online information and - ldoh€¦ · online information and learning materials on osh,...

Online information and learning materials on OSH,

state-of-the-art & challenges

em. prof. Frank van Dijk

Foundation Learning and Developing Occupational Health, LDOH &

Coronel Institute of Occupational Health AMC, Amsterdam, The Netherlands

Mount Sinai Hospital NYC, January 2015

F.J.H. van Dijk, J.H. Verbeek, J.L. Hoving,

C.T. J. Hulshof. Knowledge Infrastructure for

Occupational Safety and Health.

JOEM 2010; 52: 1262-1268.

E-mail

v.dijk.workandhealth@gmail.com

Version 19-1-2015 def

• The subject

• Examples of OSH knowledge translation practice

• Challenges

Coronel Institute

Solvents in paint,

cleaners, cutting

oil, etc.

Narcotic gasses

Cytostatic drugs,

chemotherapeutics

Pesticides

Heavy metals

Other chemical

substances

Coronel Institute

2007

When I studied and wrote my PhD thesis (1966-1984)

Everything has changed...

and will change much more

for: professionals, workers and managers

CREATION OF

Scientific articles, books

CREATION OF

TLV’s, measurement protocols,

professional (national) publications

OPs & OHNs and

Safety experts

WORKERS

MANAGERS

COMPANIES

Govt, Social Security

STORAGE AND

ACCESS VIA

Libraries

EDUCATION

AND TRAINING,

CONGRESSES,

MEETINGS

Knowledge

translation from

science to practice

in the past

CREATION OF

Scientific articles, (books),

REVIEWS

CREATION OF

TLV’s, measurement protocols,

professional (national) publications,

GUIDELINES, Q&A’s, APPS,

QUALITY WEBSITES,

SEARCH TOOLS, ONLINE COURSES

& LESSONS, WIKIPEDIA, YouTube

OSH AND OTHER

PROFESSIONALS

WORKERS

MANAGERS

COMPANIES

Govt, Social Security

STORAGE AND

ACCESS VIA

VIRTUAL LIBRARIES,

REPOSITORIES,

CLEARING HOUSES

EDUCATION

AND TRAINING,

CONGRESSES,

MEETINGS

Knowledge

translation from

science to practice

today

Knowledge translation to practice changed

ICT opportunities (access) >>>

Knowledge / number of articles >>>

Half-life of knowledge <<

Role of evidence >>

Education of workers/management >>

Liability (USA, Europe) > ?

Examples of new knowledge translation practices

Professionals

• Evidence-based guidelines

• Reviews

• Search tools

Diverse target groups

• Online learning materials

• Websites

• Apps

• Wikipedia

• YouTube

• Q&A

Evidence-

based

guidelines

14

Reviews

OSH

search

strings

for

PubMed

Filters for OSH interventions

Link to PubMed with most sensitive search for retrieving studies of occupational health interventions

(effect*[tw] OR control[tw] OR controls*[tw] OR controla*[tw] OR controle*[tw] OR controli*[tw] OR controll*[tw] OR evaluation*[tw] OR program*[tw]) AND (work[tw] OR works*[tw] OR work'*[tw] OR worka*[tw] OR worke*[tw] OR workg*[tw] OR worki*[tw] OR workl*[tw] OR workp*[tw] OR occupation*[tw] OR prevention*[tw] OR protect*[tw])

Link to PubMed with most specific search strategy for retrieving studies

of occupational health interventions

(program[tw] OR "prevention and control"[sh]) AND (occupational [tw] OR worker*[tw])

etiology of occupational diseases just the Mesh term ‘occupational diseases’ e.g. after a name for a specific disease.

Or: follow Schaafsma F, Hulshof C, de Boer A, van Dijk F. Effectiveness and efficiency of a literature search strategy to answer questions on the etiology of occupational diseases: a controlled trial. Int Arch Occup Environ Health. 2007; 80: 239-47.(not free)

suspected occupational or work-related diseases Mattioli S, Zanardi F, Baldasseroni A, et al. Search strings for the study of putative occupational determinants of disease. Occup Environ Med. 2010 ;67:436-43. (free article)

agricultural workers’ diseases Mattioli S, Gori D, Di Gregori V, et al. PubMed search strings for the study of agricultural workers' diseases. Am J Ind Med. 2013; 56: 1473-81 (not free)

chronic diseases and work Haafkens J, Moerman C, Schuring M, van Dijk F. Searching bibliographic databases for literature on chronic disease and work participation. Occup Med (Lond). 2006; 56: 39-45 (free)

return to work studies Gehanno JF, Rollin L, Le Jean T, Louvel A, Darmoni S, Shaw W. Precision and recall of search strategies for identifying studies on return-to-work in Medline. J Occup Rehabil. 2009; 19: 223-30 (not free)

primary health care ("Primary Health Care"[Mesh] OR "General Practitioners"[Mesh]) OR "Physicians, Family"[Mesh] OR "Physicians, Primary Care"[Mesh] OR "Nurse Practitioners"[Mesh] OR "Community Health Workers"[Mesh]) from: P. Buijs and F van Dijk report for WHO, 2014 (free)

work disability PM ("Rehabilitation, Vocational"[Mesh] OR "Sick Leave"[Mesh] OR absenteeism[MeSH Terms] OR "workers’compensation"[MeSH Terms] OR "work status" OR "work capacity" OR "return to work" OR "work disability" OR employment[MeSH Terms] OR work[MeSH Terms] OR insurance medicine[TW] OR sickness absence[TW]) (filter with good specificity; lower sensitivity)

