COMmunity of Practice And Safety Support (COMPASS)

Objective: To develop a team-based Total Worker Health™ (injury prevention + health promotion) intervention for home care workers and estimate intervention effects on workers' well-being and health and safety behaviors.

Methods: Home care workers (n = 16) met monthly in teams for education and social support using a scripted, peer-led approach. Meeting process measures and pre-/postintervention outcome measures were collected.

Results: Knowledge gains averaged 18.7% (standard deviation = 0.04), and 62.0% (standard deviation = 0.13) of participants reported making safety or health changes between meetings. Workers' well-being improved significantly (life satisfaction, d = 0.65, P < 0.05; negative affect, d = 0.64, P < 0.05), and the majority of other safety and health outcomes changed in expected directions.

Conclusions: COMPASS is a feasible intervention model for simultaneously preventing injuries and promoting health among home care workers.

Rank: 13

First Author: Olson

Outcome: Stress,Depression,Work-Life Balance,Intervention Experience,Mental Health,Quality of Life,General Health,Social Support,Sleep/Exhaustion,Demands,Affect,Decision Latitude,Civility/Incivility

Outcome p-value: Stress:●, Depression:●, Work-Life Balance:●, Intervention Experience:●, Mental Health:●, Quality of Life:⭑⭑⭑, General Health:●, Social Support:⭑⭑⭑, Sleep/Exhaustion:●, Demands:●, Affect:⭑⭑⭑, Decision Latitude:●, Civility/Incivility:⭑⭑

Intervention Category: Health Literacy and Anti-Stigma,Peer Support

Time per Employee (hours): 16

Hours per Employee: 16

D&B Study Quality Rating: 20

Reviewer Confidence: 4

Country: US

Study Design Type: RCT

Materials Available to Implement: The COMPASS program is available in multiple languages including English and Spanish at: https://www.yourworkpath.com/compass. Contact the lead author for more information on implementation: olsonry@ohsu.edu.

Materials Available: yes

Organiz./Individ. Focus: Individual

Prevention Category: Primary,Secondary

Effect Size: Small,Medium,Large

Effect size Small: Civility/Incivility

Effect size Medium: Quality of Life,Affect

Effect size Large: Social Support

Reference: Olson, R., Wright, R. R., Elliot, D. L., Hess, J. A., Thompson, S., Buckmaster, A., Luther, K., & Wipfli, B. (2015). The COMPASS Pilot Study: A Total Worker HealthTM Intervention for Home Care Workers. Journal of Occupational and Environmental Medicine, 57(4), 406–416. https://doi.org/10.1097/JOM.0000000000000374 Additional Articles Olson, R., Thompson, S. V., Elliot, D. L., Hess, J. A., Rhoten, K. L., Parker, K. N., Wright, R. R., Wipfli, B., Bettencourt, K. M., Buckmaster, A., & Marino, M. (2016). Safety and Health Support for Home Care Workers: The COMPASS Randomized Controlled Trial. American Journal of Public Health, 106(10), 1823–1832. https://doi.org/10.2105/AJPH.2016.303327 Olson, R., Hess, J., Parker, K., Thompson, S., Rameshbabu, A., Luther Rhoten, K., & Marino, M. (2018). From Research-to-Practice: An Adaptation and Dissemination of the COMPASS Program for Home Care Workers. International Journal of Environmental Research and Public Health, 15(12), 2777. https://doi.org/10.3390/ijerph15122777