Translating an intervention to address chronic pain in home care workers: The COMPASS-NP Pilot.

OBJECTIVE: Pilot test the COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP) intervention for home care workers (HCWs) experiencing chronic pain. METHODS: HCWs with chronic pain participated (n = 19; 2 groups) in a 10-week online group program focused on workplace safety and pain self-management. Primary outcomes were changes in pain interference with work and life. Other outcomes related to ergonomics, pain levels, opioid misuse risk, mental health, sleep, and physical activity. RESULTS: The intervention produced a large reduction in pain interference with life (d = -0.85) and a moderate reduction in pain interference with work time demands (d = -0.61). Secondary outcomes showed favorable effect sizes, including a substantial increase in the use of ergonomic tools and techniques (d = 1.47). CONCLUSION: Findings were strongly encouraging. The effectiveness of COMPASS-NP will be evaluated in a future randomized controlled trial.

It may cost an arm and a leg: workers value and occupational fatality rates in the U.S.

BACKGROUND: The present study aims to observe how societal indicators of workers' values at the state-level are related to health and safety outcomes, particularly major injuries and fatalities in the U.S. Underscoring workforce flexibility and workability over workforce stability and safety might be indicative of the worth of workers which can be associated with occupational safety and health concerns. METHODS: Linear regression analysis with a log-transformed dependent variable was adopted to examine how the state-level indicators of worker value in terms of 1) minimum wage, using data from 2015; 2) average of workers' compensations for the loss of an arm, hand, leg, or foot in 2015 were concurrently and prospectively associated with occupational fatality rates averaged across 2015, 2016 and 2017. Socioeconomic contextual variables such as education level, GDP per capita, and population at the state-level were controlled for. RESULTS: The present study showed that state-level quantitative indicators of how workers are valued at work, namely minimum wage and workers' compensation benefits, were significantly and negatively associated with fatality rates in the following year. CONCLUSIONS: The present study illustrates the gap in how workers are valued across the U.S. The study speaks to the importance of contextual factors regarding worker value, as they can affect outcomes of health and safety culminating at a state-level.

Psycho-socio-cultural factors and global occupational safety: Integrating micro- and macro-systems.

Occupational health and safety varies greatly around the world. However, there is a dearth of information on contributing factors to global occupational safety at both micro- and macro-level. The aim of this study was to examine which psycho-socio-cultural factors including economic contexts are associated with occupational fatality rates in 51 countries from six continents (Study 1), as well as fatality rates and serious occupational injury rates in 31 European countries (Study 2). Multiple regression analysis showed that universal healthcare and individualism were significantly associated with lower occupational fatality rates in Study 1. To expand Study 1, additional variables regarding healthcare systems and occupational safety were utilized in Study 2 and it was shown that greater overall quality of healthcare system, greater quality of healthcare systems' prevention effort, and higher individualism were meaningfully linked with lower occupational fatality rates. Meanwhile, greater overall quality of healthcare and greater quality of healthcare systems' prevention efforts were meaningfully linked with higher serious occupational injury rates. To prevent workplace fatalities more effectively and to promote workplace safety and health at the global level, socioeconomic and cultural factors at micro- and macro-level need to be appropriately considered. Specifically, safety policies, regulations, procedures, and practices in countries with healthcare systems of greater quality can be benchmarked for other countries. Also, functional aspects of safety communication and participation in cultures with high individualism can be referenced by other countries.