Objectives. Lower back pain (LBP) is extremely prevalent in seafood harvesters who often have limited or no access to ergonomic consultation, occupational health support and rehabilitation services. This pilot study aimed to describe a participatory ergonomic approach and determine the feasibility and extent of adoption of self-management strategies in clam farmers with LBP. Methods. A rapid prototype participatory ergonomic approach was used to develop context-specific self-management strategies. Options to adjust lifting and repetitive stress were introduced using video clips, demonstrations and discussions in the workplace. Workers chose and implemented three strategies for 8 weeks with weekly reminders. Survey and qualitative data from focus groups were analyzed. Results. Team strategies were the most popular, but individual options were used more often. Strategies were considered feasible, acceptable and relatively easy to use. Strategies were implemented relatively consistently, and most improved productivity with decreased pain. Challenges for uptake included changing habit, culture and team dynamics. Conclusions. Participatory rapid prototyping provided a feasible and efficient option to introduce strategies for clam farmers with small teams, variable work processes and workloads, and time restrictions. Strategies were considered acceptable and easy to use, and most increased productivity. These methods show potential for future research.

目标。腰痛 (LBP) 在海鲜收割者中极为普遍，他们通常很少或无法获得人体工学咨询、职业健康支持和康复服务。这项试点研究旨在描述一种参与性人体工程学方法，并确定患有 LBP 的蛤养殖者采用自我管理策略的可行性和程度。方法。使用快速原型参与式人体工程学方法来制定针对具体情况的自我管理策略。通过工作场所的视频剪辑、演示和讨论介绍了调整举重和重复压力的选项。工人们选择并实施了三种策略，为期 8 周，并每周提醒一次。对焦点小组的调查和定性数据进行了分析。结果。团队策略是最受欢迎的，但个人策略的使用更为频繁。这些策略被认为是可行的、可接受的并且相对易于使用。策略的实施相对一致，大多数都提高了生产力并减少了疼痛。吸收的挑战包括改变习惯、文化和团队动力。结论。参与式快速原型设计提供了一种可行且有效的选择，为具有小团队、可变工作流程和工作量以及时间限制的蛤养殖者引入策略。这些策略被认为是可接受的且易于使用，并且大多数都提高了生产力。这些方法显示了未来研究的潜力。