Validating the effectiveness of a self-report tool to predict unsafe behavior of industrial workers: a QEEG analysis.

Objectives. Unsafe behavior (UB) is defined as the likelihood of intentionally or unintentionally deviating from pre-defined plans. This study aims to investigate the validation of a self-report tool for measuring workers' cognitive-based UB using quantitative electroencephalography (QEEG). Methods. The cognitive-based unsafe behavior questionnaire (CUBQ) was completed by 632 front-line workers in a manufacturing industry to identify differences in the backgrounds of the subjects regarding UBs. Two groups were then selected as extreme groups and QEEG was conducted based on the international 10-20 electrode placement. Results. The mean values of absolute power (AP), alpha/beta ratio (ABR) and alpha/gamma ratio (AGR) from brain oscillations in different regions of the cortex were significantly different between the studied groups (p < 0.05). Additionally, these values were found to be significantly correlated with slips, lapses and mistakes, as measured by certain scales of the CUBQ (p < 0.05). Conclusions. The findings of this study indicated differences in brain oscillation activities among industrial workers with different UB backgrounds. These results confirm the effectiveness of CUBQ as a proactive tool for safety practitioners to predict industrial workers' UBs.

A comparison between the lecture and self-study methods on female students' awareness and attitudes about text neck syndrome.

BACKGROUND: Text Neck Syndrome (TNS) is a common issue in the neck. The emergence of such issues makes it more pressing to offer ergonomic training to prevent their consequences. The present study aimed to compare training through the lecture and Self-Study methods awareness and attitudes about the TNS. MATERIALS AND METHODS: The study was conducted on 94 female high-school students in 2021, and a quasi-experimental methodology was implemented. The participants were randomly divided into a lecture method and a self-study group. A researcher-made questionnaire was utilized for data collection to measure the participants' attitudes and awareness. The data were analyzed according to descriptive and inferential statistics. RESULT: The findings showed that the mean post-test scores of the participants' awareness in the lecture method and self-study groups were 8.74 and 5.83, respectively, and a significant increase was observed in the post-test scores of the lecture method group. However, no significant difference was observed between the pre-test and post-test attitude scores of the two groups. CONCLUSION: As training by the use of the lecture method in a webinar format has the characteristics of a traditional and online educational simultaneously, it offers an advantage that can be utilized in educational institutions as a complementary (or even an independent) method. Moreover, the experts in medical informational sciences need to accompany training groups as they are responsible to select and prepare credible content materials for audiences.

Association of ergonomics risk factors among Iranian calico crafts-men and musculoskeletal discomforts: a cross-sectional study.

BACKGROUND: Work-related musculoskeletal disorders (WMSDs) have always been complaints reported by handicraft workers due to the repetitive and static nature of work. Therefore, the current study aimed to investigate the ergonomic conditions of craftsmen engaged with the calico industry. METHOD: This cross-sectional study was done in small calico industrial workshops in Isfahan, Iran, in 2022. The sample selection method in this study was census. Using QEC (Quick Exposure Checklist) and Cornell-Musculoskeletal Discomfort Questionnaire (CMDQ), the ergonomic status of workers was evaluated. The data were analyzed using Chi-square (χ2) and Pearson's product-moment correlation test. RESULTS: The risk level of working postures in wrist/hand, shoulder /arm, and neck were high or very high among the craftsmen. The relationships between discomfort complaints reported by the participants and the risk level of working postures were significant for neck χ2 (1, N = 100) = 13.603, Pvalue = 0.034, left knee χ2 (1, N = 100) = 12.310, Pvalue = 0.030 and lower left leg χ2 (1, N = 100) = 11.906, Pvalue = 0.042. The posture risk level scores for %57.7 of the participants who self-reported the right shoulder discomfort were found to be high or very high. CONCLUSIONS: The high risk found in most calico craftsmen may induce more serious musculoskeletal problems that require applicable interventions. The most important risk factors realized among calico craftsmen were prolonged sitting postures and repetitive tasks.

A multicomponent quasi-experimental ergonomic interventional study: long-term parallel four-groups interventions.

