Clinical trial NCT04292002: Test@Work Study: Evaluation of Attitudes and Uptake Within Employee Health Checks in the Construction Industry
Official title: Test@Work: Evaluation of Attitudes and Uptake Within Employee Health Checks in the Construction Industry
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: HIV
Keywords: workplace
health promotion
health screening
employees
health behaviour
Lead sponsor: University of Nottingham
Sponsor class: OTHER
First posted: 2020-03-02
Enrollment: 456
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: The investigators are looking at uptake and reach of general health checks offered to up to 650 employees in the construction industry.
Primary purpose: PREVENTION

Brief summary: This project is called Test@Work. In this project the investigators will offer general health checks and tailored health advice to up to 650 employees in the construction industry at sites across the East Midlands. The investigators will assess reach and uptake, and evaluate the views and perceptions of employees, managers and the delivery team. Health checks will include Body Mass Index (BMI; weight/height), waist-to-hip ratio, blood pressure, mental health screen, sexual health consultation and an opt-in rapid screening test for human immunodeficiency virus (HIV). Employees will be provided with a resource pack with information and signposting around physical activity, diabetes risk, diet, and musculoskeletal health. A digital resource providing information and signposting about workplace health screening and HIV testing will be developed and provided to managers at the participating worksites 2 weeks before their health check event.

Employees will be offered an additional text messaging service involving receipt of a series of messages with advice around HIV and testing alongside general health information. Employees will complete post-health check exit questionnaires and an exit interview. Managers will complete a post-event evaluation questionnaire and post-event interview. Mixed-methods evaluation will include assessment of reach, uptake, and intervention implementation processes.

Detailed description: The investigators will collect evaluation data with employees and company representatives.

Employees: will complete exit-questionnaires and be invited to a brief exit interview.

The investigators will collect by anonymous questionnaire: age, gender, country of birth, ethnicity, postcode, sexual orientation, employment status (FT/PT, permanent, agency, contract worker), reasons for attending, health perceptions, prior HIV testing history, influence of work on health, perceptions of employers provision for health and wellbeing, perceptions towards HIV testing in the workplace, range of tests undertaken, views about the workplace health check and future health intentions. Personal identifiers will not be collected and questionnaire data will not be provided to employers. Those employees who agree to be interviewed after the health check will be invited to a brief independent confidential interview with the project researcher.

Company representatives: will complete brief post-event questionnaire and be invited to post-event interview

The investigators will ask about the organisational/employee profile, their perceptions of company provision for health and wellbeing, perceptions towards the usefulness of the implementation toolkit and towards HIV testing in the workplace, method of delivery and their confidence to support employees who disclose a positive test outcome, views about the workplace health check and future implementation intentions.

Eligibility criteria: Inclusion Criteria:

* employee of a company in construction or related industries
* provides informed consent

Exclusion Criteria:

* does not speak English

Primary outcomes:
measure: Health check uptake
timeFrame: Rolling intervention delivery and data collection over 15 months
Secondary outcomes:
measure: reasons for attending
timeFrame: immediately post-event
measure: perceptions of employer's provision for health and wellbeing
timeFrame: immediately post-event
measure: perceptions towards HIV testing in the workplace
timeFrame: immediately post-event
measure: range of tests undertaken
timeFrame: during the health check, and qualitative data immediately post-event
measure: Employee demographic profile
timeFrame: At recruitment
Other outcomes:
Locations:
city: Nottingham
country: United Kingdom
facility: University of Nottingham
Study officials:
References:
citation: Blake H, Somerset S, Evans C. Development and Fidelity Testing of the Test@Work Digital Toolkit for Employers on Workplace Health Checks and Opt-In HIV Testing. Int J Environ Res Public Health. 2020 Jan 6;17(1):379. doi: 10.3390/ijerph17010379.
citation: Blake H, Somerset S, Whittingham K, Middleton M, Yildirim M, Evans C. WHIRL Study: Workplace Health Interprofessional Learning in the Construction Industry. Int J Environ Res Public Health. 2020 Sep 18;17(18):6815. doi: 10.3390/ijerph17186815.
citation: Middleton M, Somerset S, Evans C, Blake H. Test@Work Texts: Mobile Phone Messaging to Increase Awareness of HIV and HIV Testing in UK Construction Employees during the COVID-19 Pandemic. Int J Environ Res Public Health. 2020 Oct 26;17(21):7819. doi: 10.3390/ijerph17217819.
citation: Somerset S, Evans C, Blake H. Accessing Voluntary HIV Testing in the Construction Industry: A Qualitative Analysis of Employee Interviews from the Test@Work Study. Int J Environ Res Public Health. 2021 Apr 15;18(8):4184. doi: 10.3390/ijerph18084184.
citation: Jones W, Somerset S, Evans C, Whittingham K, Middleton M, Blake H. Test@work: evaluation of workplace HIV testing for construction workers using the RE-AIM framework. BMC Public Health. 2021 Sep 24;21(1):1737. doi: 10.1186/s12889-021-11739-z.