Working…
COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC: https://www.coronavirus.gov.

Get the latest research information from NIH: https://www.nih.gov/coronavirus.
ClinicalTrials.gov
ClinicalTrials.gov Menu
Trial record 1 of 7 for:    compass AND workers
Previous Study | Return to List | Next Study

Evaluation of COMmunity of Practice And Safety Support (COMPASS) for Home Care Workers

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02113371
Recruitment Status : Completed
First Posted : April 14, 2014
Last Update Posted : May 14, 2018
Sponsor:
Collaborator:
National Institute for Occupational Safety and Health (NIOSH/CDC)
Information provided by (Responsible Party):
Ryan Olson, Oregon Health and Science University

Brief Summary:

The current project is a safety and health intervention for home care workers conducted within the Oregon Healthy Workforce Center (OHWC), a NIOSH Center of Excellence in Total Worker Health.

The objective of this five-year project is to create sustainable health and safety "communities of practice" within a population of typically isolated home care workers. The intervention is a team-based, peer-led scripted curriculum that integrates health promotion and protection topics, as well as proven elements of social support groups for caregivers. The investigators hypothesize that this intervention will increase measures of experienced community of practice, well-being, and diet, exercise, and safety behaviors, as compared to a usual practices control condition.


Condition or disease Intervention/treatment Phase
Wounds and Injuries Health Promotion Behavioral: Intervention Not Applicable

Show Show detailed description

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 210 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Creating Health and Safety Communities of Practice for Home Care Workers
Study Start Date : October 2011
Actual Primary Completion Date : September 2016
Actual Study Completion Date : September 2016

Arm Intervention/treatment
Experimental: Intervention
The intervention consists of monthly scripted, peer-led social support sessions covering health and safety topics.
Behavioral: Intervention
No Intervention: Control
Usual practices with regard to health and work conditions.



Primary Outcome Measures :
  1. Change from baseline in experienced community of practice at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Experienced Community of Practice Scale (Cadiz, Sawyer & Griffith, 2009).

  2. Change from baseline in well-being at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: SF-12 version 2 (Ware et al., 2002), Center for Epidemiologic Studies Depression Scale (CES-D) (Bohannon et al., 2003), Loneliness (Hughes et al., 2008), Positive and Negative Affect (Watson et al., 1988).

  3. Change from baseline in dietary behaviors at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: National Cancer Institute Fruit and Vegetable Screener (Thompson et al., 2002), High-Saturated Fat/High-Sugar Food Servings (Buxton et al., 2009).

  4. Change from baseline in exercise behaviors at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Healthy physical activities scale (Elliot et al., 2007).

  5. Change from baseline in safety behavior counts at 6 and 12 months, Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Reports of the frequency of safety actions (items created for the study) addressing tools/techniques for material and client moving tasks, tools/techniques for housekeeping tasks, correcting slip/trip fall hazards in homes, correcting other safety hazards, and safety communication. All items were assessed on the same frequency count scale of 0 to 5+ occurrences in the past six months.

  6. Change from baseline safety behavior consistency at 6 and 12 months, Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Reports of the frequency of safety actions (items created for the study) addressing safe tools or techniques for client moving or transferring tasks, moving or lifting objects, assisting a client with walking, working while standing, handling a wheelchair, client bathing, client dressing, and housekeeping tasks. All items were assessed on the same frequency scale of almost never, about 25% of the time, about half of the time, about 75% of the time, and almost always


Secondary Outcome Measures :
  1. Change from baseline in blood pressure at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement via Omron HEM-907 automatic blood pressure monitor.

  2. Change from baseline in blood lipids at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement of total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides via Cholestech LDX Analyzer.

  3. Change from baseline in blood glucose at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement via Cholestech LDX Analyzer

  4. Change from baseline in body weight at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement via Tanita TBF-310GS Bioelectric Impedance Analyzer.

  5. Change from baseline in body mass index (BMI) at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement of height via SECA 213 portable stadiometer. Direct measurement of weight via Tanita TBF-310GS Bioelectric Impedance Analyzer. Calculation of BMI using direct measurements of height and weight.

  6. Change from baseline in percent body fat at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement via Tanita TBF-310GS Bioelectric Impedance Analyzer.