BACKGROUND: Musculoskeletal disorders (MSDs) are known as one of the main problems affecting the health of industrial workers and can lead to lost working days, functional disability of workers and wasting the financial resources of an organization. Therefore, the present study aimed to evaluating the effect of ergonomic interventions on reducing MSDs and improving working posture in the in a foundry industry workers. METHODS: A field multicomponent cross-interventional study was conducted on workers working in a foundry industry. In this study, 117 male workers were divided into 4 groups, including a control group, a group with specialized ergonomics training, a group with workstation intervention, and a group simultaneously undergoing training and workstation intervention. All 4 groups were evaluated during a period of baseline, 6 and 12-months follow- up. The Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and direct observations of working postures by using the Quick Exposure Check (QEC) method were used. RESULTS: The results showed that the implemented interventions in the shoulder/arm, back and stress level were effective and the difference in the final score was significant among different groups (P-value > 0.05). In addition, the interventions led to a significant decrease in the QEC scores and musculoskeletal symptom scores in the neck, shoulder, lower back, knee, and lower leg regions among different groups (P-value > 0.05). CONCLUSION: The results showed that workstation modification and training and workstation intervention simultaneously had a greater effect on MSDs and improving working posture compared to training alone.

Common errors in selecting and implementing pen-paper observational methods by Iranian practitioners for assessing work-related musculoskeletal disorders risk: a systematic review.

Objectives. This study aimed to determine the types and frequency of pen-paper observational methods (OMs) used by Iranian practitioners and to identify their errors in selecting and implementing these methods. Methods. This was a systematic review and analytical study of papers in which the OMs had been used. Scientific databases were analyzed from September 1970 to September 2018. Errors were determined based on a list of wrong practices both in the selection and implementation of methods. Three ergonomists carried out the process of identifying errors independently. Results. The most frequently used methods were rapid upper limb assessment (RULA), quick exposure check (QEC) and rapid entire body assessment (REBA), respectively. Errors in selecting and implementing pen-paper OMs were 53.3 and 36.4%, respectively. Conclusions. Despite the abundant number of pen-paper OMs, Iranian practitioners use few of them. The high rate of errors can indicate a lack of knowledge and skills among practitioners for selecting and implementing OMs. The development of decision-making tools may help practitioners to select appropriate pen-paper OMs for assessing different types of tasks.

Assessing the effectiveness of an ergonomics intervention program with a participatory approach: ergonomics settlement in an Iranian steel industry.

PURPOSE: Work-related musculoskeletal disorders (WMSDs) are common occupational problems affecting the health and productivity of workers worldwide. Ergonomic intervention programs (EIPs) can play an effective role in preventing these disorders in the workplace. Assessing the effectiveness of an EIP is a challenge faced by both industries and researchers. This study was aimed at assessing the effectiveness of an EIP on human resources productivity (HRP), musculoskeletal disorders (MSDs), general health and occupational fatigue in a steel industry. METHODS: This study was conducted in a steel industry in Isfahan, Iran, between 2018 and 2021. To assess the effectiveness of the EIP with a participatory approach, training and redesign of workstations, the criteria of HRP, MSDs, general health and occupational fatigue were investigated before and after the intervention, using HRP Questionnaire, Nordic musculoskeletal questionnaire (NMQ), 28-item General Health Questionnaire (28-GHQ), Swedish Occupational Fatigue Inventory (SOFI-20) and Occupational Fatigue/Exhaustion Recovery (OFER-15) Questionnaire, as data collection tools, respectively. RESULTS: The implementation of EIP in the studied industry significantly led to an increase in HRP (p < 0.05). The prevalence of MSDs decreased significantly in most regions of the body after the interventions (p < 0.001). In addition, the program significantly improved general health (p < 0.001) and reduced occupational fatigue among employees (p < 0.001). CONCLUSIONS: The implementation of EIP was significantly effective in working conditions improvement. Therefore, implementing EIP with participatory approach, workforce training, as well as redesigning of workstations are recommended in industries.

Is 'invisible gorilla' self-reportedly measurable? Development and validation of a new questionnaire for measuring cognitive unsafe behaviors of front-line industrial workers.

