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首页> 外文学位 >Evaluating the Effectiveness of Participatory Training for Occupational Health and Safety Improvements---A Randomized Controlle Trial with One-year Follow-up in China.
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Evaluating the Effectiveness of Participatory Training for Occupational Health and Safety Improvements---A Randomized Controlle Trial with One-year Follow-up in China.

机译：评估参与式培训对职业健康和安全性改善的有效性-在中国进行为期一年随访的随机对照试验。

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摘要

Objectives: To find out whether participatory training is effective in improving occupational health and safety (OHS); to see if participatory training is more effective than didactic training in improving OHS; and to document whether participatory training has a better cost-benefit ratio than didactic training.;Methods: A randomized controlled trial (RCT) was conducted among frontline workers in Shenzhen, China from June 2008 to May 2010. The impact of the training programs was assessed with knowledge attitude and practice (KAP), experiences in work-related injury, sick leave and musculoskeletal disorder (MSD) at baseline and one year after training. Chi square test and two-proportion Z test were applied to compare the occurrence of injury, sick leave and MSD in different groups.;Results: 918 intervention workers received participatory training and 2,561 control workers received didactic training. The follow up rates at three-month and one-year after training were 71.1% (2,473/3,479) and 56.3% (1,321/2,347), respectively.;The average baseline KAP scores of 64.9+/-15.0, 63.5+/-14.7 and 78.1+/-18.0 improved significantly at immediate evaluation (82.7+/-12.3, 71.9+/-12.4 and 90.6+/-12.7), at three months (79.3+/-11.5, 73.9+/-10.6 and 91.7+/-9.6), and at one-year after training (76.7+/-12.1, 72.0+/-10.3 and 88.9+/-10.8) in three groups.;In the year after training, the incidence rates of injury events reduced from 144.5 per 1,000 person-years to 73.5 per 1,000 person-years (Z=3.199, p0.001) in intervention group. No statistical significances were found for injury reduction in control groups. The proportions of workers taking sick leave reduced from 32.0% to 24.6% in intervention group (chi²=5.609, p=0.018), but didn't reduce significantly in control groups (p>0.05). The MSD prevalence rates didn't reduce significantly in intervention and control groups (p>0.05).;The cost-benefit ratios were 1:1.20 for participatory training and 1:1.06 for didactic training if the cost savings were calculated with median costs and workdays lost. The cost-benefit ratios were 1:2.36 for participatory training and 1:1.97 for didactic training if the cost savings were calculated with mean costs and workdays lost.;Conclusions: Participatory training was more effective in improving KAP scores than didactic training. Participatory training could reduce occurrence of injury and sick leave, but not MSD at one year follow up. The cost-benefit ratio of participatory training was better compared to didactic training. The participatory training could be recommended for training frontline workers.;Keywords: Frontline worker, Participatory training, Occupational health and safety, Randomized controlled trial, Evaluation
机译：目的：了解参与式培训是否有效改善职业健康与安全（OHS）；看看参与式培训在提高OHS方面是否比教学培训更有效；方法：2008年6月至2010年5月，在中国深圳的一线工人中进行了一项随机对照试验（RCT）。在基线和培训后的一年内，用知识态度和实践（KAP），与工作相关的伤害，病假和肌肉骨骼疾病（MSD）的经验进行评估。应用卡方检验和二比例Z检验比较两组间伤害，病假和MSD的发生率。结果：918名干预人员接受了参与式培训，2561名对照人员接受了指导性培训。训练后三个月和一年的随访率分别为71.1％（2,473 / 3,479）和56.3％（1,321 / 2,347）.;平均基线KAP得分为64.9 +/- 15.0、63.5 +/-立即评估（82.7 +/- 12.3、71.9 +/- 12.4和90.6 +/- 12.7），三个月（79.3 +/- 11.5、73.9 +/- 10.6和91.7+）的14.7和78.1 +/- 18.0显着改善/-9.6），以及训练后一年的三组（76.7 +/- 12.1、72.0 +/- 10.3和88.9 +/- 10.8）。训练后的一年，受伤事件的发生率从干预组每千人年144.5至每千人年73.5（Z = 3.199，p <0.001）。在对照组中，减少伤害没有统计学意义。在干预组中，请病假的工人比例从32.0％降低到24.6％（chi²= 5.609，p = 0.018），而在对照组中则没有显着降低（p> 0.05）。在干预组和对照组中，MSD患病率没有显着降低（p> 0.05）。如果以中位数成本和成本计算成本节约，则参与式培训的成本效益比为1：1.20，而教学培训的成本效益比为1：1.06。工作日丢失。如果以节省的平均成本和工作日来计算成本节省，则参与式培训的成本效益比为1：2.36，而教学训练的成本效益比为1：1.97。结论：参与式培训在提高KAP评分方面比教学式培训更有效。参与式培训可以减少工伤和病假的发生，但是在随访一年后不能减少MSD。参与式培训的成本效益比比教学式培训更好。关键词：一线工作者；参与性培训；职业健康与安全；随机对照试验；评价

著录项

  • 作者

    Yu, Wenzhou.;

  • 作者单位

    The Chinese University of Hong Kong (Hong Kong).;

  • 授予单位 The Chinese University of Hong Kong (Hong Kong).;
  • 学科 Health Sciences Occupational Health and Safety.;Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 194 p.
  • 总页数 194
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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