TY - JOUR

T1 - Implementation of physical coordination training and cognitive behavioural training interventions at cleaning workplaces--secondary analyses of a randomised controlled trial

AU - Jørgensen, Marie B

AU - Faber, Anne

AU - Jespersen, Tobias

AU - Hansen, Klaus

AU - Ektor-Andersen, John

AU - Hansen, Jørgen Vinsløv

AU - Holtermann, Andreas

AU - Søgaard, Karen

PY - 2012

Y1 - 2012

N2 - UNLABELLED: This study evaluates the implementation of physical coordination training (PCT) and cognitive behavioural training (CBTr) interventions in a randomised controlled trial at nine cleaners' workplaces. Female cleaners (n = 294) were randomised into a PCT, a CBTr or a reference (REF) group. Both 12-week interventions were performed in groups guided by an instructor. Records were kept on intervention dose (adherence) unanticipated events at the work place (context) and quality of intervention delivery (fidelity). Participant adherence was 37% in the PCT and 49% in the CBTr interventions. Optimal implementation was reached by only 6% in PCT and 42% in the CBTr. Analysis of the barriers to successful implementation indicated that the intervention process is sensitive to unanticipated events. In order to succeed in improving the health of high-risk populations such as cleaners and to correctly interpret intervention effects, more research on implementation is needed.TRIAL REGISTRATION: ISRCTN96241850.PRACTITIONER SUMMARY: Both physical coordination training and cognitive behavioural training are potential effective workplace interventions among low educated job groups with high physical work demands. However, thorough consideration should be given to feasibility in the design of interventions. The optimal intervention should be tailored to closely match the implementation context and be robust and flexible to minimise susceptibility to changes in work organisation.

AB - UNLABELLED: This study evaluates the implementation of physical coordination training (PCT) and cognitive behavioural training (CBTr) interventions in a randomised controlled trial at nine cleaners' workplaces. Female cleaners (n = 294) were randomised into a PCT, a CBTr or a reference (REF) group. Both 12-week interventions were performed in groups guided by an instructor. Records were kept on intervention dose (adherence) unanticipated events at the work place (context) and quality of intervention delivery (fidelity). Participant adherence was 37% in the PCT and 49% in the CBTr interventions. Optimal implementation was reached by only 6% in PCT and 42% in the CBTr. Analysis of the barriers to successful implementation indicated that the intervention process is sensitive to unanticipated events. In order to succeed in improving the health of high-risk populations such as cleaners and to correctly interpret intervention effects, more research on implementation is needed.TRIAL REGISTRATION: ISRCTN96241850.PRACTITIONER SUMMARY: Both physical coordination training and cognitive behavioural training are potential effective workplace interventions among low educated job groups with high physical work demands. However, thorough consideration should be given to feasibility in the design of interventions. The optimal intervention should be tailored to closely match the implementation context and be robust and flexible to minimise susceptibility to changes in work organisation.

KW - Analysis of Variance

KW - Cognition/physiology

KW - Cognitive Therapy/methods

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Occupational Health

KW - Psychometrics

KW - Psychomotor Performance

KW - Social Participation

KW - Statistics as Topic

KW - Workplace/psychology

U2 - 10.1080/00140139.2012.665946

DO - 10.1080/00140139.2012.665946

M3 - Journal article

C2 - 22506674

VL - 55

SP - 762

EP - 772

JO - Ergonomics

JF - Ergonomics

SN - 0014-0139

IS - 7

ER -