ABSTRACT

Purpose

To systematically develop a farm safety intervention for farmer peer learning groups, to support safe working practice adoption.

Design/Methodology/Approach

An iterative, multi-actor process was used, guided by the Intervention Mapping framework and the Socio-Ecological Model. The target peer learning groups were Irish dairy farmer discussion groups (DDGs). Literature review, semi-structured interviews, surveys, and participant observation informed an initial intervention design, which provided a starting point for collaborative intervention development. The final design comprised two intervention approaches, A and B, differing in frequency and discussion length. In a seven-month cluster-randomised, controlled pilot study, 76 DDGs implemented the design.

Findings

The designs were standardised but adaptable to individual group interests and schedules. Pre-pilot feedback from farm advisors (intervention deliverers), and farmer and advisor recruitment, indicated good intervention acceptability initially. Challenges were experienced during implementation, but 52% of DDGs participating in the infrequent, long discussions approach (‘A’) and 72% of those in the frequent, short discussions approach (‘B’) completed at least some of the protocol.

Practical implications

The multi-actor approach resulted in two flexible, acceptable designs, responsive to group culture and dynamics. Frequent, short discussions were acceptable to a greater number of groups than infrequent, long discussions.

Theoretical implications

The Socio-Ecological Model, combined with multi-actor Intervention Mapping, provided a robust framework for the development of acceptable, practical, evidence-based farm safety and health promotion initiatives.

Originality/Value

The systematic public health research-driven approach evolved iteratively to a DDG practice-driven approach, through integration of Intervention Mapping with collaborative multi-actor design.

中文翻译：

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使用带有可接受性评估的协作干预映射通过设计学习：基于小组的农场安全干预案例

摘要

目的

为农民同行学习小组系统地制定农场安全干预措施，以支持采用安全工作实践。

设计/方法论/方法

在干预映射框架和社会生态模型的指导下，使用了一个迭代的、多参与者的过程。目标同伴学习小组是爱尔兰奶农讨论小组 (DDG)。文献回顾、半结构化访谈、调查和参与者观察为初步干预设计提供了信息，为协作干预发展提供了起点。最终设计包括两种干预方法，A 和 B，频率和讨论长度不同。在为期七个月的整群随机对照试验研究中，76 个 DDG 实施了该设计。

发现

这些设计是标准化的，但可以适应个人团体的兴趣和日程安排。来自农场顾问（干预提供者）以及农民和顾问招募的试点前反馈，最初表明干预的可接受性良好。在实施过程中遇到了挑战，但 52% 的 DDG 参与不频繁、长时间讨论的方法（“A”）和 72% 的参与频繁、简短讨论方法（“B”）的 DDG 至少完成了部分协议。

实际影响

多参与者方法产生了两种灵活、可接受的设计，以响应群体文化和动态。与不频繁、长时间的讨论相比，更多的群体可以接受频繁、简短的讨论。

理论意义

社会生态模型与多参与者干预映射相结合，为制定可接受的、实用的、以证据为基础的农场安全和健康促进举措提供了一个强大的框架。

原创性/价值

通过将干预映射与协作多参与者设计相结合，系统的公共卫生研究驱动方法迭代地演变为 DDG 实践驱动方法。