title: Safety and Health Support for Home Care Workers: The COMPASS Randomized Controlled Trial.
abstract: OBJECTIVE
  To determine the effectiveness of the COMmunity of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers.
  
  
  METHODS
  We randomized 16 clusters of workers (n = 149) to intervention or usual-practice control conditions. The 12-month intervention was scripted and peer-led, and involved education on safety, health, and well-being; goal setting and self-monitoring; and structured social support. We collected measures at baseline, 6 months, and 12 months, which included workers' experienced community of practice (i.e., people engaged in a common activity who interact regularly for shared learning and improvement). Implementation occurred during 2013 and 2014 in Oregon.
  
  
  RESULTS
  In an intent-to-treat analysis, relative to control, the intervention produced significant and sustained improvements in workers' experienced community of practice. Additional significant improvements included the use of ergonomic tools or techniques for physical work, safety communication with consumer-employers, hazard correction in homes, fruit and vegetable consumption, lost work days because of injury, high-density lipoprotein cholesterol, and grip strength. Consumer-employers' reports of caregiver safety behaviors also significantly improved.
  
  
  CONCLUSIONS
  COMPASS was effective for improving home care workers' social resources and simultaneously impacted both safety and health factors.
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Ryan
authors.initials: R
authors.lastname: Olson
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Sharon V
authors.initials: SV
authors.lastname: Thompson
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Diane L
authors.initials: DL
authors.lastname: Elliot
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Hess
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Kristy Luther
authors.initials: KL
authors.lastname: Rhoten
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Kelsey N
authors.initials: KN
authors.lastname: Parker
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Robert R
authors.initials: RR
authors.lastname: Wright
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Brad
authors.initials: B
authors.lastname: Wipfli
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Katrina M
authors.initials: KM
authors.lastname: Bettencourt
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Annie
authors.initials: A
authors.lastname: Buckmaster
authors.affiliation: At the time of the study, Ryan Olson, Sharon V. Thompson, Kristy Luther Rhoten, Kelsey N. Parker, Brad Wipfli, Katrina M. Bettencourt, Annie Buckmaster, and Robert R. Wright were with the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University (OHSU), Portland. Miguel Marino is with the Department of Family Medicine, OHSU. Diane L. Elliot is with the Division of Health Promotion and Sports Medicine, OHSU. Jennifer A. Hess is with the Labor Education and Research Center, University of Oregon, Eugene.
authors.forename: Miguel
authors.initials: M
authors.lastname: Marino
mesh_terms: D005260:Female; D015438:Health Behavior / Q000502:physiology; D006304:Health Status; D006699:Home Care Services; D018576:Home Health Aides / Q000193:education* / Q000523:psychology; D006801:Humans; D007318:Inservice Training / Q000379:methods; D008297:Male; D008875:Middle Aged; D016272:Occupational Health / Q000193:education*; D009922:Oregon; D012449:Safety / Q000592:standards*; D012944:Social Support