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Applying implementation science to evaluate participatory ergonomics program for continuous improvement: A case study in the construction industry

Zhang, Z., & Lin, K.-Y. (2023). Applying implementation science to evaluate participatory ergonomics program for continuous improvement: A case study in the construction industry. Applied Ergonomics, 115, 104181–104181. https://doi.org/10.1016/j.apergo.2023.104181

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Abstract

While participatory ergonomics (PE) presents numerous benefits, its empirical effectiveness remains elusive due to the lack of transparency in implementation contexts and processes. This hinders our ability to discern the reasons behind a program's success or failure and to determine optimization and adaptation strategies. To unravel this "black box," we present a case study using implementation science to evaluate a PE program and illuminate the mechanisms linking process to outcome. The study examines a 4.5-year PE program at a construction company, targeting musculoskeletal disorders (MSDs) from material-cart handling. Using the RE-AIM framework and Implementation Causal Pathway Model, we evaluated implementation process and catalogued contextual factors through worker surveys (n = 106), safety document review (27 training sessions and 7 construction projects), and key informant observations. We assessed the program's impact using a 42-worker survey and an analysis of 8-year injury data, and determined the return-on-investment (ROI) by monetizing the collected data. The program achieved significant impact: Workers' ergonomic knowledge improved from 73% in baseline to 86% in follow-up; 97% of workers reported at least one positive change in their crews; and no cart handling injuries occurred after the first program change, resulting in a ROI rate of 1.99. Implementation process evaluation revealed that seamless integration, tailored intervention, and ongoing adjustments contributed to the success. Five organizational factors necessary for the effective functioning of these three strategies were identified, along with three moderators that amplified their influence. Finally, this case study demonstrates that implementation science offers a coherent structure for evaluating PE programs, uncovering mechanisms of change, and informing future improvements and adaptations. Our research facilitates knowledge transfer from implementation science to ergonomics, eventually leading to more cost-effective PE programs that are faithfully implemented across various industrial settings to prevent MSDs.
• This case study employs implementation science to assess a participatory ergonomics program within the construction industry.
• The evaluation encompasses the implementation process and context, program outcomes, and the return on investment.
• We delve into the mechanisms of change, establishing a link between the process and its intervention outcomes.
• We identify critical implementation strategies, including their preconditions and moderating factors.
• Through the lens of implementation science, we provide a structured framework for evaluating the execution of ergonomic intervention, thereby guiding improvements and future adaptations

Keywords

Case study; Implementation science; Participatory ergonomics

Selection of Wearable Sensor Measurements for Monitoring and Managing Entry-Level Construction Worker Fatigue: a Logistic Regression Approach

Lee, Wonil; Lin, Ken-Yu; Johnson, Peter W.; Seto, Edmund Y.W. (2022). Selection of Wearable Sensor Measurements for Monitoring and Managing Entry-Level Construction Worker Fatigue: a Logistic Regression Approach. Engineering, Construction, and Architectural Management, 29(8), 2905–23.

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Abstract

The identification of fatigue status and early intervention to mitigate fatigue can reduce the risk of workplace injuries. Off-the-shelf wearable sensors capable of assessing multiple parameters are available. However, using numerous variables in the fatigue prediction model can elicit data issues. This study aimed at identifying the most relevant variables for measuring occupational fatigue among entry-level construction workers by using common wearable sensor technologies, such as electrocardiogram and actigraphy sensors.

Keywords

Technology, management, construction safety, information and communication technology (ICT) applications

Selection of Wearable Sensor Measurements for Monitoring and Managing Entry-level Construction Worker Fatigue: A Logistic Regression Approach

Lee, Wonil; Lin, Ken-yu; Johnson, Peter W.; Seto, Edmund Y.w. (2022). Selection of Wearable Sensor Measurements for Monitoring and Managing Entry-level Construction Worker Fatigue: A Logistic Regression Approach. Engineering Construction & Architectural Management (09699988), 29(8), 2905-2923.

