Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Feasibility and Acceptability of Workers' Health Surveillance for Fire Fighters

  • Plat, Marie-Christine J. (Academic Medical Center, University of Amsterdam, Department: Coronel Institute of Occupational Health) ;
  • Frings-Dresen, Monique H.W. (Academic Medical Center, University of Amsterdam, Department: Coronel Institute of Occupational Health) ;
  • Sluiter, Judith K. (Academic Medical Center, University of Amsterdam, Department: Coronel Institute of Occupational Health)
  • Received : 2011.03.24
  • Accepted : 2011.05.18
  • Published : 2011.09.30
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Abstract

Objectives: The objective of this study was to test the feasibility and acceptability of a new workers' health surveillance (WHS) for fire fighters in a Dutch pilot-implementation project. Methods: In three fire departments, between November 2007 and February 2009, feasibility was tested with respect to i) worker intent to change health and behavior; ii) the quality of instructions for testing teams; iii) the planned procedure in the field; and iv) future WHS organisation. Acceptability involved i) satisfaction with WHS and ii) verification of the job-specificity of the content of two physical tests of WHS. Fire fighters were surveyed after completing WHS, three testing teams were interviewed, and the content of the two tests was studied by experts. Results: Feasibility: nearly all of the 275 fire fighters intended to improve their health when recommended by the occupational physician. The testing teams found the instructions to be clear, and they were mostly positive about the organisation of WHS. Acceptability: the fire fighters rated WHS at eight points (out of a maximum of ten). The experts also reached a consensus about the optimal job-specific content of the future functional physical tests. Conclusion: Overall, it is feasible and acceptable to implement WHS in a definitive form in the Dutch fire-fighting sector.

