TEACHING AND SOCIAL SUPPORT - EFFECTS ON KNOWLEDGE, ATTITUDES, AND BEHAVIORS TO PREVENT LOW-BACK INJURIES IN INDUSTRY

被引:35
作者
DALTROY, LH
IVERSEN, MD
LARSON, MG
RYAN, J
ZWERLING, C
FOSSEL, AH
LIANG, MH
机构
[1] HARVARD UNIV,SCH MED,DEPT MED,BOSTON,MA 02115
[2] HARVARD UNIV,SCH PUBL HLTH,BOSTON,MA 02115
[3] FRAMINGTON HEART STUDY,FRAMINGHAM,MA
[4] UNIV IOWA,COLL MED,IOWA CITY,IA 52242
[5] BRIGHAM & WOMENS HOSP,DEPT RHEUMATOL IMMUNOL,BOSTON,MA 02115
[6] TUFTS UNIV,SCH MED,DEPT COMMUNITY MED,E BOSTON NEIGHBORHOOD HLTH CTR,BOSTON,MA 02111
来源
HEALTH EDUCATION QUARTERLY | 1993年 / 20卷 / 01期
关键词
D O I
10.1177/109019819302000106
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
An educational program designed to reduce low back injuries was modeled after several well-known back schools and taught to postal workers in a randomized trial of about 4,000 workers. Physical therapists taught 3 hours of class sessions, including knowledge, skills, and individual work station assessment, to small groups of workers and supervisors, with reinforcement every 6 months afterward. At 2 1/2 years, a random sample of 209 workers was surveyed for program impact on intermediate outcomes. We observed increased knowledge among experimental unit workers, but no significant improvements in behaviors associated with back health or in proportion of workers with tired backs. Experimental unit workers who had received training by the time of the survey were less likely to report helping/reinforcement for healthy behaviors than controls or untrained experimental unit workers. The program might have led trained workers to perceive a lack of support and reinforcement for back safety among coworkers and supervisors by sensitizing them to what is possible and raising expectations. There appeared to be group social effects in the dissemination of knowledge and perhaps of helpful behaviors; however, it is apparent that worker social support for change in health behaviors is a complex phenomenon that cannot always be relied upon to enhance program goals.
引用
收藏
页码:43 / 62
页数:20
相关论文
共 45 条
[2]   CONTROL OF MANUAL LIFTING HAZARDS .2. JOB REDESIGN [J].
AYOUB, MA .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1982, 24 (09) :668-676
[3]  
BAILEY DA, 1982, CANADIAN ASS HLTH PH, V49, P2
[4]  
Bandura A., 1977, SOCIAL LEARNING THEO
[5]  
BERGQUISTULLMAN M, 1977, ACTA ORTHOP SCAND S, V170
[6]   SOCIAL NETWORKS, HOST-RESISTANCE, AND MORTALITY - 9-YEAR FOLLOW-UP-STUDY OF ALAMEDA COUNTY RESIDENTS [J].
BERKMAN, LF ;
SYME, SL .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1979, 109 (02) :186-204
[7]   NO CLINICAL EFFECT OF BACK SCHOOLS IN AN HMO - A RANDOMIZED PROSPECTIVE TRIAL [J].
BERWICK, DM ;
BUDMAN, S ;
FELDSTEIN, M .
SPINE, 1989, 14 (03) :338-344
[8]   REPRODUCIBILITY OF THE HISTORY OF LOW-BACK TROUBLE [J].
BIERINGSORENSEN, F ;
HILDEN, J .
SPINE, 1984, 9 (03) :280-286
[9]  
BIERINGSORENSEN F, 1983, SCAND J REHABIL MED, V15, P71
[10]  
BOMBARDIER C, 1985, ARTHRITIS SOC, P104