Online OSH

courses and

lessons for

professionals

http://www.workershealtheducation.org

600 subscribers on the Newsletter Plan to start an active network of educational institutes and experts using the Forum function Problem: financial resources and institutional commitments

Coronel Institute

Interactive online e-course to introduce and educate BOHS: seven modules, glossary, references

Examples of lessons and short courses

• Carcinogenic substances Canada

• Making the occupational link UK

• Musculoskeletal disorder awareness UK

• WIND video (agriculture) ILO

• Practicing personal protection PAHO (WHO Americas)

• Asbestos UK

• Biological hazards in health care USA

• Occupational asthma UK

• Fitness for work and rehabilitation UK

• Evidence-base practice The Netherlands

http://www.dokterhoe.nl/

Copied

from

Max

Lum

NIOSH

Apps

Wikipedia

Methylene chloride

YouTube

YouTube Metrics August 2013 February 2013 Change

Exposure Accounts 1 1 0%

Exposure Videos posted 101 82 23%

Influence Action

Follower-Who Views-downloads

169,229

138,578

22%

Outcomes Surveys, stories

Outcomes Evaluation studies Campaigns

From Max Lum, NIOSH

Do workers / managers have OSH questions?

100%

71% Yes

29% No

42% Yes

58% No

Workers, managers

with OSH questions

seeking OSH information

Rhebergen et al. 2011; Survey Dutch Workers N=888. CCOHS, 2008

Questions

and

Answers

online

Q&A

Sources used for OSH information or advice

0 5 10 15 20 25 30 35 40 45 50 55 60

Experts in law and regulations

Experts from sector or occupational associations

Experts from trade unions

Social media or internet fora

Other sources of information or advice

Magazins, journals, fact sheets, brochures, books, etc.

Specific pre-known websites

Experts in regural health care

Experts in occupational health service

Social or professional network (e.g. family, friends, peers)

In-company OSH-related experts

Websites found trough Google

% of total respondents who searched for OSH

information or advice

Rhebergen et al 2011

Expert network ArboAntwoord, 80 highly-qualified OSH experts,

many disciplines

Online OSH expert network

• No problem with distances, 24/7, many

disciplines, efficient, cheap

• Easy knowledge retrieval e.g. OSH Answers

• When interactive:

– elaboration of questions using telephone/Skype, WhatsApp chatting, sending photo or measurement by smartphone

• Disadvantages: no physical examination, no workplace visit, less personal contact

Rhebergen et al., 2010; Harper et al., 2008; CCOHS, 2008, Iske, 2005

Whether it is a health or safety question about the work you

do, the CCOHS team is dedicated to answering any questions

you may have.

By Internet or telephone

Canadian Centre for Occupational

Health and Safety www.ccohs.ca

Challenges

• We have seen inspiring products and practices improving

knowledge to practice!

• What are good tools for a better quality of care and

workers/company practice?

• Examples for profesionals: e-b guidelines and learning materials

• Examples for workers/managers: websites and apps

Criteria for a good quality products or care

provided by high quality experts

a good process of making a product or giving care/service

high quality of outputs

optimal impact on professionals, workers and companies

{Criteria for ‘good’ workers and managers}

{educated, informed, motivated, empowered}

Criteria for good products or care

Input high level experts developing materials, providing care

Process AGREE criteria for developing e-b guidelines

developed in international collaboration

Output coverage of all relevant topics

good quality : valid, up-to-date

tailor-made for target group (content, language)

accessible: not expensive; easy to find, also using Google or Wikipedia

Outcome exposure, users

influence or induced action

final outcomes (knowledge, health, safety, work participation)

Professional guidelines, The Netherlands/UK

high level experts developing materials ++

AGREE process developing e-b guidelines +

international collaboration 0

all relevant topics covered 0

valid ++ (new ones)

up-to-date +

tailor-made for target group (content, language) ++ for profs

not expensive or free +++

easy to find, also through Google/Wikipedia ?

exposure (=reach?) ++

influence or action +

final outcomes + ?

from

+++

to

- - -

Learning materials for professionals, global

high level experts developing materials ++

AGREE type process quality ?

international collaboration 0

all relevant topics covered +

valid ?

up-to-date +

tailor-made for target group (content, language) ++

not expensive or free ++

easy to find, also through Google/Wikipedia - -

exposure - -

influence or action + ?

final outcomes + ? (patient level?)

Websites and apps for workers & managers

high level experts developing materials ++

AGREE type process quality ?

international collaboration -

all relevant topics covered -

valid +

up-to-date +

tailor-made for target group (content, language) +

not expensive or free; ++

easy to find, also through Google/Wikipedia -

exposure ?

influence or action ?

final outcomes ?

Examples of good international collaboration

– Reviews and search strings: • Cochrane OSH Review working group

• PEROSH, 12 OSH institutes Europe: OSH evidence SR database

– Guidelines: UK – Netherlands

– Learning materials: • www.workershealtheducation.org

• WHO collaborating centres

– Wikipedia: NIOSH separately from EU Agency Bilbao?

But: Often local prevails above national, regional or global

Almost no funded programs! ICOH ? WHO ? ISSA ? WONCA ?

Questions

• Who is taking responsibility, is leading, funding?

• What can WE do?

Should we

o join the e-health movement, integration?

o start an evaluation task force?

o start OSH platforms for exchange?

ouse ICOH and/or WHO for program funding?

o shift attention from professionals to workers/managers?

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