The most complicated problem in detecting workplace hazards is the dynamic condition of industrial settings and the unpredictability of workers' behavior. A newly developed method focusing on cognitive differences between individuals is required to evaluate unsafe behaviors of workers. This study aimed at development and validation of a new questionnaire for measuring cognitive unsafe behaviors of front-line industrial workers. A new questionnaire with 61 items was developed and the main measurement characteristics (validity and reliability) were analyzed. Content validity analysis showed that 61 items had an excellent content validity index (<0.78) and content validity ratio (>0.42). Good internal consistency (Cronbach's α = 0.95) and stability (intra-class correlation coefficient = 0.98) were found for the new instrument. The result of confirmatory factor analysis indicated that the selected model was satisfactory. The new instrument appears to be a valid and reliable tool to assess cognitive unsafe behaviors of front-line industrial workers.

Relationship between personality type and musculoskeletal disorders among office staff.

BACKGROUND: Musculoskeletal disorders (MSDs) have been recognized as common health-related problems in the workplace. Accordingly, poorly-designed workstations and assigned tasks can lead to exposure to risk factors inducing MSDs among office staff. Accompanied by physical risk factors, psychological ones in working environments can also contribute to MSDs occurrence. Thus, the purpose of this study was to examine the relationship between personality types as a psychological factor and MSDs occurrence among office staff. METHODS: This cross-sectional study was carried out on office staff working at Shiraz University of Medical Sciences (SUMS) in 2016. The participants included 339 employees recruited using multi-stage simple random sampling method. The required data were likewise collected via a demographic characteristics information checklist, the Personality Pattern Questionnaire (PPQ), as well as the standardized Nordic Musculoskeletal Questionnaire (NMQ). RESULTS: The findings revealed that the participants' mean±standard deviation (SD) age were 36.4±7.8 years. As well, the most prevalent MSDs complaints were reported in lower back, knee, and neck regions with relative frequencies of 35%, 30%, and 25% respectively. Moreover, the results demonstrated that 0.6% of the participants were determined as individuals having a strong tendency for type A personality, 26.8% of them showed tendency for type A personality, 63.1% of these employees were categorized into those having a tendency for type B personality, and 9.4% of them were identified as participants who showed a strong tendency for type B personality. Additionally, statistically significant relationships were observed between personality types and MSDs occurrence (p=0.023). Furthermore, musculoskeletal symptoms were reported more prevalent among individuals having tendency for type A personality. CONCLUSION: Personality types and MSDs occurrence seemed to be associated. It was thus suggested to take account of psychological factors (e.g., personality types) in macro policy-making, employee selection, and professional staff training programs.

The relationship between work-related psychosocial factors and burnout among Iranian nurses: Job Demand-Control-Support model.

BACKGROUND: Nursing work environment consists of a number of work-related psychosocial risk factors such as excessive workloads, lack of social support, emotional demands, job insecurity and confronting with challenging situations all of which may induce burnout. The aim of the current study was to investigate the relationship between work-related psychosocial factors and burnout among Iranian nurses. METHODS: A cross-sectional study was carried out among 522 nurses. The data related to work-related psychosocial factors and burnout was gathered using Job Content Questionnaire (JCQ) and Maslach Burnout Inventory (MBI), respectively. Pearson's correlation coefficients were used to examine the relationship between work-related psychosocial factors and burnout. RESULTS: Mean scores of the dimensions of burnout for emotional exhaustion, depersonalization, and reduced personal accomplishment were 13.6 (SD=8.6), 18.42 (SD=7.1), and 28.45 (SD= 9.15), respectively. Psychological and physical job demands were positively correlated with different dimensions of burnout while social support and job control showed negative correlation with them. CONCLUSION: Appropriate interventions on reducing job demands both psychologically and physically and increasing social support and job control are suggested in prevention of burnout among the studied nurses.

Self-Reported, Work-Related Injuries and Illnesses Among Restaurant Workers in Shiraz City, South of Iran.

BACKGROUND: Restaurant sector is one of the most rapidly developing sectors in the world and there is evidence that restaurant industry has high levels of work-related diseases and injuries. This study examined the prevalence of self-reported work-related injuries and illness (WRIIs) and their association with demographic variables among restaurant workers in Shiraz, the capital of Fars Province, Iran. METHODS: In this cross-sectional study, 300 randomly selected restaurant workers completed a self-statement, research-made questionnaire regarding the prevalence of self-reported WRIIs, in Shiraz, Iran. Statistical analyses were performed using SPSS version 20. RESULTS: A high prevalence of work-related injuries (84%) and musculoskeletal disorders (70%) was reported among restaurant workers. Cuts and lacerations, arising from accidents with knives, were the most common injuries seen, followed by burns, falls, slips and trips. Moreover, the prevalence of occupational accidents had a significant association with work experience (p = 0.012), cooking (p < 0.001), as well as preparation and washing (p = 0.011). Age (p < 0.001) and work experience (p < 0.001) had a significance association with the prevalence of musculoskeletal disorders. CONCLUSION: Preventive measures and polices, through providing occupational health and safety services including trainings, personal protective equipment and health examinations, should be taken as to restaurants and catering industry in Iran.

