Workplace evaluation of online procedures to manage risk of both musculoskeletal and stress-related mental health disorders.

INTERVENTION: Intervention sites will implement the toolkit in their workplace. The toolkit implementation is a 12 month cycle of identifying hazards and developing actions to address hazards. This will be part of their normal occupational health and safety management system. The research team will be attending the monthly RMT meetings and maintain regular contact with the intervention sites to ensure implementation progresses smoothly. The toolkit was designed to enable comprehensive diagnosis of the unique musculoskeletal disorder (MSD) hazard profiles of different jobs, based on results from a survey covering both physical and psychosocial hazards and an MSD risk indicator. Workers participate in developing risk control actions that are customised to their job’s specific hazard profile and that accord with the risk control hierarchy, following online guidance. To promote its uptake and sustainable use in ordinary workplaces, the toolkit was formulated in accord with a framework developed by the World Health Organisation and follows implementation science principles as summarised in the Quality Implementation Framework. For further details see www.aphirm.org.au. As part of the toolkit implementation, workplaces establish a Risk Management Team (RMT) to oversee implementation. The RMT oversees the implementation of the toolkit in a designated workgroup (20‐30 workers x 3 workgroups) and consists of managers, supervisors and workers in the designated workgroup. They will meet monthly for approximately 1 hour, with an additional meeting required during the 'create action plan' stage. They are guided by the toolkit’s interactive online procedures through the following steps, repeating this cycle annually: 1. Hazard identification (anonymous online survey of worke CONDITION: Mental Health ‐ Other mental health disorders Musculoskeletal ‐ Other muscular and skeletal disorders Public Health ‐ Other public health work‐related musculoskeletal disorders;Work‐related mental health disorders; ; work‐related musculoskeletal disorders ; Work‐related mental health disorders INCLUSION CRITERIA: This is an industry based trial focussed on high risk industry sectors of manufacturing and logistics. Businesses must be larger than 50 employees and based in the State of Victoria. Must be able to include 60 workers in different work groups of at least 15 employees. PRIMARY OUTCOME: Physical hazard scores are a component of the toolkit and calculated using an algorithm that is built into the software. ; ; The questions used to determine hazard ratings are sourced from: Work Organisation Assessment Questionnaire (WOAQ) (Griffiths A, Cox T, Karanika M, Khan S, Tomas JM. Work design and managmeent in the manufatcuring sector: development and validation of the Work Organisation Assessment Questionnaire. Occupational Environmental Medicine. 2006;63(10):669–675). Job Content Questionnaire (Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. Journal of Occupational Health Psychology. 1998;3(4):322.]), the Job Diagnostic Survey (Hackman JR, Oldham GR. Development of the job diagnostic survey. Journal of Applied Psychology. 1975:60(2):159.]), a Work Characteristics survey (Marlow P, Pinder A, Gould V. Benchmarking manual handling performance in Welsh care homes. 2005. http://library.safework.sa.gov.au/fullRecord.jsp?recnoListAttr=recnoList&recno=33702.), and our previous research on effects of highly repetitive, externally‐paced work on employee wellbeing (Macdonald, W.A. 2000. Workload, fatigue and job satisfaction in repetitive blue‐collar work. In Human System Interaction: Education, Research and Application in the 21st Century, edited de Waard et al, Shaker Publishing BV, Maastricht, The Netherlands), (Macdonald, W. 2003. Work demands and stress in repetitive ‘blue‐collar’ work. In Work Stress: Studies of the context, content and outcomes of stress. A Book of Readings. Chapter 7 (pp.139‐163). Baywood: New York.).[This outcome will be assessed at baseline, and again in 12 month's time (following the completion of the intervention.)] Psychosocial hazard scores are a component of the toolkit and calculated using an algorithm that is built into the software. ; The questions used to determine hazard ratings are sourced from: Copenhagen Psychosocial Questionnaire (Kristensen, Tage & Hannerz, Harald & Hogh, Annie & Borg, Vilhelm. (2006). The Copenhagen Psychosocial Questionnaire ‐ A tool for the assessment and improvement of the psychosocial work environment. Scandinavian journal of work, environment & health. 31. 438‐49. 10.5271/sjweh.948.)[This outcome will be assessed at baseline, and again in 12 month's time (following the completion of the intervention.)] SECONDARY OUTCOME: Musculoskeletal pain score is used to assess musculoskeletal pain and is derived from the Nordic Musculoskeletal Questionnaire (Joanne O. Crawford, The Nordic Musculoskeletal Questionnaire, Occupational Medicine, Volume 57, Issue 4, June 2007, Pages 300–301, https://doi.org/10.1093/occmed/kqm036).[This outcome will be assessed at baseline, and again in 12 month's time (following the completion of the intervention.)] Stress score will be assessed using Copenhagen Psychosocial Questionnaire (Kristensen, Tage & Hannerz, Harald & Hogh, Annie & Borg, Vilhelm. (2006). The Copenhagen Psychosocial Questionnaire ‐ A tool for the assessment and improvement of the psychosocial work environment. Scandinavian journal of work, environment & health. 31. 438‐49. 10.5271/sjweh.948.).[This outcome will be assessed at baseline, and again in 12 month's time (following the completion of the intervention.)]