Musculoskeletal disorders remain the most prevalent form of occupational ill health, prompting examination of why attempts to manage the problem have been less successful than perhaps hoped. With a view to improving the efficacy of such interventions, this study examined the applicability of the stage of change approach to the workplace. Tools were developed to assess individual and organizational stage of change towards reducing the risks of musculoskeletal disorders. The tools were tested in a range of occupational sectors, and demonstrated high levels of validity and reliability. Implications for the application of the model in the workplace for improving intervention effectiveness are discussed.
De Jong, A. M. , Vink, P. , & de Kroon, J. C. A. (2003). Reasons for adopting technological innovations reducing physical workload in bricklaying . Ergonomics, 46(11), 1091–1108 .
2.
Dejoy, D. M. (1996). Theoretical models of health behaviour and workplace self-protective behaviour . Journal of Safety Research, 27, 61–72 .
3.
DiClemente, C. C. , Prochaska, J. O. , Fairhurst, S. K. , Velicier, W. F. , Velasquez, M. M. , & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change . Journal of Consulting and Clinical Psychology, 59, 295–304 .
4.
Donald, I. , & Young, S. (1996). Managing safety: An attitudinal-based approach to improving safety in organisations . Leadership & Organisation Development Journal, 17 (4), 13–20 .
5.
Haslam, C. , & Haslam, R. A. (2000). A stage specific approach to improving occupational health and safety . Proceedings of the XIVth Triennial Congress of the International Ergonomics Association and 44th Annual Meeting of the Human Factors and Ergonomics Society, 6, 253–255 .
6.
Haslam, R. A. (2002). Targeting ergonomics interventions—learning from health promotion . Applied Ergonomics,33, 241–249 .
7.
Health and Safety Commission . (2002). Health and safety statistics 2000/01. Sudbury, UK: HSE Books .
8.
Health and Safety Executive (HSE) . (2002). Upper limb disorders in the workplace. Sudbury, UK: HSE Books .
9.
Health and Safety Executive (HSE) . (2005). Health and safety statistics highlights 2004/05. Sudbury, UK: HSE Books .
10.
Karsh, B.-T. , Moro, F. B. P. , & Smith, M. J. (2001). The efficacy of workplace ergonomic interventions to control musculoskeletal disorders: A critical analysis of the peer-reviewed literature . Theoretical Issues in Ergonomic Science, 2(1), 23–96 .
11.
LoBiondo-Wood, G. , & Haber, J. (1998). Nursing research: Methods, critical appraisal and utilisation, 4th edn.St Louis: Moby .
12.
Prochaska, J. M. , Prochaska, J. O. , & Levesque, D. A. (2001). A transtheoretical approach to changing organisations . Administration and Policy in Mental Health, 28 (4), 247–261 .
13.
Prochaska, J. O. , & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change . Psychotherapy: Theory Research and Practice, 19, 276–288 .
14.
Prochaska, J. O. , DiClemente, C. C. , Velicier, W. F. , & Rossi, J. S. (1993). Standardised, individualised, interactive, and personalised self-help programmes for smoking cessation . Health Psychology, 12, 399–405 .
15.
Prochaska, J. O. , Norcross, J. C. , & DiClemente, C. C. (1994). Changing for good. New York: William Morrow & Co.
16.
Rakowski, W. , Ehrich, B. , Goldstein, M. G. , Rimer, B. K. , Pearlman, D. N. , Clark, M. A. et al. (1998). Increasing mammography among women aged 40–74 by use of a stage-matched, tailored intervention . Preventative Medicine, 27, 748–756 .
17.
Urlings, I. J. M. , Nijboer, I. D. , & Dul, J. (1990). A method for changing the attitudes and behavior of management and employees to stimulate the implementation of ergonomic improvements . Ergonomics, 33 (5), 629–637 .
18.
Velicier, W. F. , DiClemente, C. C. , Prochaska, J. O. , & Brandenberg, N. (1985). Decisional balance measure for assessing and predicting smoking status . Journal of Personality and Social Psychology, 48, 1279–1289 .
19.
Velicier, W. F. , DiClemente, C. C. , Rossi, J. S. , & Prochaska, J. O. (1990). Relapse situations and self-efficacy: An integrative model . Addictive Behaviours, 15, 271–283 .
20.
Whysall, Z. , Haslam, R. A. , & Haslam, C. (2004). Reducing the risk of work-related musculoskeletal disorders: Processes, barriers, and outcomes of ergonomics consultancy . Applied Ergonomics, 35 (4), 343–351 .
21.
Winum, R. , Ryterband, E. , & Stephensen, P. (1997). Helping organisations change: A model for guiding consultation . Consulting Psychology Journal: Practice and Research, 49, 6–16 .
22.
World Health Organization . (1988). Health promotion for working populations. Report of a WHO expert committee, Technical Report Series 765. Geneva: WHO .
23.
Wright, M. S. (1998). Factors motivating proactive health and safety management. CRR 179. Sudbury, UK: HSE Books .