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Abstract

Purpose: The identification of fatigue status and early intervention to mitigate fatigue can reduce the risk of workplace injuries. Off-the-shelf wearable sensors capable of assessing multiple parameters are available. However, using numerous variables in the fatigue prediction model can elicit data issues. This study aimed at identifying the most relevant variables for measuring occupational fatigue among entry-level construction workers by using common wearable sensor technologies, such as electrocardiogram and actigraphy sensors. Design/methodology/approach: Twenty-two individuals were assigned different task workloads in repeated sessions. Stepwise logistic regression was used to identify the most parsimonious fatigue prediction model. Heart rate variability measurements, standard deviation of NN intervals and power in the low-frequency range (LF) were considered for fatigue prediction. Fast Fourier transform and autoregressive (AR) analysis were employed as frequency domain analysis methods. Findings: The log-transformed LF obtained using AR analysis is preferred for daily fatigue management, whereas the standard deviation of normal-to-normal NN is useful in weekly fatigue management. Research limitations/implications: This study was conducted with entry-level construction workers who are involved in manual material handling activities. The findings of this study are applicable to this group. Originality/value: This is the first study to investigate all major measures obtainable through electrocardiogram and actigraphy among current mainstream wearables for monitoring occupational fatigue in the construction industry. It contributes knowledge on the use of wearable technology for managing occupational fatigue among entry-level construction workers engaged in material handling activities. [ABSTRACT FROM AUTHOR]; Copyright of Engineering Construction & Architectural Management (09699988) is the property of Emerald Publishing Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Keywords

Construction Workers; Wearable Technology; Logistic Regression Analysis; Fatigue (physiology); Frequency-domain Analysis; Heart Beat; Lifting & Carrying (human Mechanics); Construction Safety; Information And Communication Technology (ict) Applications; Management; Technology

Enabling The Development Of Base Domain Ontology Through Extraction Of Knowledge From Engineering Domain Handbooks

Hsieh, Shang-hsien; Lin, Hsien-tang; Chi, Nai-wen; Chou, Kuang-wu; Lin, Ken-yu. (2011). Enabling The Development Of Base Domain Ontology Through Extraction Of Knowledge From Engineering Domain Handbooks. Advanced Engineering Informatics, 25(2), 288 – 296.

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Abstract

Domain ontology, encompassing both concepts and instances, along with their relations and properties, is a new medium for the storage and propagation of domain specific knowledge. A significant problem remains the effort which must be expended during ontology construction. This involves collecting the domain-related vocabularies, developing the domain concept hierarchy, and defining the properties of each concept and the relationships between concepts. Recently several engineering handbooks have described detailed domain knowledge by organizing the knowledge into categories, sections, and chapters with indices in the appendix. This paper proposes the extraction of concepts, instances, and relationships from a handbook of a specific domain to quickly construct base domain ontology as a good starting point for expediting the development process of more comprehensive domain ontology. The extracted information can also be reorganized and converted into web ontology language format to represent the base domain ontology. The generation of a base domain ontology from an Earthquake Engineering Handbook is used to illustrate the proposed approach. In addition, quality evaluation of the extracted base ontology is performed and discussed. (C) 2010 Elsevier Ltd. All rights reserved.

Keywords

Ontology; Earthquake Engineering; World Wide Web; Theory Of Knowledge; Vocabulary; Programming Languages; Domain Handbook; Domain Ontology; Owl; Web Ontology Language; Knowledge Representation Languages; Ontologies (artificial Intelligence); Base Domain Ontology; Knowledge Extraction; Engineering Domain Handbooks; Domain Specific Knowledge Storage; Domain Specific Knowledge Propagation; Domain-related Vocabularies; Domain Concept Hierarchy; Development Process; Web Ontology Language Format; Earthquake Engineering Handbook; Semantic Web; Management; Design

Potential Impacts Of Washington State’s Wildfire Worker Protection Rule On Construction Workers.

Zuidema, Christopher; Austin, Elena; Cohen, Martin A.; Kasner, Edward; Liu, Lilian; Isaksen, Tania Busch; Lin, Ken-Yu; Spector, June; Seto, Edmund. (2022). Potential Impacts Of Washington State’s Wildfire Worker Protection Rule On Construction Workers. Annals Of Work Exposures & Health, 66(4), 419 – 432.

