SHIFT Onboard: Protecting New Transit Operators Against Safety and Health Hazards

SHIFT Onboard：保护新交通运营商免受安全和健康危害

基本信息

批准号：
10456013
负责人：
Ryan Olson
金额：
$ 54.28万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-04-14 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10456013
关键词：
Absenteeism Acute Address Attitude Automobile Driving Behavior Body Weight Chronic Disease Cluster randomized trial Competence Data E-learning Early Intervention Eating Economics Effectiveness Effectiveness of Interventions Employee Employment Epidemiology Exercise Five-Year Plans Funding General Population Goals Habits Health Health Care Costs Health Hazards Hour Incentives Industry Injury Intention Internet Intervention Investments Job Satisfaction Knowledge Learning Letters Morbid Obesity Names Obesity Obstructive Sleep Apnea Occupational Occupational Health Occupations Outcome Participant Performance Primary Prevention Process Publications Randomized Randomized Controlled Trials Research Risk Role Safety Savings Science Sleep Social Behavior Socialization Stress Technology Testing Time Training Transportation Weight Weight Gain Work Workplace authority cohort comorbidity cost critical period design economic impact economic outcome economic value effective intervention effectiveness outcome energy balance innovation intervention cost intervention effect lost work time metropolitan motivational enhancement therapy neglect novel obesity risk obesogenic pilot test prevent preventive intervention programs relative cost sedentary shift work skills social norm social relationships success tertiary prevention web site weight gain prevention weight loss intervention

项目摘要

PROJECT SUMMARY Obesity is twice as prevalent among occupational drivers than in the general population. Obesity and associated health conditions increase the risk of vehicle collisions and increase the costs and lost work time associated with injuries by 80%. However, effective interventions are scarce. In our prior funding period we demonstrated the efficacy of a weight loss intervention (tertiary prevention) named “Safety and Health Involvement For Truckers” (SHIFT). Building on this success, we will advance the field further by adapting our technology and tactics for primary prevention of weight gain among mass transit bus operators during their first years of employment. Our competing renewal strategy will also advance organizational science by integrating an effective health intervention with traditional new employee training and socialization processes. Fifty years of epidemiological evidence is clear – bus driving increases the risk for obesity and health problems, and it is time for interventions. Our preliminary data suggest that new drivers gain substantial weight during their first year. Health disruptive transitions in early years, like long sedentary work hours, shift work, and stress, may also impact costly problems of absenteeism and collisions in the transit industry. However, weight gain prevention interventions are lacking for employees entering obesogenic occupations, and few workplace training and socialization programs for new hires (referred to as onboarding) explicitly address health hazards. Onboarding is a critical socialization process where employees acquire core skill competencies, establish work-supportive social relationships, learn corporate values, and observe and adapt to workplace norms. Thus, the potential for creating long-lasting impacts on both health and safety during this critical period is high. Our effective SHIFT intervention is implemented through a mobile friendly website, and tactics include an incentivized game-like competition that is supported with behavior and body weight logging, computer-based training, and motivational interviewing. In our proposed adaptation “SHIFT Onboard” (Safety & Health Impact For Transit drivers during Onboarding) will be designed to prevent weight gain among new bus drivers and support their early adjustment and job success. Our primary hypotheses are that relative to usual practice, SHIFT Onboard participants will have (1) superior sleep, eating, and exercise behaviors; and (2) less weight gain. We will also evaluate impacts on new employee adjustment and economic outcomes that are critical to employers; the ultimate adopters of occupational health innovations. Our ability to succeed is bolstered by our unique past success with transportation workers, expertise in organizational onboarding, and strong transit labor and management support. To test our hypotheses, we will conduct formative research followed by a randomized controlled trial. Our 5-year plan will accomplish 3 specific aims: (1) Adapt our proven tactics and pilot SHIFT Onboard for mass transit bus drivers; (2) Determine the efficacy of SHIFT Onboard for preventing weight gain; and (3) Evaluate new employee adjustment and economic impacts of SHIFT Onboard.

