一个基于应用程序的干预措施,以保护家庭护理工作者免受与热有关的健康风险:随机对照试验的协议
Tiziano Gerosa1, Remo Fortunato2,3,4, Francesca Cellina1
1University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.
概括
这项研究评估了REHEAT应用程序,以减少家庭护理工作人员的热浪风险. 该应用程序旨在减轻压力和认知能力下降等不良影响,在极端高温期间促进工人的福祉.
科学领域:
- 职业健康 职业健康 职业健康
- 适应气候变化 适应气候变化
- 数字健康干预措施 数字健康干预措施
背景情况:
- 气候变化增加了热浪的频率和严重程度,对户外和体力苛刻的工人构成重大风险.
- 家庭护理工作者特别容易受到伤害,原因是劳累的任务,患者护理需求,旅行和冷却不充分.
- 现有的职业健康战略需要调整,以应对与气候有关的升级性热压力因素.
研究的目的:
- 根据因果关系评估基于REHEAT应用程序的策略在减轻瑞士家庭护理工作者的不良热浪影响方面的有效性.
- 评估干预对主要结果的影响,包括压力积累,认知功能,情绪困扰,睡眠质量和整体健康.
- 为脆弱的劳动者群体制定有针对性的职业健康干预措施和气候变化适应政策提供证据.
主要方法:
- 这是一项多中心,无盲,随机对照试验 (RCT),涉及瑞士350名家庭护理工作者.
- 参与者随机 (1:1) 分给使用REHEAT应用程序的干预组或对照组,按性别,年龄和位置分层.
- 通过可穿戴设备,在线问卷,日记和认知测试进行监测;使用治疗意图 (ITT) 和局部平均治疗效果 (LATE) 进行分析.
主要成果:
- 招募350名参与者完成;干预和数据收集阶段正在进行中.
- 在提交时没有访问或分析结果数据.
- 该研究旨在在完成后提供可靠的现实世界效应估计.
结论:
- 该REHEAT应用程序的干预有潜力减少家庭护理工作者中与热量相关的职业健康风险.
- 研究结果将为开发有效的数字健康工具和针对脆弱劳动力的气候适应策略提供信息.
- 这项研究有助于维护工人健康,同时加剧气候变化影响.
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