title: Employers' concerns regarding research participation.
abstract: Occupational health research depends on the cooperation and participation of employers. The authors describe employers' reasons for non-participation in a prospective study examining risk factors for carpal tunnel syndrome (CTS) and the usefulness of preplacement, post-offer nerve conduction screening. Companies were contacted to solicit participation. Non-participation explanations were reviewed. Of 73 eligible employers, 58 declined participation (participation rate: 20.5%). Reasons for non-participation included lack of interest (32.8%), liability concerns (awareness of CTS may increase workers' compensation claims) (22.4%), time constraints (19%), lack of direct benefit to the employer (8.6%), and company policy restraints (6.9%). Data from one employer were reviewed to determine whether workers' compensation claims for upper extremity disorders increased as a result of study participation. Claim rates showed no change in trend pre- and post-study inception. Expanding much-needed research to prevent occupational injuries and illnesses requires addressing employers' concerns and promoting research benefits.
authors.affiliation: Department of Community Health, Saint Louis University School of Public Health, St. Louis, Missouri, USA.
authors.forename: Alicia M
authors.initials: AM
authors.lastname: Johnson
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Dale
authors.forename: Jaime R
authors.initials: JR
authors.lastname: Strickland
authors.forename: Pat
authors.initials: P
authors.lastname: Venditti
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Evanoff
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002349:Carpal Tunnel Syndrome / Q000191:economics / Q000209:etiology* / Q000517:prevention & control; D003943:Diagnostic Techniques, Neurological; D005260:Female; D006801:Humans; D016365:Liability, Legal; D008297:Male; D009784:Occupational Diseases / Q000191:economics / Q000209:etiology* / Q000517:prevention & control; D016272:Occupational Health; D015279:Organizational Culture; D018579:Patient Selection; D011446:Prospective Studies; D012307:Risk Factors