Cochrane · systematic review · CD010157

Behavioural interventions to promote workers' use of respiratory protective equipment

Luong Thanh, BY, Laopaiboon, M, Koh, D, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

WorkAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
12
No studies
1
Included studies
NR
No studies 1 · 7.7%Ungraded 0 · 0%Very low 11 · 84.6%Low 1 · 7.7%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Training versus no intervention

Population: Healthcare workers
2 questions
OutcomeEffectEvidenceStatus / GRADE
Properly fitting RPE at 6 months
Training vs no intervention
RR 1.17 [0.97, 1.41]1 study · 83 participantsVery low
Downgraded: risk of bias, imprecision
Properly fitting RPE at 6 months
Training vs no intervention
RR 1.16 [0.95, 1.42]1 study · 96 participantsVery low
Downgraded: risk of bias, imprecision

Conventional training plus additions versus conventional training

Population: Health workers
3 questions
OutcomeEffectEvidenceStatus / GRADE
Observed appropriate RPE use
Conventional training plus additions vs conventional training
RR 1.41 [0.96, 2.07]1 study · 64 participantsVery low
Downgraded: risk of bias, imprecision
Correct use of RPE as part of full‐body PPE ‐ Donning
Conventional training plus additions vs conventional training
no estimate extracted1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Correct use of RPE as part of full‐body PPE ‐ Doffing
Conventional training plus additions vs conventional training
no estimate extracted1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Education versus no intervention

Population: Workers
7 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes#
Education vs no intervention
no estimate extractedNRNo studies
Use of RPE most of the time ‐ 3 years after intervention
Education vs no intervention
RR 1.69 [1.1, 2.58]1 study · 170 participantsLow
Downgraded: risk of bias, imprecision
Reported RPE use among farmers ‐ Short term
Education vs no intervention
RR 1.07 [0.91, 1.26]1 study · 105 participantsVery low
Downgraded: risk of bias, imprecision
Reported RPE use among farmers ‐ Long term
Education vs no intervention
RR 0.99 [0.84, 1.17]2 studies · 206 participantsVery low
Downgraded: risk of bias, imprecision
Use of safety mask while working
Education vs no intervention
RR 2.05 [0.74, 5.69]1 study · 44 participantsVery low
Downgraded: risk of bias, imprecision
Fit tested for N95
Education vs no intervention
RR 0.32 [0.07, 1.49]1 study · 52 participantsVery low
Downgraded: risk of bias, imprecision
Use of N95 mask
Education vs no intervention
RR 4.56 [1.84, 11.33]1 study · 52 participantsVery low
Downgraded: risk of bias, imprecision

Motivational interview‐based education versus traditional lectures

Population: Factory workers
1 question
OutcomeEffectEvidenceStatus / GRADE
Use of RPE as part of full‐body PPE (score on checklist)
Motivational interview‐based education vs traditional lectures
no estimate extracted1 study · 70 participantsVery low
Downgraded: risk of bias, imprecision