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Applying implementation science to evaluate participatory ergonomics program for continuous improvement: A case study

Zhenyu Zhang¹, Ken-Yu Lin²

¹Department of Construction Science, Texas A&M University, College Station, TX, USA.

Applied Ergonomics

|November 21, 2023

Summary

Participatory ergonomics (PE) programs can prevent workplace injuries like musculoskeletal disorders (MSDs). Implementation science reveals how PE programs succeed, leading to better worker safety and cost savings.

Keywords:

Case study Implementation science Participatory ergonomics

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Area of Science:

Ergonomics
Implementation Science
Occupational Health

Background:

Participatory ergonomics (PE) benefits are known, but implementation effectiveness is unclear due to lack of transparency.
This opacity hinders understanding of program success/failure and optimization strategies.

Purpose of the Study:

To evaluate a PE program using implementation science to understand the link between process and outcomes.
To identify factors contributing to PE program success in preventing musculoskeletal disorders (MSDs).

Main Methods:

A 4.5-year case study of a construction company's PE program targeting material-cart handling MSDs.
Utilized RE-AIM framework and Implementation Causal Pathway Model with worker surveys, document review, and observations.
Assessed impact via worker surveys, injury data analysis, and calculated return-on-investment (ROI).

Main Results:

Significant impact: improved worker ergonomic knowledge (73% to 86%), 97% reported positive crew changes.
Zero cart handling injuries post-intervention, yielding a 1.99 ROI.
Implementation success linked to seamless integration, tailored interventions, and ongoing adjustments, supported by organizational factors.

Conclusions:

Implementation science provides a framework for evaluating PE programs, revealing change mechanisms.
This approach informs future PE program improvements and adaptations for cost-effective MSD prevention.
Facilitates knowledge transfer from implementation science to ergonomics for broader application.