Worker HealthARM For SUBSNCT03781245
Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment
A study testing All the Right Moves for Subcontractors in people with Worker Health and Work Injury, run by Harvard School of Public Health (HSPH) at 1 site in United States.
Trial summary
"All the Right Moves for Subcontractors" aims to improve safety, health and well-being, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers (project, operations and safety) work together to collaboratively identify problems and strategies to… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Worker Health, Work Injury, Safety Climate
- What is being tested?
- All the Right Moves for Subcontractors
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 144 participants
- Where
- 1 siteUnited States
- Study dates
- 24 Jul 2018to 20 Nov 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- All workers employed by the recruited contractors at the eligible worksites
Who cannot join
- Companies with less than 5 workers
Trial locations and contacts
1 site in 1 country.
United States1 site
Harvard T.H. Chan School of Public Health
Boston, Massachusetts, 02115
About this study
Official title: Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment (All the Right Moves for Subcontractors)
"All the Right Moves for Subcontractors" aims to improve safety, health and well-being, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers (project, operations and safety) work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and well-being detailed in Harvard Center for Work, Health and Well-being's Implementation Guidelines (McLellan et al, 2016).
The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. We will evaluate this program by measuring safety climate, health climate, pain and injury and health behaviors.
- Conditions
- Worker Health, Work Injury, Safety Climate, Pain
- Being tested
- All the Right Moves for Subcontractors
- Medical subject headings
- Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
All the Right Moves for SubcontractorsOther
Also called ARM for SUBS
"All the Right Moves for Subcontractors" aims to improve safety, health and wellbeing, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and wellbeing detailed in Harvard Center for Work, Health and Wellbeing's Implementation Guidelines (McLellan et al, 2016).
The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change.
| Study group | Role | What they receive |
|---|---|---|
| Early | Experimental | Intervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently. Receives: Other: All the Right Moves for Subcontractors |
| Lagged | Active comparator | Intervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently. Receives: Other: All the Right Moves for Subcontractors |
What is being measured
The primary outcome is the main question the study is designed to answer.
Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire
NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Worker Outcomes: Pain assessed by the Nordic Musculoskeletal Questionnaire
NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Enterprise Outcomes: Work Productivity and Activity Impairment assessed by Work Productivity and Activity Impairment Questionnaire (WPAI)
Work Productivity and Activity Impairment Questionnaire (WPAI) measures impairment due to the specified problem and all health problems.
Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers
Questions adapted from safety climate scale: Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., \& Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442.
Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Enterprise Outcomes: Safety Climate assessed by using the validated scale: An English/Spanish safety climate scale for construction workers.
Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., \& Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442.
Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Secondary outcomes (7)
Worker Health Behaviors: Diet
PrimeScreen Questionnaire; Rifas-Shiman SL, Willett WC, Lobb R, Kotch J, Dart C, Gillman MW. PrimeScreen, a brief dietary screening tool: reproducibility and comparability with both a longer food frequency questionnaire and biomarkers. Public Health Nutr. 2001 Apr;4(2):249-54 Scale: 0-4 0:minimum 4:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Worker Health Behaviors: Leisure Physical Activity
International Physical Activity Questionnaire (Short Form)http://uacc.arizona.edu/sites/default/files/ipaq_english_telephone_short.pdf Scale: 0-7 days 0=minimum 7=maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA
National Institute on Alcohol Abuse and Alcoholism Scale:0-9 0:minimum 9:maximum https://www.niaaa.nih.gov/research/guidelines-and-resources/recommended-alcohol-questions
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Worker Health Behaviors: Tobacco Use assessed by modifying questions from the National Adult Tobacco Survey (NATS)
Dichotomous questions adapted from the National Adult Tobacco Survey (NATS) Scale:0-2 0:minimum 2:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Psychosocial Work Environment: Co-worker Support assessed by assessed by Job Content Questionnaire (JCQ), a validated scale.
Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale.
Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.
Uses questions from the Job Content Questionnaire (JCQ), a validated scale by Karasek_et_al__1998 Scale:0-1 0:minimum
1:maximum
Measured: Change from Baseline at 2 months, 4 months, and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2018
- Study start24 Jul 2018
- Primary completion28 Sep 2020
- Study completion20 Nov 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Worker HealthStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 144 participants (actual)
Sponsor and investigators
- Lead sponsor
- Harvard School of Public Health (HSPH)
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Jack Dennerlein, Harvard School of Public Health (HSPH)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03781245
- Sponsor's protocol ID
- IRB13-1948
- Acronym
- ARM For SUBS
- Status last verified
- Nov 2021
- First submitted
- 20 Nov 2018
- Last updated
- 10 Nov 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Peters SE, Trieu HD, Manjourides J, Katz JN, Dennerlein JT. Designing a Participatory Total Worker Health(R) Organizational Intervention for Commercial Construction Subcontractors to Improve Worker Safety, Health, and Well-Being: The "ARM for Subs" Trial. Int J Environ Res Public Health. 2020 Jul 15;17(14):5093. doi: 10.3390/ijerph17145093.
