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Characterizing the intensity of changes made to reduce mechanical exposure
Richard Wells1, Andrew Laing, Donald Cole
1Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada Institute of Work and Health, Toronto, Ontario, Canada N2L 3G1. wells@uwaterloo.ca
Work (Reading, Mass.)
|December 29, 2009
Summary
Workplace interventions for musculoskeletal disorders show mixed results, but "change intensity" may explain outcomes. Higher intensity changes, like system redesigns, are linked to better prevention of these disorders.
Area of Science:
- Occupational health
- Ergonomics
- Public health
Background:
- Workplace interventions aim to reduce mechanical exposures and prevent musculoskeletal disorders (MSDs).
- Existing literature shows varied effectiveness of these interventions.
- A key factor influencing intervention success may be "change intensity."
Purpose of the Study:
- To introduce and define the construct of "change intensity" for workplace interventions.
- To characterize the intensity of interventions within a participatory ergonomics program.
- To explore factors influencing change intensity and potential barriers.
Main Methods:
- Defined "change intensity" by parameters: affected body part(s), exposure reduction magnitude, job time fraction, workforce coverage, and adherence.
- Characterized intensity scores for peak and cumulative mechanical exposures for completed changes.
- Compared intervention intensities from a research program with those from published literature.
Main Results:
- Interventions involving production system redesign and reconfiguration were rated as medium to high intensity.
- Most other interventions were categorized as small intensity.
- Identified factors that maximize intensity and potential barriers to achieving higher intensities.
Conclusions:
- Change intensity is a crucial factor influencing the effectiveness of workplace interventions for MSDs.
- Higher intensity interventions, such as system redesigns, show greater potential for MSD prevention.
- Understanding and maximizing change intensity is key to improving intervention outcomes.
