Effectiveness of participatory training in preventing accidental occupational injuries: a randomized-controlled trial in China

Objective The aim of this study was to evaluate the effectiveness of a participatory training program in preventing accidental occupational injuries in factories in Shenzhen, China. Methods We conducted a cluster randomized study with the worker as the unit of analysis, providing 918 workers from 30...

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Published in:Scandinavian journal of work, environment & health environment & health, 2017-05, Vol.43 (3), p.226-233
Main Authors: Yu, Ignatius TS, Yu, Wenzhou, Li, Zhimin, Qiu, Hong, Wan, Sabrina, Xie, Shaohua, Wang, Xiaorong
Format: Article
Language:English
Subjects:
accident
Accidental injuries
accidental injury prevention
accidental occupational injury
China
Control groups
Ergonomics
Factories
Humans
Industrial training
Job training
Lost to follow up
machine safety
materials handling
Medicin och hälsovetenskap
Occupational Health - education
Occupational health and safety
Occupational Injuries - prevention & control
occupational injury
participatory training
Physical trauma
prevention
Randomized controlled trials
randomized-controlled trial
rct
Surveys and Questionnaires
working environment
Workplace
workplace accident
workplace injury
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container_issue 3
container_start_page 226
container_title Scandinavian journal of work, environment & health
container_volume 43
creator Yu, Ignatius TS
Yu, Wenzhou
Li, Zhimin
Qiu, Hong
Wan, Sabrina
Xie, Shaohua
Wang, Xiaorong
description Objective The aim of this study was to evaluate the effectiveness of a participatory training program in preventing accidental occupational injuries in factories in Shenzhen, China. Methods We conducted a cluster randomized study with the worker as the unit of analysis, providing 918 workers from 30 factories participatory training. Two control groups received traditional didactic training, including 907 workers from the same 30 factories and 1654 workers in matched control factories. We used generalized estimating equations to compare the before/after person-based injury rate difference in the three groups and binary logistic regression to compare the re-injury rates. Results The person- and event-based incidence rates of accidental injury in the intervention group reduced from 89.3 to 52.1 per 1000 workers (P=0.002) and from 138.3 to 74.5 per 1000 person-years (P
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Methods We conducted a cluster randomized study with the worker as the unit of analysis, providing 918 workers from 30 factories participatory training. Two control groups received traditional didactic training, including 907 workers from the same 30 factories and 1654 workers in matched control factories. We used generalized estimating equations to compare the before/after person-based injury rate difference in the three groups and binary logistic regression to compare the re-injury rates. Results The person- and event-based incidence rates of accidental injury in the intervention group reduced from 89.3 to 52.1 per 1000 workers (P=0.002) and from 138.3 to 74.5 per 1000 person-years (P&lt;0.001), respectively. The rate reductions in the two control groups were not statistically significant. Compared with the intervention group, the risk of accidental work injury over time was higher in the control groups, with odds ratios (OR) 1.78 (1.04–3.04) and 1.77 (1.13–2.79) for control_1 and control_2 group, respectively. The re-injury rates were 27.1% (13/48) in the intervention group, and 41.7% (15/36) and 52.6% (51/97) in the two control groups respectively, with the latter being significantly higher than the intervention group. Conclusions Our study documented the effectiveness of a participatory approach to occupational health and safety training in reducing accidental work injuries and re-injuries among frontline workers.</description><identifier>ISSN: 0355-3140</identifier><identifier>ISSN: 1795-990X</identifier><identifier>EISSN: 1795-990X</identifier><identifier>DOI: 10.5271/sjweh.3617</identifier><identifier>PMID: 28052163</identifier><language>eng</language><publisher>Finland: Nordic Association of Occupational Safety and Health</publisher><subject>accident ; Accidental injuries ; accidental injury prevention ; accidental occupational injury ; China ; Control groups ; Ergonomics ; Factories ; Humans ; Industrial training ; Job training ; Lost to follow up ; machine safety ; materials handling ; Medicin och hälsovetenskap ; Occupational Health - education ; Occupational health and safety ; Occupational Injuries - prevention &amp; control ; occupational injury ; participatory training ; Physical trauma ; prevention ; Randomized controlled trials ; randomized-controlled trial ; rct ; Surveys and Questionnaires ; working environment ; Workplace ; workplace accident ; workplace injury</subject><ispartof>Scandinavian journal of work, environment &amp; health, 2017-05, Vol.43 (3), p.226-233</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-5746f305bce863587ffdbeda5f71cd65a0a473f9db308f9d7e28cde13eff89d13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26386296$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26386296$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,33612,58238,58471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28052163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:135784439$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Ignatius TS</creatorcontrib><creatorcontrib>Yu, Wenzhou</creatorcontrib><creatorcontrib>Li, Zhimin</creatorcontrib><creatorcontrib>Qiu, Hong</creatorcontrib><creatorcontrib>Wan, Sabrina</creatorcontrib><creatorcontrib>Xie, Shaohua</creatorcontrib><creatorcontrib>Wang, Xiaorong</creatorcontrib><title>Effectiveness of participatory training in preventing accidental occupational injuries: a randomized-controlled trial in China</title><title>Scandinavian journal of work, environment &amp; health</title><addtitle>Scand J Work Environ Health</addtitle><description>Objective The aim of this study was to evaluate the effectiveness of a participatory training program in preventing accidental occupational injuries in factories in Shenzhen, China. Methods We conducted a cluster randomized study with the worker as the unit of analysis, providing 918 workers from 30 factories participatory training. Two control groups received traditional didactic training, including 907 workers from the same 30 factories and 1654 workers in matched control factories. We used generalized estimating equations to compare the before/after person-based injury rate difference in the three groups and binary logistic regression to compare the re-injury rates. Results The person- and event-based incidence rates of accidental injury in the intervention group reduced from 89.3 to 52.1 per 1000 workers (P=0.002) and from 138.3 to 74.5 per 1000 person-years (P&lt;0.001), respectively. The rate reductions in the two control groups were not statistically significant. Compared with the intervention group, the risk of accidental work injury over time was higher in the control groups, with odds ratios (OR) 1.78 (1.04–3.04) and 1.77 (1.13–2.79) for control_1 and control_2 group, respectively. The re-injury rates were 27.1% (13/48) in the intervention group, and 41.7% (15/36) and 52.6% (51/97) in the two control groups respectively, with the latter being significantly higher than the intervention group. Conclusions Our study documented the effectiveness of a participatory approach to occupational health and safety training in reducing accidental work injuries and re-injuries among frontline workers.</description><subject>accident</subject><subject>Accidental injuries</subject><subject>accidental injury prevention</subject><subject>accidental occupational injury</subject><subject>China</subject><subject>Control groups</subject><subject>Ergonomics</subject><subject>Factories</subject><subject>Humans</subject><subject>Industrial training</subject><subject>Job training</subject><subject>Lost to follow up</subject><subject>machine safety</subject><subject>materials handling</subject><subject>Medicin och hälsovetenskap</subject><subject>Occupational Health - education</subject><subject>Occupational health and safety</subject><subject>Occupational Injuries - prevention &amp; control</subject><subject>occupational injury</subject><subject>participatory training</subject><subject>Physical trauma</subject><subject>prevention</subject><subject>Randomized controlled trials</subject><subject>randomized-controlled trial</subject><subject>rct</subject><subject>Surveys and Questionnaires</subject><subject>working environment</subject><subject>Workplace</subject><subject>workplace accident</subject><subject>workplace injury</subject><issn>0355-3140</issn><issn>1795-990X</issn><issn>1795-990X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkc1v1DAQxS0EotvChTsoR1QpxY7jL27VqkClSlxA4mY59rh1yMbBTqjKgb8d72Yp4mCNZ_x7b2Q9hF4RfMEaQd7l_h7uLign4gnaEKFYrRT-9hRtMGWspqTFJ-g05x7jRhXBc3TSSMwawukG_b7yHuwcfsIIOVfRV5NJc7BhMnNMD9WcTBjDeFuFsZoSFGzed8ba4MrdDFW0dilwiGNpwtgvKUB-X5kqmdHFXfgFrrZxnFMcBnDFMBy4ansXRvMCPfNmyPDyWM_Q1w9XX7af6pvPH6-3lze1bTmZayZa7ilmnQXJKZPCe9eBM8wLYh1nBptWUK9cR7EsRUAjrQNCwXupHKFn6Hr1ddH0ekphZ9KDjibowyCmW3349gBagpGt87yTHMpWI22HvTRCUW9wq1zxUqtXvodp6f5zm1J0-jj_HvZHZ9CEMiHblqqifbtqC_hjgTzrXcgWhsGMEJesiWQFFVLxgp6vqE0x5wT-cRHBep-7PuSu97kX-M3Rd-l24B7Rv0EX4PUK9Lnk-u-dU8mbsu0PUFa4YA</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Yu, Ignatius TS</creator><creator>Yu, Wenzhou</creator><creator>Li, Zhimin</creator><creator>Qiu, Hong</creator><creator>Wan, Sabrina</creator><creator>Xie, Shaohua</creator><creator>Wang, Xiaorong</creator><general>Nordic Association of Occupational Safety and Health</general><general>Nordic Association of Occupational Safety and Health (NOROSH)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>DOA</scope></search><sort><creationdate>20170501</creationdate><title>Effectiveness of participatory training in preventing accidental occupational injuries: a randomized-controlled trial in China</title><author>Yu, Ignatius TS ; Yu, Wenzhou ; Li, Zhimin ; Qiu, Hong ; Wan, Sabrina ; Xie, Shaohua ; Wang, Xiaorong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-5746f305bce863587ffdbeda5f71cd65a0a473f9db308f9d7e28cde13eff89d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>accident</topic><topic>Accidental injuries</topic><topic>accidental injury prevention</topic><topic>accidental occupational injury</topic><topic>China</topic><topic>Control groups</topic><topic>Ergonomics</topic><topic>Factories</topic><topic>Humans</topic><topic>Industrial training</topic><topic>Job training</topic><topic>Lost to follow up</topic><topic>machine safety</topic><topic>materials handling</topic><topic>Medicin och hälsovetenskap</topic><topic>Occupational Health - education</topic><topic>Occupational health and safety</topic><topic>Occupational Injuries - prevention &amp; control</topic><topic>occupational injury</topic><topic>participatory training</topic><topic>Physical trauma</topic><topic>prevention</topic><topic>Randomized controlled trials</topic><topic>randomized-controlled trial</topic><topic>rct</topic><topic>Surveys and Questionnaires</topic><topic>working environment</topic><topic>Workplace</topic><topic>workplace accident</topic><topic>workplace injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Ignatius TS</creatorcontrib><creatorcontrib>Yu, Wenzhou</creatorcontrib><creatorcontrib>Li, Zhimin</creatorcontrib><creatorcontrib>Qiu, Hong</creatorcontrib><creatorcontrib>Wan, Sabrina</creatorcontrib><creatorcontrib>Xie, Shaohua</creatorcontrib><creatorcontrib>Wang, Xiaorong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Scandinavian journal of work, environment &amp; health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Ignatius TS</au><au>Yu, Wenzhou</au><au>Li, Zhimin</au><au>Qiu, Hong</au><au>Wan, Sabrina</au><au>Xie, Shaohua</au><au>Wang, Xiaorong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of participatory training in preventing accidental occupational injuries: a randomized-controlled trial in China</atitle><jtitle>Scandinavian journal of work, environment &amp; health</jtitle><addtitle>Scand J Work Environ Health</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>43</volume><issue>3</issue><spage>226</spage><epage>233</epage><pages>226-233</pages><issn>0355-3140</issn><issn>1795-990X</issn><eissn>1795-990X</eissn><abstract>Objective The aim of this study was to evaluate the effectiveness of a participatory training program in preventing accidental occupational injuries in factories in Shenzhen, China. Methods We conducted a cluster randomized study with the worker as the unit of analysis, providing 918 workers from 30 factories participatory training. Two control groups received traditional didactic training, including 907 workers from the same 30 factories and 1654 workers in matched control factories. We used generalized estimating equations to compare the before/after person-based injury rate difference in the three groups and binary logistic regression to compare the re-injury rates. Results The person- and event-based incidence rates of accidental injury in the intervention group reduced from 89.3 to 52.1 per 1000 workers (P=0.002) and from 138.3 to 74.5 per 1000 person-years (P&lt;0.001), respectively. The rate reductions in the two control groups were not statistically significant. Compared with the intervention group, the risk of accidental work injury over time was higher in the control groups, with odds ratios (OR) 1.78 (1.04–3.04) and 1.77 (1.13–2.79) for control_1 and control_2 group, respectively. The re-injury rates were 27.1% (13/48) in the intervention group, and 41.7% (15/36) and 52.6% (51/97) in the two control groups respectively, with the latter being significantly higher than the intervention group. Conclusions Our study documented the effectiveness of a participatory approach to occupational health and safety training in reducing accidental work injuries and re-injuries among frontline workers.</abstract><cop>Finland</cop><pub>Nordic Association of Occupational Safety and Health</pub><pmid>28052163</pmid><doi>10.5271/sjweh.3617</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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ispartof Scandinavian journal of work, environment & health, 2017-05, Vol.43 (3), p.226-233
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1795-990X
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source JSTOR Archival Journals and Primary Sources Collection; Social Science Premium Collection
subjects accident
Accidental injuries
accidental injury prevention
accidental occupational injury
China
Control groups
Ergonomics
Factories
Humans
Industrial training
Job training
Lost to follow up
machine safety
materials handling
Medicin och hälsovetenskap
Occupational Health - education
Occupational health and safety
Occupational Injuries - prevention & control
occupational injury
participatory training
Physical trauma
prevention
Randomized controlled trials
randomized-controlled trial
rct
Surveys and Questionnaires
working environment
Workplace
workplace accident
workplace injury
title Effectiveness of participatory training in preventing accidental occupational injuries: a randomized-controlled trial in China
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