PubMed 32679687
Study at a glance
From the registry record, last updated by the sponsor on 10 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Integrated Approaches to Health and Safety in a Dynamic Construction Work Environment (All the Right Moves for Subcontractors)
- ClinicalTrials.gov ID
- NCT03781245
- Acronym / sponsor ID
- ARM For SUBS / IRB13-1948
- Conditions
- Worker Health, Work Injury, Safety Climate, Pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 144 participants (actual)
- Lead sponsor
- Harvard School of Public Health (HSPH)University, hospital or other
- Study start
- 24 Jul 2018 (actual)
- Primary completion
- 28 Sep 2020 (actual)
- Study completion
- 20 Nov 2020 (actual)
- First posted
- 19 Dec 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
"All the Right Moves for Subcontractors" aims to improve safety, health and well-being, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers (project, operations and safety) work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and well-being detailed in Harvard Center for Work, Health and Well-being's Implementation Guidelines (McLellan et al, 2016).
The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. We will evaluate this program by measuring safety climate, health climate, pain and injury and health behaviors.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Early | Experimental | Other: All the Right Moves for SubcontractorsIntervention is administered for cycle 1 and 2 with researchers and following this the company continues intervention independently. |
| Lagged | Active comparator | Other: All the Right Moves for SubcontractorsIntervention is not administered for cycle 1; researchers administer intervention in cycle 2 and following this the company continues intervention independently. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- All workers employed by the recruited contractors at the eligible worksites
Key exclusion criteria (1 listed)
- Companies with less than 5 workers
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| All the Right Moves for SubcontractorsAlso: ARM for SUBS"All the Right Moves for Subcontractors" aims to improve safety, health and wellbeing, through the development of a communication infrastructure with supplemental tools where construction workers and company mangers work together to collaboratively identify problems and strategies to improve their conditions of work. The intervention is grounded in the key characteristics of integrated organizational interventions to improve workers' health safety and wellbeing detailed in Harvard Center for Work, Health and Wellbeing's Implementation Guidelines (McLellan et al, 2016). The intervention involves a cyclical approach through which the research team facilitate a participatory process to identify workers' health concerns, prioritize these concerns, use an action planning process to identify and operationalize solutions, and develop a company-specific evaluation plan to measure change. | Other | Early, Lagged |
Primary outcome
Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum 1:maximum
Worker Outcomes: Pain assessed by the Nordic Musculoskeletal Questionnaire
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
NMQ has been applied to a wide range of occupational groups to evaluate musculoskeletal problems Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Work Productivity and Activity Impairment assessed by Work Productivity and Activity Impairment Questionnaire (WPAI)
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Work Productivity and Activity Impairment Questionnaire (WPAI) measures impairment due to the specified problem and all health problems. Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Health Climate assessed by questions modified from safety climate scale for construction workers
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Questions adapted from safety climate scale: Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., \& Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442. Scale:0-1 0:minimum 1:maximum
Enterprise Outcomes: Safety Climate assessed by using the validated scale: An English/Spanish safety climate scale for construction workers.
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Jorgensen, E., Sokas, R. K., Nickels, L., Gao, W., \& Gittleman, J. L. (2007). An English/Spanish safety climate scale for construction workers. American journal of industrial medicine, 50(6), 438-442. Scale:0-1 0:minimum 1:maximum
7 secondary outcomes
Worker Health Behaviors: Diet
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Worker Health Behaviors: Leisure Physical Activity
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Worker Health Behaviors: Alcohol Use assessed by using validated questions from NIAAA
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Worker Health Behaviors: Tobacco Use assessed by modifying questions from the National Adult Tobacco Survey (NATS)
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Psychosocial Work Environment: Co-worker Support assessed by assessed by Job Content Questionnaire (JCQ), a validated scale.
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Psychosocial Work Environment: Supervisor Support assessed by Job Content Questionnaire (JCQ), a validated scale.
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Psychosocial Work Environment: Communication assessed by Job Content Questionnaire (JCQ), a validated scale.
Time frame: Change from Baseline at 2 months, 4 months, and 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Nov 2021.
- Background: PubMed 32679687Peters SE, Trieu HD, Manjourides J, Katz JN, Dennerlein JT. Designing a Participatory Total Worker Health(R) Organizational Intervention for Commercial Construction Subcontractors to Improve Worker Safety, Health, and Well-Being: The "ARM for Subs" Trial. Int J Environ Res Public Health. 2020 Jul 15;17(14):5093. doi: 10.3390/ijerph17145093.
- Implementing an Integrated Approach Weaving Worker Health, Safety, and Well-being into the Fabric of Your Organization.Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing All the Right Moves for Subcontractors in people with Worker Health and Work Injury, run by Harvard School of Public Health (HSPH) at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Worker Outcomes: Injury assessed by the Nordic Musculoskeletal Questionnaire (time frame: Change from Baseline at 2 months, 4 months, and 6 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03781245, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Nov 2021.