Clinical trial NCT02708550: Participatory Organizational Intervention for Improved Use of Assistive Devices for Patient Handling
Official title: Deltagerinvolverende Intervention for Bedre Brug af hjælpemidler i hospitalsvæsenet
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Musculoskeletal Disorders
Occupational Injuries
Lead sponsor: National Research Centre for the Working Environment, Denmark
Sponsor class: OTHER_GOV
Collaborators: name: Aalborg University
First posted: 2016-03-15
Enrollment: 625
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Epidemiological studies have shown that patient transfer is a risk factor for back pain, back injuries and long term sickness absence, whereas consistent use of assistive devices during patient transfer is associated with reduced risk of back injury. In consequence, Danish hospitals have made great efforts to increase knowledge, availability and use of assistive devices to reduce work-related physical strain due to patient transfer. Yet, a recent survey among more than 300 nurses and nurses' aides showed that two thirds rarely uses assistive devices during patient transfer. Thus it seems relevant to investigate barriers, opportunities and practical solutions for increasing use of assistive devices among healthcare workers. The purpose of this study is to evaluate a participatory organizational intervention for improved use of assistive devices during patient transfer.


Eligibility criteria: At the department level:

Hospital departments with frequent patient handling will be eligible for participation in the cluster-randomized study.

At the individual level (questionnaire replies):

Inclusion Criteria:

* Healthcare workers with daily patient handling (based on questionnaire reply at baseline)

Exclusion Criteria:

* None

Primary outcomes:
measure: Use of assistive devices (push-button)
timeFrame: Average use during the entire 1-year follow-up (i.e. continous measurement during 1 year) adjusted for use during 4 weeks prior to the intervention (baseline)
Secondary outcomes:
measure: Use of assistive devices (accelerometer)
timeFrame: change from baseline to 1-year follow-up
measure: Pain intensity (VAS scale)
timeFrame: change from baseline to 1-year follow-up
measure: Perceived physical exertion (Borg CR10 scale)
timeFrame: change from baseline to 1-year follow-up
measure: Back injury
timeFrame: change from baseline to 1-year follow-up
measure: Work ability (Index questionnaire)
timeFrame: change from baseline to 1-year follow-up
measure: Social capital (Questionnaire)
timeFrame: change from baseline to 1-year follow-up
measure: Knowledge (Questionnaire)
timeFrame: change from baseline to 1-year follow-up
measure: Organizational Readiness to Change (Questionnaire)
timeFrame: change from baseline to 1-year follow-up
measure: Use of assistive devices (Questionnaire)
timeFrame: change from baseline to 1-year follow-up
Other outcomes:
Locations:
city: Copenhagen
country: Denmark
facility: National Research Centre for the Working Environment
Study officials:
affiliation: National Research Centre for the Working Environment
name: Lars L Andersen, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Jakobsen MD, Clausen T, Andersen LL. Can a participatory organizational intervention improve social capital and organizational readiness to change? Cluster randomized controlled trial at five Danish hospitals. J Adv Nurs. 2020 Oct;76(10):2685-2695. doi: 10.1111/jan.14441. Epub 2020 Aug 14.
citation: Jakobsen MD, Aust B, Dyreborg J, Kines P, Illum MB, Andersen LL. Participatory organizational intervention for improved use of assistive devices for patient transfer: study protocol for a single-blinded cluster randomized controlled trial. BMC Musculoskelet Disord. 2016 Dec 20;17(1):501. doi: 10.1186/s12891-016-1339-6.