Prevalence of self-reported work-related illness and injuries among building construction workers, Shiraz, Iran.

The construction industry is one of the largest and most hazardous industries in the world, which has a direct role in the development of countries. The purpose of this study was to investigate the prevalence of self-reported work-related illness and injuries among construction workers in Shiraz, Iran. 850 randomly selected workers from 2450 construction sites completed a self-statement questionnaire regarding the prevalence of self-reported work-related illness and injuries (WRIIs), in Shiraz, Iran. The association of WRII with demographic variables were studied. The overall prevalence rate of occupational injuries was 31 %. Musculoskeletal disorders (53.3 %), eye diseases (34.1 %) and skin diseases (30.1 %) have been the most prevalent work-related illnesses among construction workers, respectively. The prevalence of WRIIs among construction workers was significantly associated with age, education, marriage, work experience, safety training programs and number of workers in the workplace as well as employment status. Considering the high prevalence of WRIIs among construction workers, more stringent occupational safety and health interventions are recommended in construction workplaces.

The effect of biological rhythms and personality traits on the incidence of unsafe behaviors among bus drivers in Shiraz, Iran.

BACKGROUND: Unsafe behaviors are main causes of accidents mostly influenced by personal characteristics, social environment and also individual biorhythm cycles. This study was carried out to find out whether personality traits and biorhythm could affect the incidence of unsafe behaviors among city bus drivers. METHODS: This cross-sectional study was conducted on 224 bus drivers in Shiraz, Iran, 2014. The data were collected using NEO personality traits questionnaire. Also, a self-constructed checklist was used to investigate the drivers' unsafe behaviors. Information on drivers' biorhythm was analyzed by Natural Biorhythm software version 3.2. The relationship between demographic characteristics, personality traits and biorhythm were examined by T-Test, One-way ANOVA, correlation coefficient and Chi square tests. Multiple linear regression analysis was used to investigate the factors influencing the incidence of unsafe behaviors. RESULTS: 28.6% of participants have experienced critical days in their biorhythm cycles. Also the mean percentage of unsafe behavior was 54.08 ± 11.91 among the subjects of the study.Significantly negative correlations were observed between each personality factor and the percentage of unsafe behaviors. Also, there was a significant relationship between percentage of derivers' unsafe behaviors and the general cycle of biorhythm (having at least one critical day in each of the cycles). CONCLUSIONS: Taking the measures including selection of low-risk traffic routes in the critical days and considering the personality traits at the time of employment could be effective in reducing the unsafe behaviors and accidents.

Job demand-control and job stress at work: A cross-sectional study among prison staff.

INTRODUCTION: Job stress can impose significant costs to the workplaces and organizations due to some issues such as absenteeism, less productivity, and medical costs. Job overload and lack of decision latitude can lead to job stress. The current study aimed to investigate the job demands and control as predictor of job stress and its relationship, with some of the demographic characteristics of Iranian prison staff. MATERIALS AND METHODS: This study was performed on 171 male employees working in four prisons located in Ilam, Iran. The sampling method was census and all four prisons' staff were selected to respond the Job Content Questionnaires. Finally, the data were analyzed using t-test or independent samples test as well as SPSS 20. RESULTS: The highest amount of job demand (mean = 21.28) and the lowest amount of job control on average (9.76) were reported by those staff working in Darehshahr prison. There was also a significant relationship between job post and job control among the prison staff (ß = -0.375, P = 0.001). CONCLUSION: The level of job stress reported by prison staff was high in this study mainly caused by high job demand and low job control, especially in Darehshahr prison staff.

Effect of physical activity on musculoskeletal discomforts among handicraft workers.

