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January 2010

A systematic review of the effectiveness of training & education for the protection of workers

About this report:

Authors: Lynda Robson1, Carol Stephenson2, Paul Schulte2, Ben Amick1, Stella Chan1, Amber Bielecky1, Anna Wang1, Terri Heidotting2, Emma Irvin1, Don Eggerth2, Robert Peters2, Judy Clarke1*, Kimberley Cullen1, Lani Boldt2*, Cathy Rotunda2, Paula Grubb2 Affiliations: 1 Institute for Work & Health 2 National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention * Currently retired We would also like to acknowledge the contributions of the following people who provided expertise, comment or support: Laura Blanciforti, Michael J. Burke, Hee Kyoung Chun, Elaine Cullen, Anita Dubey, Randy Elder from the Guide to Community Preventive Services, Alyson Folenius, Andrea Furlan, Sheilah Hogg-Johnson, Carol Kennedy, Kiera Keown, Quenby Mahood, Cindy Moser, Cameron Mustard, Shanti Raktoe, Dan Shannon, the IWH Measurement Group, and the stakeholders who gave input on the review (Appendix I). If you have questions about this or any other of our reports, please contact us at: Institute for Work & Health 481 University Avenue Suite 800 Toronto, Ontario M5G 2E9 E-mail: info@iwh.on.ca National Institute for Occupational Safety and Health c/o Dr. Paul Schulte, MS-C14 4676 Columbia Parkway Cincinnati, OH 5226 E-mail: pas4@cdc.gov

Or you can visit our websites at www.iwh.on.ca or www.cdc.gov/niosh Please cite this report as: Robson L, Stephenson C, Schulte P, Amick B, Chan S, Bielecky A, Wang A, Heidotting T, Irvin E, Eggerth D, Peters R, Clarke J, Cullen K, Boldt L, Rotunda C, Grubb P. A systematic review of the effectiveness of training & education for the protection of workers. Toronto: Institute for Work & Health, 2010; Cincinnati, OH: National Institute for Occupational Safety and Health. This publication can also be tracked as DHHS (NIOSH) Publication No. 2010-127. For reprint permission contact the Institute for Work & Health. © Institute for Work & Health; National Institute for Occupational Safety and Health, 2010

Table of Contents

Foreword .........................................................................................................v 1.0 Introduction...............................................................................................1 1.1 Why this review was done..................................................................1 1.2 Defining training ................................................................................4 1.3 Conceptual model ...............................................................................5 1.4 Research questions .............................................................................7 2.0 Methods.....................................................................................................9 2.1 Literature search .................................................................................9 2.2 Relevance assessment (study selection) ...........................................10 2.3 Quality assessment (QA) ..................................................................13 2.4 Data extraction (DE).........................................................................15 2.5 Evidence synthesis I: Constructing bodies of evidence ...................17 2.6 Evidence synthesis II: Determining the strength of a body of evidence............................................................................................22 2.7 Overview of the review process .......................................................25 3.0 Results.....................................................................................................27 3.1 Description of the studies in the review ...........................................27 3.2 Methodological quality .....................................................................38 3.3 Effect of training (versus no training)...
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