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Abstract

Driven by climate change, wildfires are increasing in frequency, duration, and intensity across the Western United States. Outdoor workers are being exposed to increasing wildfire-related particulate matter and smoke. Recognizing this emerging risk, Washington adopted an emergency rule and is presently engaged in creating a permanent rule to protect outdoor workers from wildfire smoke exposure. While there are growing bodies of literature on the exposure to and health effects of wildfire smoke in the general public and wildland firefighters, there is a gap in knowledge about wildfire smoke exposure among outdoor workers generally and construction workers specifically-a large category of outdoor workers in Washington totaling 200,000 people. Several data sources were linked in this study-including state-collected employment data and national ambient air quality data-to gain insight into the risk of PM2.5 exposure among construction workers and evaluate the impacts of different air quality thresholds that would have triggered a new Washington emergency wildfire smoke rule aimed at protecting workers from high PM2.5 exposure. Results indicate the number of poor air quality days has increased in August and September in recent years. Over the last decade, these months with the greatest potential for particulate matter exposure coincided with an annual peak in construction employment that was typically 9.4-42.7% larger across Washington counties (one county was 75.8%). Lastly, the 'encouraged' threshold of the Washington emergency rule (20.5 mu g m(-3)) would have resulted in 5.5 times more days subject to the wildfire rule on average across all Washington counties compared to its 'required' threshold (55.5 mu g m(-3)), and in 2020, the rule could have created demand for 1.35 million N-95 filtering facepiece respirators among construction workers. These results have important implications for both employers and policy makers as rules are developed. The potential policy implications of wildfire smoke exposure, exposure control strategies, and data gaps that would improve understanding of construction worker exposure to wildfire smoke are also discussed.

Keywords

Particulate Matter; Industrial Safety; Occupational Exposure; Rules; Smoke; Construction Industry; Employment; Occupational Hazards; Descriptive Statistics; Industrial Hygiene; Wildfires; N95 Respirators; Washington (state); Forest Fires; Pm 2.5; Respirator; Wildfire Smoke Protection Rule; Wildland Fire; Pm2 5; Health Impacts; Climate-change; Forest-fire; Exposure; Firefighters; Infiltration

Teaching Life-Cycle Thinking in Construction Materials and Methods: Evaluation of and Deployment Strategies for Life-Cycle Assessment in Construction Engineering and Management Education

Lin, K. Y.; Levan, A.; Dossick, C. S. (2012). Teaching Life-Cycle Thinking in Construction Materials and Methods: Evaluation of and Deployment Strategies for Life-Cycle Assessment in Construction Engineering and Management Education. Journal Of Professional Issues In Engineering Education And Practice, 138(3), 163 – 170.

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Keywords

Sustainability; Design

Using Ontology-based Text Classification To Assist Job Hazard Analysis

Chi, Nai-wen; Lin, Ken-yu; Hsieh, Shang-hsien. (2014). Using Ontology-based Text Classification To Assist Job Hazard Analysis. Advanced Engineering Informatics, 28(4), 381 – 394.

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Abstract

The dangers of the construction industry due to the risk of fatal hazards, such as falling from extreme heights, being struck by heavy equipment or materials, and the possibility of electrocution, are well known. The concept of Job Hazard Analysis is commonly used to mitigate and control these occupational hazards. This technique analyzes the major tasks in a construction activity, identifies all potential task-related hazards, and suggests safe approaches to reduce or avoid each of these hazards. In this paper, the authors explore the possibility of leveraging existing construction safety resources to assist JHA, aiming to reduce the level of human effort required. Specifically, the authors apply ontology-based text classification (TC) to match safe approaches identified in existing resources with unsafe scenarios. These safe approaches can serve as initial references and enrich the solution space when performing JHA. Various document modification strategies are applied to existing resources in order to achieve superior TC effectiveness. The end result of this research is a construction safety domain ontology and its underlying knowledge base. A user scenario is also discussed to demonstrate how the ontology supports JHA in practice. (C) 2014 Elsevier Ltd. All rights reserved.

Keywords

Construction Industry; Health Hazards; Human Factors; Occupational Safety; Ontologies (artificial Intelligence); Pattern Classification; Text Analysis; Ontology-based Text Classification; Job Hazard Analysis; Fatal Hazards; Task-related Hazard; Construction Safety Resource; Jha; Construction Safety Domain Ontology; Construction; Information; Construction Safety; Information Retrieval; Knowledge Management; Ontology; Text Classification

Building A Construction Procurement Negotiation Training Game Model: Learning Experiences And Outcomes.

Dzeng, Ren-jye; Lin, Ken-yu; Wang, Pei-ru. (2014). Building A Construction Procurement Negotiation Training Game Model: Learning Experiences And Outcomes. British Journal Of Educational Technology, 45(6), 1115 – 1135.

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Abstract

Game-based education is a promising method for encouraging student learning. Although learning construction procurement and negotiation require hands-on practice, in most construction management courses at the college level, this subject is taught by using lectures and case studies. In this study, a construction procurement and negotiation game was developed, and paper-based and web-based versions were implemented. The game enables students to play the role of contractors or suppliers and generate profits by negotiating and procuring or selling reinforcing steel in a simulated market with a probabilistic nature. The experimental results indicate that playing both versions of the game increased student learning motivation, satisfaction and outcomes. Students awarded the web-based game higher assessment scores than they did for the paper-based game. Students playing either version of the game also achieved higher test scores than students who were taught using the traditional approach did. However, for students with work experience, playing the paper-based game resulted in higher scores than the web-based game scores.