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References

  1. Thacker SB, Berkelman RL. Public health surveillance in the United States. Epidemiol Rev 1988;10:164-90. https://doi.org/10.1093/oxfordjournals.epirev.a036021
  2. Foege WH, Hogan RC, Newton LH. Surveillance projects for selected diseases. Int J Epidemiol 1976;5:29-37. https://doi.org/10.1093/ije/5.1.29
  3. Technical and ethical guidelines for workers' health surveillance (OSH No.72) [Internet]. Geneva (Switzerland): International Labour Office. 1996 [updated 2010; cited 2010 Oct 10]. Available from:http://www.ilo.org/global/publications/ilobookstore/order-online/books/WCMS_PUBL_9221108287_EN/lang--en/index.htm.
  4. Koh D, Aw TC. Surveillance in occupational health. Occup Environ Med 2003; 60:705-10. https://doi.org/10.1136/oem.60.9.705
  5. Roessel CMF van, Belt YM, Hoentjen H, Kelder MJ, Kuijer PP, Stevens FEJ, Veelen E van, Weel ANH, Zanten-Przybysz I van, Zijl PG van. Verplichte medische keuringen van werknemers tijdens hun dienstverband [Mandatory medical examinations of employees during their employment]. Utrecht (Netherlands): NVAB; 2007. Dutch.
  6. Cox RAF, Edwards FC, Palmer K. Fitness for work: the medical aspects. 3rd ed. London (UK): Oxford university press; 2000. 540 p.
  7. Deakin JM, Pelot R, Smith JT, Stevenson JM, Wolfe LA. The development of a bona fide physical maintenance standard for CD and DND fire fighters. Ontario (Canada): Ergonomics Research Group Queens University Kingston; 1998.
  8. Weel ANH van. Leidraad Preventief medisch onderzoek [Guideline workers' health Surveillance]. Utrecht (Netherlands): NVAB; 2005. Dutch.
  9. MacKinnon DP, Elliot DL, Thoemmes F, Kuehl KS, Moe EL, Goldberg L, Burrell GL, Ranby KW. Long-term effects of a worksite health promotion program for firefighters. Am J Health Behav 2010;34:695-706.
  10. Elliot DL, Goldberg L, Kuehl KS, Moe EL, Breger RKR, Pickering MA. The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: outcomes of two models of behaviour change. J Occup Environn Med 2007;49:204-13 https://doi.org/10.1097/JOM.0b013e3180329a8d
  11. Leffer M, Grizzell T. Implementation of a Physician-Organized Wellness Regime (POWR) enforcing the 2007 NFPA standard 1582: injury rate reduction and associated cost savings. J Occup Environ Med 2010;52:336-9. https://doi.org/10.1097/JOM.0b013e3181d44d8d
  12. Sluiter JK, Frings-Dresen MHW. Aanstellingskeuring en Periodiek Preventief Medisch Onderzoek (PPMO) voor de Brandweersector [Pre-employment and Periodical workers' health surveillance in the fire fighter sector]. Amsterdam (Netherlands): Coronel Institute of Occupational and Environmental Health, Academic Medical Center; 2006. Report No.: 06-03. Dutch.
  13. Sluiter JK, Frings-Dresen MHW. What do we know about ageing at work? Evidence-based fitness for duty and health in fire fighters. Ergonomics 2007;50:1897-913. https://doi.org/10.1080/00140130701676005
  14. Health Education Authority. Action on health at work. London (UK): Health Education Authority; 1992.
  15. Tones K, Tilford S. Health education: Effectiveness and Efficiency and Equity. London (UK): Chapman and Hall; 1994. 312 p.
  16. Weston R. What is health promotion? How does it relate to the workplace? A background paper to support the Conference in Berlin on 29-30 September, 1994. Eur J Cancer Prev 1995;4:115-22. https://doi.org/10.1097/00008469-199502000-00013
  17. Partanen T, Johansson M, Ahrens W, Sala M, Wesseling C, Boffetta P, Brenes F, Font C, Frentzel-Beyme R, Garau I, Janer G, Kallas-Tarpila T, Kogevinas M, Loponen M, Ostergren L, Peltomaki P, Soler MD, Svanstrom L, Tempel J, Neuvonen K. Assessment of feasibility of workplace health promotion. Prevent Med 2002;35:232-40. https://doi.org/10.1006/pmed.2002.1065
  18. Rosen LJ, Manor O, Brody DL, Engelhard D, Shtarkshall RA, Zucker D. From pills to programs: Lessons from medicine for developing effective lifestyle interventions. Prev Med 2009;49:12-8. https://doi.org/10.1016/j.ypmed.2009.03.010
  19. Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, Bakken S, Kaplan CP, Squiers L, Fabrizio C, Fernandez M. How we design feasibility studies. Am J Prev Med 2009;36:452-7. https://doi.org/10.1016/j.amepre.2009.02.002
  20. Britten N. Qualitative research: interviews in medical research. BMJ 1995;311:251-3. https://doi.org/10.1136/bmj.311.6999.251
  21. Mays N, Pope C. Rigour and qualitative research. BMJ 1995;311:109-12. https://doi.org/10.1136/bmj.311.6997.109
  22. Morgan DL. The focus group guidebook. Thousand Oaks (CA): Sage publications, Inc; 1998. 103 p.
  23. Blitterswijk M van, Lagrand R, Zijden J van der. Handboek Taak Specifieke Conditietest voor uitrukdienst-personeel Brandweer Rotterdam [Guideline Task Specific Condition testing, for fire fighters Rotterdam]. Rotterdam (Netherlands); 2006. Dutch.
  24. Plat MJ, Frings-Dresen MH, Sluiter JK. Clinimetric quality of the fire fighting simulation test as part of the Dutch fire fighters Workers' Health Surveillance. BMC Health Serv Res 2010;10:32. https://doi.org/10.1186/1472-6963-10-32
  25. Teh KC, Aziz AR. A stair-climb test of cardiorespiratory fitness for Singapore. Singapore Med J 2000;41:588-94.
  26. Tan HYF, Aziz AR, Teh KC, Chia YHM. Reliability of the stair-climb test (SCT) of cardiorespiratory fitness. Adv Exerc Sports Physiol 2004;10:77-83.
  27. Plat MJ, Frings-Dresen MH, Sluiter JK. Reproducibility and validity of the stair-climb test for fire fighters. Int Arch Occup Environ Health 2010;83:725-31. https://doi.org/10.1007/s00420-010-0518-2
  28. Grol R, Jones R. Twenty years of implementation research. Fam Pract 2000;17(Suppl 1):S32-5. https://doi.org/10.1093/fampra/17.suppl_1.S32

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