REDUCING OCCUPATIONAL DISABILITY IN RURAL WORKERS

减少农村劳动力的职业残疾

• 批准号: 2036165
• 负责人: Patricia G Butterfield
• 金额: $ 8.91万
• 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/2036165
• 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（改编自研究者摘要）：总计 6.8 据报告，私营工业工人有 10 万人受伤和患病 1994 年期间。重返工作岗位 (RTW) 计划促进了最佳康复 受伤工人； RTW 计划的基本原理基于以下证据： 积极主动地管理职业伤害可以显着减少 与工作相关的残疾的严重程度和持续时间。 然而这个证据 几乎全部来自大都市的大公司（例如波音） 地区。 拟议项目的目标是系统地评估 在农村提供护士协调的 RTW 服务的可行性 设置。 与其将中央集权系统转移到农村地区， RTW 干预将利用以下人员的熟悉程度和专业知识 当地社区护士和医生指导并提供干预措施 他们自己的社区。 该项目将分三个阶段进行。 第一阶段包括对俄勒冈州三项研究数据的二次分析 （n=927 名工人）针对农村工人。 这些数据，结合 针对腰部损伤的临床发现形成了实证 RTW 干预的基础。 第二阶段包括可行性研究 在两个地点交付（蒙大拿州米苏拉和俄勒冈州拉格兰德），60 名工人 将被随机分配到 RTW 干预或标准护理。 干预措施包括对受伤人员进行四次家庭/工作场所访问 工作人员专注于减少残疾的目标领域。 第三阶段重点 开发基于经验的农村风险降低模型 受雇于小公司的工人。 在此背景下，具体目标 包括： 1) 使用来自以下机构的数据最终确定 RTW 干预的组成部分 俄勒冈州研究，2) 培训当地护士提供干预，3) 进行可行性研究，测试两个社区的干预措施，4) 比较实验组和实验组之间的临床和就业结果 对照组，5) 评估多中心临床试验的可行性 农村社区，以及 6) 开发基于经验的风险模型 减少农村社区受伤工人的数量。