Keywords

Educational Games; Simulation Games In Education; Simulation Methods In Education; Game Theory; Academic Motivation; Learning; Contractors; Construction Industry Personnel; Education; Construction Procurement Negotiation Training Game Model; Learning Experiences; Game-based Education; Construction Procurement Learning; Negotiation Learning; Hands-on Practice; Construction Management Courses; Negotiation Game; Paper-based Version; Probabilistic Nature; Student Learning Motivation; Web-based Game; Higher Assessment Scores; Civil Engineering Computing; Computer Based Training; Computer Games; Construction; Educational Courses; Probability; Procurement; Instructional Simulation Game; Motivation; Impact; Achievement; Performance; Skills

Quantifying The Impacts Of Failures Of Departments Of Transportation Building Systems On Road System Users

Gatti, Umberto C.; El-anwar, Omar; Migliaccio, Giovanni C.; Lin, Ken-yu; Medina, Yvonne. (2014). Quantifying The Impacts Of Failures Of Departments Of Transportation Building Systems On Road System Users. Transportation Research Record, 2440, 85 – 93.

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Abstract

Because of the financial crisis of 2007 to 2008 and the subsequent economic downturn, funding for transportation agencies has been consistently reduced. This lack of funds prevents the building assets of transportation agencies from being efficiently maintained, so failures may occur that discontinue employees' operations and activities and affect transportation system users. Thus, to maximize the use of available funding, it is compelling to create innovative tools and techniques capable of estimating how potential failures can affect employees' activities and, eventually, transportation system users. Facility managers and decision makers could use such estimates to make decisions on maintenance of building assets that would minimize the risks of disruptions to employees and transportation system users. Among the capital assets of the Washington State Department of Transportation (DOT), transportation equipment fund (TEF) shops are crucial in ensuring timely and effective care and maintenance of the majority of state vehicles and equipment Therefore, any disruption of the operations of TEF shop facilities could significantly affect not only the Washington State DOT's vehicles and equipment maintenance but also the department's ability to fulfill its core mission. Given the importance of TEF shops, this exploratory case study investigates the failures that have occurred or are likely to occur in these facilities and employs discrete-event simulation to quantify the consequences of such failures on the shop activities and road users.

Keywords

Simulation

A User-centered Information And Communication Technology (ict) Tool To Improve Safety Inspections.

Lin, Ken-yu; Tsai, Meng-han; Gatti, Umberto C.; Lin, Jacob Je-chian; Lee, Cheng-hao; Kang, Shih-chung. (2014). A User-centered Information And Communication Technology (ict) Tool To Improve Safety Inspections. Automation In Construction, 48, 53 – 63.

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Abstract

Occupational safety is imperative in construction, and safety inspection is among the most common practices that help enforce job safety on site. The safety inspection process, however, suffers from several drawbacks that hinder the efficiency, effectiveness, and analytical learning capacity of the process. Dedicated tools for user-centered information and communications technology could significantly reduce such drawbacks. This paper discusses the use of an original two-step user-centered design approach to develop and evaluate an iPad application that aims to address such drawbacks and improve the day-to-day practices and management of safety inspections. Evaluation results indicate the usefulness and practicality of the application and identify innovative uses not previously envisioned. Furthermore, the developed tool allows consistent data collection that can eventually be used to aid the development of advanced safety and health data analysis techniques. (C) 2014 Elsevier B.V. All rights reserved.

Keywords

Information & Communication Technologies; Industrial Safety; Data Analysis; Technological Innovations; Ipads; Construction Safety; Field Data Collection; Field Inspection; Information And Communication Technology; Research To Practice; Safety Audit; Safety Inspection; Safety Technology; Site Inspection; User-centered Design; User-centered Information And Communication Technology Tool; Safety Inspection Process; Occupational Safety; Job Safety; Analytical Learning Capacity; Communications Technology; Two-step User-centered Design Approach; Ipad Application; Innovative Uses; Consistent Data Collection; Construction; Advanced Safety-health Data Analysis Techniques; Construction Industry; Information Technology; Inspection; Occupational Health; User Centred Design; Construction Site Safety; Management-system; Design; Productivity