Can Work be Organized to Become More Health Promoting for Employees in Home Care Services?

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-22

Study Completion Date

2023-05-15

Brief Summary

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This is a two-group, cluster randomized controlled trial designed to assess a health promoting intervention in the home care sector. The intervention aims to evenly distribute the patients requiring high levels of demanding care across all workers on the units, which may lower the working strain and thus the incidence of musculoskeletal pain. The two groups in the study will be a control group and an intervention group. The intervention will last for approximately 4 months.

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Detailed Description

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This is a two-group cluster randomized controlled trial to compare an organizational intervention to control. The home care units will be treated as clusters to avoid contamination within units.

Control group: No intervention, their work will continue as usual without any instructions from researchers.

Intervention group: The intervention will consist of the operational managers distributing the physically strenuous shifts evenly between the workers in each home care unit. This will be achieved using a tool developed in Microsoft Excel which gives an overview over how much strain we expect each shift to have and gives a score on how well the operational manager distributes the strain between employees.

The intervention will last for approximately 4 months, depending on duration of pre and post measurements.

Conditions

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Occupational Exposure Musculoskeletal Pain Work-related Injury Low Back Pain Shoulder Pain Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Individuals are grouped in clusters, where the clusters are the home care units in Trondheim. Half of the units will be randomized to control, half will be randomized to intervention. All units will be randomized at the same time.

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

No masking will be possible as the home care units will have an integral part in applying the intervention. The investigators will need to have control over the units in intervention arm as they may need to assist in the early stages of intervention.

Study Groups

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Control

This arm will have no intervention or instructions from researchers. Participants in this arm will perform their work planning as normal.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

Introduce a deliberate variation between workers in how much they care for physically strenuous users. Some workers may receive more strenuous work compared to before, some less.

Group Type EXPERIMENTAL

Goldilocks work principle

Intervention Type BEHAVIORAL

Using the Goldilocks work principle we have tried to find the "just right" distribution of physical strain in the home care sector. This is an intervention to test if it possible to distribute the physical strain experienced in the home care sector in a way that may be more health promoting for the workers.

Interventions

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Goldilocks work principle

Using the Goldilocks work principle we have tried to find the "just right" distribution of physical strain in the home care sector. This is an intervention to test if it possible to distribute the physical strain experienced in the home care sector in a way that may be more health promoting for the workers.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Home care worker in one of the included home care units in Trondheim municipality.
* More than or equal to 50% working position at the home care unit.