Review of Intervention Research - Agriculture Forestry and Fishing Research at NIOSH - page 99

Inputs Activities Outputs Intermediate Outcomes End Outcomes

1. Tractor-related injury
x >30 peer-reviewed publications
x ROPS Notebook
x ROPS design and testing
x ROPS social marketing
x Multimedia training materials

1. Number of youths injured on farms
has decreased from 37,800 in 1998
to 27,600 in 2004
2. Number of farm work-related
youth injuries decreased by 51%
from 16,695 to 8,130
3. Work-related injury rate for farm-
household youth decreased from
14.1 to 9.1 injuries per 1,000
4. Rate of childhood agricultural
injuries reduced from 1.7 injuries
per 100 farms in 1998 to 1.4 per
100 farms in 2001
5. Occupational injury and illness rate
in logging industry decreased from
19.5 cases per 100 full-time
workers to 6.4 cases per 100 full-
time workers in 2003
6. Since 1990, there has been a 74%
decline in annual deaths of
Alaska's commercial fishermen
7. Survival rate for commercial
fishermen involved in vessel
sinkings and capsizings increased
from 73% in 1991 to 96% in 2004
8. ROPS designs for over 90% of 70
most popular pre-ROPS tractors
have been developed

Planning Inputs:
1. Surveillance data
2. Stakeholder needs
3. Partner aims
4. Symposia and conferences
5. Program evaluations
6. Program goals

1. Community Partners for
Healthy Farming Intervention
Research
2. Childhood Agricultural Injury
Prevention (National Children's
Center for Rural and
Agricultural Health and Safety)
3. Ergonomic Interventions for
Youth Working in Agriculture
4. Occupational Injury Prevention
in Alaska
5. Evaluating the Effectiveness of
a Logger Safety Training
Program
6. Deck Safety for Commercial
Fishing Vessels
7. Environmental Tractor Cab
System Integrity
8. Emerging Ag Problems -
Effectiveness of Hand Washing
in Reducing Exposure to
Pesticides
9. Cancer Control Demonstration
Projects for Farming
Populations
10. New Technology to Increase
ROPS Use on Tractors
11. Development of Automatic
ROPS
12. Development of Automatic
ROPS Overturn Sensor
13. Commercialization of a Cost-
Effective ROPS (CROPS)
Design
14. Anthropometry of Agriculture
Populations
15. Agricultural Safety Promotion
System
16. Ag Centers

1. Training and education outputs
x Simple Solutions: Ergonomics for
Farm Workers
x Healthy Farmers/Healthy Profits
x ROPS Tractor Safety
x Deck Safety for Crab Fishermen
x AgDARE
x Timber Medic Certification
x Spanish Language Safety Play and
Curriculum

2. Fishing injury
x Marine-safety training manual
x >10 peer-reviewed publications
x Nine NIOSH publications
x Deck-safety video
x Abstracts, posters, brochures

Production Inputs:
1. Budget
2. Staff
3. Facilities
4. Management structure
5. Extramural entities
6. Partners

2. Standards/Guidelines
x ASABE-X599, Standardized
Deployment Performance of an
Automatic Telescoping ROPS
x PPE Sales Tax Exemption
x NAGCAT
x Washington State Cholinesterase
Monitoring Rule
x Logging standard 29 CFR
1910.266

3. Logging injury
x Nine peer-reviewed publications
x Six NIOSH publications
x ~28 logging FACE reports
x Seven conference papers

4. Musculoskeletal injury
x ~14 peer-reviewed publications
x Training and education materials

3. Control technology and concepts
x Picking tubs and work platforms
x Emergency stop system for
winches in commercial fishing
x ROPS designs / retrofits
x Overturn sensors

5. Pesticide exposure
x 11 peer-reviewed publications

4. New PPE developed
x Improved personal flotation device

5. Unique staff/laboratory capability
x ROPS design and testing facilities

Ɣ Time needed to build relationships with partners and constituents Ɣ Lack of resources and interest in funding surveillance Ɣ Adverse effects of economic downturn

Ɣ Current political climate Ɣ Seasonality of industries, weather, climate change Ɣ Uncertainty regarding immigration issues

Ɣ Farms becoming larger with less reliance on child labor Ɣ Funding periods limit ability to evaluate long-term effects of intervention

Ɣ Poor national and political understanding of scope and cost of occupational disease and public health

External Factors

FIGURE 7-1 Intervention research logic submodel.
AgDARE = Agricultural Disability Awareness and Risk Education, ASABE = American Society of Agricultural and Biological Engineers, FACE =
Fatality Assessment and Control Evaluation , NAGCAT = North American Guidelines for Children's Agricultural Tasks, PPE = personal protective
equipment, ROPS = rollover protective structure.