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AJPH First Look, published online ahead of print Dec 27, 2005
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AJPH.2004.059840v1
96/2/315    most recent
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February 2006, Vol 96, No. 2 | American Journal of Public Health 315-324
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.059840


RESEARCH AND PRACTICE

Relative Effectiveness of Worker Safety and Health Training Methods

Michael J. Burke, PhD, Sue Ann Sarpy, PhD, Kristin Smith-Crowe, PhD, Suzanne Chan-Serafin, BA, Rommel O. Salvador, MBA and Gazi Islam, BA

Michael J. Burke is with the Organizational Behavior Area, A. B. Freeman School of Business, and the Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, La. Sue Ann Sarpy is with the South Central Center for Public Health Preparedness and the Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University. Kristin Smith-Crowe is with the David Eccles School of Business, University of Utah, Salt Lake City. Suzanne Chan-Serafin, Rommel O. Salvador, and Gazi Islam are with the Department of Organizational Behavior, A. B. Freeman School of Business, Tulane University, New Orleans.

Correspondence: Requests for reprints should be sent to Michael J. Burke, PhD, A. B. Freeman School of Business, Tulane University, New Orleans, LA 70118 (e-mail: mburke1{at}tulane.edu).

Objectives. We sought to determine the relative effectiveness of different methods of worker safety and health training aimed at improving safety knowledge and performance and reducing negative outcomes (accidents, illnesses, and injuries).

Methods. Ninety-five quasi-experimental studies (n=20991) were included in the analysis. Three types of intervention methods were distinguished on the basis of learners’ participation in the training process: least engaging (lecture, pamphlets, videos), moderately engaging (programmed instruction, feedback interventions), and most engaging (training in behavioral modeling, hands-on training).

Results. As training methods became more engaging (i.e., requiring trainees’ active participation), workers demonstrated greater knowledge acquisition, and reductions were seen in accidents, illnesses, and injuries. All methods of training produced meaningful behavioral performance improvements.

Conclusions. Training involving behavioral modeling, a substantial amount of practice, and dialogue is generally more effective than other methods of safety and health training. The present findings challenge the current emphasis on more passive computer-based and distance training methods within the public health workforce.




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