COMmunity of Practice And Safety Support (COMPASS)

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: Contact the lead author for more information on implementation:
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. 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. 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.