title: Evaluation of a nationally funded state-based programme to reduce fatal occupational injuries.
abstract: BACKGROUND
  The Fatality Assessment and Control Evaluation (FACE) programme was established by the National Institute for Occupational Safety and Health to help prevent occupational traumatic fatalities by funding states to conduct targeted fatality investigations within cause-specific focus areas and associated prevention efforts.
  
  
  OBJECTIVE
  To investigate the impact of the state-based FACE programme on two previous focus areas.
  
  
  METHODS
  A longitudinal time-series analysis spanning 22 years compared state fatality rates for occupational falls and electrocutions before and after FACE programme funding with states not receiving FACE programme funding. Lag periods were utilised to allow time for the programme to have an effect, and rates were adjusted for a variety of covariates. Separate analyses were conducted for each injury outcome.
  
  
  RESULTS
  A reduction in fall fatality rates that was of borderline significance (1-year lag adjRR=0.92 (0.84 to 1.00)) and a non-significant reduction in electrocution fatality rates (3-year lag adjRR=0.92 (0.82 to 1.03)) were observed in states with FACE programme funding, Best-fit models presented two separate lag periods.
  
  
  CONCLUSIONS
  While it is challenging to quantitatively evaluate effectiveness of programmes such as FACE, the data suggest the FACE programme may be effective in preventing occupational injury deaths within its outcome focus areas throughout the state. It is important to look for ways to measure intermediate effects more precisely, as well as ways to maintain effects over time.
authors.affiliation: National Institute for Occupational Safety and Health, Division of Safety Research, Morgantown, WV 26505, USA. cmenendez@cdc.gov
authors.forename: Cammie
authors.initials: C
authors.lastname: Chaumont Menendez
authors.forename: Dawn
authors.initials: D
authors.lastname: Castillo
authors.forename: Kenneth
authors.initials: K
authors.lastname: Rosenman
authors.forename: Robert
authors.initials: R
authors.lastname: Harrison
authors.forename: Scott
authors.initials: S
authors.lastname: Hendricks
mesh_terms: D000058:Accidental Falls / Q000401:mortality / Q000517:prevention & control*; D000062:Accidents, Occupational / Q000401:mortality / Q000517:prevention & control*; D002423:Cause of Death; D004556:Electric Injuries / Q000401:mortality / Q000517:prevention & control*; D005380:Financing, Government; D006801:Humans; D008137:Longitudinal Studies; D009314:National Institute for Occupational Safety and Health, U.S.; D016272:Occupational Health / Q000191:economics; D060051:Occupational Injuries / Q000401:mortality / Q000517:prevention & control*; D015397:Program Evaluation; D014481:United States