title: Facilitators and barriers to the adoption of ergonomic solutions in construction.
abstract: BACKGROUND
  Rates of musculoskeletal disorders in construction remain high. Few studies have described barriers and facilitators to the use of available ergonomic solutions. This paper describes these barriers and facilitators and their relationship to the level of adoption.
  
  
  METHODS
  Three analysts rated 16 proposed ergonomic solutions from a participatory ergonomics study and assessed the level of adoption, six adoption characteristics, and identified the category of adoption from a theoretical model.
  
  
  RESULTS
  Twelve solutions were always or intermittently used and were rated positively for characteristics of relative advantage, compatibility with existing work processes and trialability. Locus of control (worker vs. contractor) was not related to adoption. Simple solutions faced fewer barriers to adoption than those rated as complex.
  
  
  CONCLUSIONS
  Specific adoption characteristics can help predict the use of new ergonomic solutions in construction. Adoption of complex solutions must involve multiple stakeholders, more time, and shifts in culture or work systems. Am. J. Ind. Med. 60:295-305, 2017. © 2017 Wiley Periodicals, Inc.
authors.affiliation: Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri.
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Dale
authors.affiliation: Occupational Science and Occupational Therapy, Saint Louis University Doisy College of Health Sciences, St Louis, Missouri.
authors.forename: Lisa
authors.initials: L
authors.lastname: Jaegers
authors.affiliation: CPWR-Center for Construction Research and Training, Silver Spring, Maryland.
authors.forename: Laura
authors.initials: L
authors.lastname: Welch
authors.affiliation: Department of Behavioral Science and Health Education, Saint Louis University College for Public Health and Social Justice, Saint Louis, Missouri.
authors.forename: Ellen
authors.initials: E
authors.lastname: Barnidge
authors.affiliation: Department of Behavioral Science and Health Education, Saint Louis University College for Public Health and Social Justice, Saint Louis, Missouri.
authors.forename: Nancy
authors.initials: N
authors.lastname: Weaver
authors.affiliation: Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri.
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Evanoff
mesh_terms: D060389:Construction Industry / Q000639:trends*; D006804:Ergonomics; D006801:Humans; D009140:Musculoskeletal Diseases / Q000517:prevention & control*; D009784:Occupational Diseases / Q000517:prevention & control*; D016272:Occupational Health / Q000639:trends*
keywords: implementation and dissemination; injury prevention; intervention; musculoskeletal disorder; transfer technology