title: Relative effectiveness of worker safety and health training methods.
abstract: OBJECTIVE
  We sought to determine the relative effectiveness of different methods of worker safety and health training aimed at improving safety knowledge and performance and reducing negative outcomes (accidents, illnesses, and injuries).
  
  
  METHODS
  Ninety-five quasi-experimental studies (n=20991) were included in the analysis. Three types of intervention methods were distinguished on the basis of learners' participation in the training process: least engaging (lecture, pamphlets, videos), moderately engaging (programmed instruction, feedback interventions), and most engaging (training in behavioral modeling, hands-on training).
  
  
  RESULTS
  As training methods became more engaging (i.e., requiring trainees' active participation), workers demonstrated greater knowledge acquisition, and reductions were seen in accidents, illnesses, and injuries. All methods of training produced meaningful behavioral performance improvements.
  
  
  CONCLUSIONS
  Training involving behavioral modeling, a substantial amount of practice, and dialogue is generally more effective than other methods of safety and health training. The present findings challenge the current emphasis on more passive computer-based and distance training methods within the public health workforce.
authors.affiliation: A. B. Freeman School of Business, Tulane University, New Orleans, LA 70118, USA. mburke1@tulane.edu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Burke
authors.forename: Sue Ann
authors.initials: SA
authors.lastname: Sarpy
authors.forename: Kristin
authors.initials: K
authors.lastname: Smith-Crowe
authors.forename: Suzanne
authors.initials: S
authors.lastname: Chan-Serafin
authors.forename: Rommel O
authors.initials: RO
authors.lastname: Salvador
authors.forename: Gazi
authors.initials: G
authors.lastname: Islam
mesh_terms: D006801:Humans; D007318:Inservice Training / Q000379:methods*; D016272:Occupational Health; D015397:Program Evaluation; D017751:Safety Management / Q000379:methods*