Affiliations: Centre of Research Expertise for the Prevention of
Musculoskeletal Disorders, Department of Kinesiology, University of Waterloo,
Waterloo, ON, Canada | Department of Health Studies and Gerontology,
University of Waterloo, Waterloo, ON, Canada | Infrastructure Health and Safety Association of
Ontario, ON, Canada
Note: [] Address for correspondence: N.A. Carlan, CRE-MSD, University of
Waterloo, Dept. of Kinesiology, 200 University Ave W, Waterloo, ON, N2L 3G1,
Canada. Tel.: +1 519 739 3049; Fax: +1 519 739 0975; E-mail:
[email protected]
Abstract: Objective: A six-year study is exploring the most effective ways to
disseminate ideas to reduce musculoskeletal disorders (MSDs) in the
construction sector. The sector was targeted because MSDs account for 35% of
all lost time injuries. This paper reports on the organization of the
construction sector, and maps potential pathways of communication, including
social networks, to set the stage for future dissemination. Participants: The managers, health and safety specialists, union health and safety
representatives, and 28 workers from small, medium and large construction companies participated. Methods: Over a three-year period, data were collected from 47 qualitative interviews. Questions were guided by the PARIHS
(Promoting Action on Research Implementation in Health Services)
knowledge-transfer conceptual framework and adapted for the construction sector. Findings: The construction sector is a complex and dynamic
sector, with non-linear reporting relationships, and divided and diluted
responsibilities. Four networks were identified that can potentially facilitate
the dissemination of new knowledge: worksite-project networks; union networks;
apprenticeship program networks; and networks established by the Construction
Safety Association/Infrastructure Health and Safety Association. Conclusions: Flexible and multi-directional lines of communication must be
used in this complex environment. This has implications for the future choice
of knowledge transfer strategies.
Keywords: Diffusion of innovations, construction sector, musculoskeletal disorders, communication paths