INTRODUCTION: Handicrafts seems to be one of the high-risk jobs regarding work-related musculoskeletal disorders (WMSDs) which necessitate the implementation of different corrective intervention like regular physical activities. This study aimed to investigate the impact of physical activity on WMSDs among craftsmen. METHODS: This cross-sectional study was an analytical - descriptive study carried out on 100 craftsmen working in Isfahan, Iran, in 2013. The sampling method was census, and all workshops involved with this job were included. Information on demographic parameters and physical activity was collected by demographic forms. The data related to worker's musculoskeletal discomforts were conducted using Cornell Musculoskeletal Discomfort Questionnaire. The data were analyzed using statistical tests including independent t-test, Chi-square, and ANOVA. The statistical analysis was performed using SPSS 18. RESULTS: The highest percentages of complaints related to severe musculoskeletal discomfort were reported in right shoulder (%36), right wrist (%26), neck (%25), and upper right arm (%24), respectively. A significant relationship was observed between physical activity and musculoskeletal discomforts of left wrist (P = 0.012), lower back (P = 0.016), and neck (P = 0.006). DISCUSSION AND CONCLUSION: Based on the study results, it can be inferred that regular but not too heavy physical activity can have a positive impact on decreasing the musculoskeletal discomforts.

Job strain (demands and control model) as a predictor of cardiovascular risk factors among petrochemical personnel.

BACKGROUND: One of the practical models for the assessment of stressful working conditions due to job strain is job demand and control model, which explains how physical and psychological adverse consequences, including cardiovascular risk factors can be established due to high work demands (the amount of workload, in addition to time limitations to complete that work) and low control of the worker on his/her work (lack of decision making) in the workplace. The aim of this study was to investigate how certain cardiovascular risk factors (including body mass index [BMI], heart rate, blood pressure, cholesterol and smoking) and the job demand and job control are related to each other. MATERIALS AND METHODS: This prospective cohort study was conducted on 500 workers of the petrochemical industry in south of Iran, 2009. The study population was selected using simple random statistical method. They completed job demand and control questionnaire. The cardiovascular risk factors data was extracted from the workers hygiene profiles. Chi-square (χ (2)) test and hypothesis test (η) were used to assess the possible relationship between different quantified variables, individual demographic and cardiovascular risk factors. RESULTS: The results of this study revealed that a significant relationship can be found between job demand control model and cardiovascular risk factors. Chi-square test result for the heart rate showed the highest (χ (2) = 145.078) relationship, the corresponding results for smoking and BMI were χ (2) = 85.652 and χ (2) = 30.941, respectively. Subsequently, hypothesis testing results for cholesterol and hypertension was 0.469 and 0.684, respectively. DISCUSSION: Job strain is likely to be associated with an increased risk of cardiovascular risk factors among male staff in a petrochemical company in Iran. The parameters illustrated in the Job demands and control model can act as acceptable predictors for the probability of job stress occurrence followed by showing a high trend of CVD risk factors.

Association between job strain (high demand-low control) and cardiovascular disease risk factors among petrochemical industry workers.

OBJECTIVE: One of the practical models for assessment of stressful working conditions due to job strain is "job demand and control" or Karasek's job strain model. This model explains how adverse physical and psychological effects including cardiovascular disease risk factors can be established due to high work demand. The aim was to investigate how certain cardiovascular risk factors including body mass index (BMI), heart rate, blood pressure, serum total cholesterol levels, and cigarette smoking are associated with job demand and control in workers. MATERIALS AND METHODS: In this cohort study, 500 subjects completed "job demand and control" questionnaires. Factor analysis method was used in order to specify the most important "job demand and control" questions. Health check-up records of the workers were applied to extract data about cardiovascular disease risk factors. Ultimately, hypothesis testing, based on Eta, was used to assess the relationship between separated working groups and cardiovascular risk factors (hypertension and serum total cholesterol level). RESULTS: A significant relationship was found between the job demand-control model and cardiovascular risk factors. In terms of chi-squared test results, the highest value was assessed for heart rate (Chi(2) = 145.078). The corresponding results for smoking and BMI were Chi(2) = 85.652 and Chi(2) = 30.941, respectively. Subsequently, Eta result for total cholesterol was 0.469, followed by hypertension equaling 0.684. Moreover, there was a significant difference between cardiovascular risk factors and job demand-control profiles among different working groups including the operational group, repairing group and servicing group. CONCLUSION: Job control and demand are significantly related to heart disease risk factors including hypertension, hyperlipidemia, and cigarette smoking.