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A participatory and comprehensive intervention to improve violence prevention in two high-risk occupations: effect and process evaluation of a stepped wedge cluster randomised trial.
Andersen, Lars Peter; Jaspers, S; Andersen, D; Karlsen, I; Aust, B.
Affiliation
  • Andersen LP; Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Goedstrup Hospital, Hospitalsparken 15, 7400, Herning, Denmark. laande@rm.dk.
  • Jaspers S; The National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark.
  • Andersen D; Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Goedstrup Hospital, Hospitalsparken 15, 7400, Herning, Denmark.
  • Karlsen I; The National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark.
  • Aust B; The National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark.
BMC Public Health ; 24(1): 1043, 2024 Apr 15.
Article in En | MEDLINE | ID: mdl-38622564
ABSTRACT

BACKGROUND:

Work-related violence committed by clients, patients, and customers represents a major occupational health risk for employees that needs to be reduced.

METHODS:

We tested a comprehensive violence prevention intervention involving active participation of both employees and managers in the Prison and Probation Service (PPS) and on psychiatric wards in Denmark. We used a stepped wedge cluster randomised controlled trial design. We measured the degree of implementation of the intervention by registration of fidelity, reach, and dose and used a mixed-effects regression analysis to estimate the effects of the intervention.

RESULTS:

We recruited 16 work units for the intervention, but three work units dropped out. The average implementation rate was 73%. In the psychiatric wards, the intervention led to statistically significant improvements in the primary outcome (an increase in the degree to which managers and employees continuously work on violence prevention practices based on their registration and experiences), but none statistically significant improvements in any of the secondary outcomes. In the PPS units, the intervention did not lead to a statistically significant improvement in the primary outcome, but to statistically significant improvements in three secondary outcomes.

CONCLUSION:

Most work units were able to carry out the intervention as planned. The intervention showed mixed results regarding the primary outcome. Nevertheless, the results indicate improvements also in the sector where a change in the primary outcome was not achieved. The results point at that a participatory and comprehensive approach could be a viable way of working with violence prevention in high-risk workplaces. TRIAL REGISTRATION ISRCTN86993466 20/12/2017.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Violence / Occupational Health Limits: Humans Language: En Journal: BMC Public Health / BMC public health (Online) Journal subject: SAUDE PUBLICA Year: 2024 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Violence / Occupational Health Limits: Humans Language: En Journal: BMC Public Health / BMC public health (Online) Journal subject: SAUDE PUBLICA Year: 2024 Document type: Article Affiliation country: Country of publication: