title: Preventive actions taken by workers after workers' health surveillance: a controlled trial.
abstract: OBJECTIVE
  To evaluate construction workers' preventive actions and occupational physician's (OPs) recommendations after a job-specific workers' health surveillance (WHS) compared with the currently used generic WHS.
  
  
  METHODS
  After the WHS, the OPs' written recommendations were captured. At the 3-month follow-up, the workers were asked about the preventive actions they had undertaken. A generalized linear mixed model was used to compare proportions of workers.
  
  
  RESULTS
  At follow-up, the proportion of workers who reported taking preventive actions was significantly higher in the intervention group (80%, 44/55) than in the control group (67%, 80 of 121), (P = 0.04). In the intervention group, the OPs provided a higher proportion of workers with written recommendations (82%, 63 of 77, vs 57%, 69 of 121; P = 0.03).
  
  
  CONCLUSIONS
  The job-specific WHS aided OPs in providing workers with recommendations and workers in undertaking (job-specific) preventive actions.
authors.affiliation: From the Coronel Institute of Occupational Health (Drs Boschman, Van der Molen, Frings-Dresen, and Sluiter), Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands; and Arbouw (Dr Van der Molen), Dutch Health & Safety Institute in the Construction Industry, Harderwijk, the Netherlands.
authors.forename: J S
authors.initials: JS
authors.lastname: Boschman
authors.forename: H F
authors.initials: HF
authors.lastname: Van der Molen
authors.forename: M H W
authors.initials: MH
authors.lastname: Frings-Dresen
authors.forename: J K
authors.initials: JK
authors.lastname: Sluiter
mesh_terms: D000328:Adult; D000368:Aged; D001290:Attitude; D060389:Construction Industry; D003258:Consumer Behavior; D037001:Directive Counseling; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure / Q000517:prevention & control*; D016272:Occupational Health; D011159:Population Surveillance; D018570:Risk Assessment; D011795:Surveys and Questionnaires