Document Detail


Teaching and social support: effects on knowledge, attitudes, and behaviors to prevent low back injuries in industry.
MedLine Citation:
PMID:  8444625     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
L H Daltroy; M D Iversen; M G Larson; J Ryan; C Zwerling; A H Fossel; M H Liang
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Health education quarterly     Volume:  20     ISSN:  0195-8402     ISO Abbreviation:  Health Educ Q     Publication Date:  1993  
Date Detail:
Created Date:  1993-04-02     Completed Date:  1993-04-02     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8108606     Medline TA:  Health Educ Q     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  43-62     Citation Subset:  IM    
Affiliation:
Department of Medicine, Harvard Medical School, Boston, Massachusetts.
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MeSH Terms
Descriptor/Qualifier:
Back / physiopathology*
Health Behavior
Health Education*
Health Knowledge, Attitudes, Practice*
Humans
Industry*
Linear Models
Low Back Pain / prevention & control
Occupational Health*
Program Evaluation
Social Support*
Wounds and Injuries / prevention & control*
Grant Support
ID/Acronym/Agency:
AR36308/AR/NIAMS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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