  7. Change from baseline in body measurements at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Direct measurement of neck, waist, and hip circumference via Gulick II measuring tape. Calculation of waist hip ratio.

  8. Change from baseline in stress at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Stress In General (Stanton et al., 2001), Interpersonal Conflict (Wright et al., 2014), Perceived Stress (Cohen et al., 1983).

  9. Change from baseline in sleep quality and fatigue at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Single item from the Pittsburgh Sleep Quality Index (Buysse et al., 1989), Swedish Occupational Fatigue Inventory (Ahsberg, 2000)

  10. Change from baseline in social support at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Social Support for Diet Behaviors (Sallis et al., 1987), Social Support for Exercise Behaviors (Sallis et al., 1987), Social Support Network (Toseland, 1990).

  11. Change from baseline in musculoskeletal symptoms at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Adapted Nordic Questionnaire for Musculoskeletal Symptoms and functional impairment with activities of daily living (Dennerlein et al., 2012).

  12. Change from baseline in illnesses and injuries at 6 and 12 months. Post intervention maintenance from 12 to 24 months. [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Survey measures: Self-reported lost time and first aid injuries, self-reported diagnoses of and treatment for co-morbid conditions.

  13. Change from baseline in grip strength at 6 and 12 months. Post intervention maintenance from 12 to 24 months [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Measure: Grip strength (kg)

  14. Change from baseline in hamstring flexibility at 6 and 12 months. Post intervention maintenance from 12 to 24 months [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Measure: Hamstring flexibility (in)

  15. Change from baseline in 6-minute walk test at 6 and 12 months. Post intervention maintenance from 12 to 24 months [ Time Frame: Baseline, 6 months, 12 months, 24 months ]
    Measure: Walking distance in six minutes (meters)



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Currently employed as a home care worker with a minimum of one consumer employer

Exclusion Criteria:

  • None

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02113371


Locations
Layout table for location information
United States, Oregon
Oregon Health and Science University
Portland, Oregon, United States, 97239
Sponsors and Collaborators
Oregon Health and Science University
National Institute for Occupational Safety and Health (NIOSH/CDC)
Additional Information:
Publications:
Olson R, Elliot DL, Hess JA, Thompson S, Luther K, Wipfli B. COMPASS: Protecting and promoting the health of direct care givers. California Association for Behavior Analysis Western Regional Conference, San Diego, CA. February 2015.
Olson R, Elliot DL, Hess JA, Thompson S, Wright RR, Luther K, Mancini A, Wipfli B. COMPASS teams: Creating health & safety "communities of practice" for home care workers. Teaming up for Total Worker Health symposium at the NIOSH 1st International Symposium to Advance Total Worker Health, Bethesda, MD. October 2014.
Olson R, Thompson S, Hess JA. A Total Worker Health program for health care workers. National HealthCare Ergonomics Conference, Portland, OR. September 2014.
Olson R, Wright R, Elliot DE, Hess J, Wipfli B, Mancini A. The COMPASS Pilot Study: A Total Worker Health Intervention for Home Care Workers. International Work, Stress, and Health conference, Los Angeles, CA. May 2013.
Olson R, Thompson S. Behavior change tactics you can apply today: Findings and tools from the COMPASS total worker health program for home care workers. Oregon Governor's Occupational Safety & Health conference, Portland, OR. March 2015.
Olson R. A Total Worker Health program for home care workers: Six month outcomes. UW/ UBC/ SFU/ Uvic/OSU Annual Conference on Environmental, Occupational, and Population Health, Semiahmoo Resort, WA. January 2015

Layout table for additonal information
Responsible Party: Ryan Olson, Scientist, Oregon Health and Science University
ClinicalTrials.gov Identifier: NCT02113371    
Other Study ID Numbers: e5473
U19OH010154-01 ( U.S. NIH Grant/Contract )
U19OH010154-02 ( U.S. NIH Grant/Contract )
First Posted: April 14, 2014    Key Record Dates
Last Update Posted: May 14, 2018
Last Verified: May 2018
Keywords provided by Ryan Olson, Oregon Health and Science University:
Injury Prevention
Health Promotion
Well being
Safety
Nutrition
Physical Activity
Sleep
Stress
Additional relevant MeSH terms:
Layout table for MeSH terms
Wounds and Injuries