项目摘要在占领驱动因素中，肥胖是普通人群的两倍。肥胖和相关的健康状况增加了车辆碰撞的风险，增加了成本并损失了工作时间与伤害相关的80％。但是，有效的干预措施很少。在我们以前的资助期内证明了称为“安全与健康的第三级预防）的效率卡车司机的参与”（班次）。在这一成功的基础上，我们将通过适应我们的在第一个中，大众运输巴士运营商的一级预防体重增加的技术和策略多年就业。我们竞争的续签战略还将通过整合来推动组织科学对传统的新员工培训和社会化过程进行有效的健康干预。五十年流行病学证据很明确 - 公共汽车驾驶增加了肥胖和健康问题的风险，这是干预措施的时间。我们的初步数据表明，新驾驶员在他们的第一个年。早期的健康破坏性过渡，例如长时间的久坐工作时间，转移工作和压力，可能还影响过境行业缺勤和碰撞的昂贵问题。但是，体重增加对于进入肥胖职业的员工缺乏预防干预措施，工作场所很少新员工（称为入职）的培训和社会化计划明确解决了健康危害。入职是一个关键的社会化过程，员工获得核心技能能力，建立工作支持社会关系，学习公司价值观，并观察并适应工作场所规范。那，在这个关键时期，对健康和安全产生持久影响的潜力很高。我们的有效的轮班干预是通过移动友好的网站实施的，策略包括激励类似游戏的竞争，由行为和体重记录支持，基于计算机培训和动机面试。在我们提议的改编中在入门过程中，用于运输驱动程序）旨在防止新的公交司机的体重增加支持他们的早期调整和工作成功。我们的主要假设是相对于通常的实践，船上的参与者将具有（1）卓越的睡眠，饮食和运动行为；（2）减轻体重获得。我们还将评估对新员工调整和经济成果的影响雇主；职业健康创新的最终采用者。我们成功的能力得到了我们的支持运输工人的独特成功，组织入职方面的专业知识以及强大的运输劳动和管理支持。为了检验我们的假设，我们将进行格式研究，然后进行随机对照试验。我们的5年计划将实现3个具体目标：（1）调整我们的验证策略和飞行员在船上移动大众运输巴士司机；（2）确定船上移动的效率体重增加；（3）评估新员工的调整和船上的经济影响。

项目成果

期刊论文数量（9）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Primary Prevention of Weight Gain Among New Bus Operators: Results of the "Success & Health Impacts For Transit operators during Onboarding" (SHIFT Onboard) Pilot Study.

新公交运营商体重增加的一级预防：“成功”的结果

DOI：
10.1097/jom.0000000000002699
发表时间：
2023
期刊：
Journal of occupational and environmental medicine
影响因子：
3.2
作者：
Olson,Ryan;Rice,SeanPM;Bauer,TalyaN;Wipfli,Brad;Anger,WKent;Bodner,Todd;Graven,Peter;Greenspan,LeahS
通讯作者：
Greenspan,LeahS

Bus Operators' Body Weight Changes During Their First 2 Years of Work: A Retrospective Survey.

DOI：
10.1097/jom.0000000000002347
发表时间：
2021-12-01
期刊：
Journal of occupational and environmental medicine
影响因子：
3.2
作者：
Olson R;Rice SPM;Mansfield LR;Wipfli B;Bodner T;Anger WK;Bauer TN
通讯作者：
Bauer TN

The Impact of COVID-19 on Transit Workers: Perceptions of Employer Responses and Associations with Health Factors.

COVID-19 对公交工人的影响：对雇主反应的看法以及与健康因素的关联。

DOI：
10.1093/annweh/wxab080
发表时间：
2022
期刊：
Annals of work exposures and health
影响因子：
2.6
作者：
Rice,SeanPM;Greenspan,LeahS;Bauer,TalyaN;Rimby,Jarred;Bodner,ToddE;Olson,Ryan
通讯作者：
Olson,Ryan

Rapid changes in overnight blood pressure after transitioning to early-morning shiftwork.

DOI：
10.1093/sleep/zsab203
发表时间：
2021-08
期刊：
Sleep
影响因子：
5.6
作者：
A. McHill;J. Velasco;Todd E Bodner;S. Shea;R. Olson
通讯作者：
A. McHill;J. Velasco;Todd E Bodner;S. Shea;R. Olson

Process Evaluation of a Mobile Weight Loss Intervention for Truck Drivers.

卡车司机移动减肥干预的过程评估。

DOI：
10.1016/j.shaw.2018.08.002
发表时间：
2019
期刊：
Safety and health at work
影响因子：
3.5
作者：
Wipfli,Brad;Hanson,Ginger;Anger,Kent;Elliot,DianeL;Bodner,Todd;Stevens,Victor;Olson,Ryan
通讯作者：
Olson,Ryan