冈研究的数据的次要分析 （n = 927名工人）针对农村工人。 这些数据与 临床发现解决了低背部伤害，形成经验 RTW干预基金会。 第2阶段包括可行性研究 在两个地点（米苏拉，蒙大拿州和俄勒冈州的拉格兰德）交付，60名工人 将随机分配给RTW干预或标准护理。 干预措施包括四个家庭/工作场所访问受伤的 专注于减少残疾的目标领域的工人。 第三阶段聚焦 关于农村基于经验的风险降低模型的开发 工人在小公司中受雇。 在这种情况下，特定的目标 包括：1）使用来自该数据的数据完成RTW干预的组件 俄勒冈研究，2）培训当地护士提供干预措施，3） 进行可行性研究，测试两个社区的干预措施，4） 比较实验和实验之间的临床和就业结果 对照组，5）评估多站点临床试验的可行性 在农村社区和6）建立基于经验的风险模型 农村社区受伤工人的减少。