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Occupational physical assault and violence prevention training: the Minnesota educators' study.

Nachreinerr-NM; Gergerich-SG; Ryan-AD; McGovern-PM; Feda-DM; Sage-SK; Geiser-MS; Church-TR; Watt-GD; Mongin-SJ
APHA 136th Annual Meeting and Exposition, San Diego, California, October 25-29, 2008. Washington, DC: American Public Health Association, 2008 Oct; :176673
Introduction Recent events heightened awareness of school violence affecting educators. Previously, the focus had been on students, not teachers. Methods Data were analyzed from a population-based study of 26,000 randomly selected Minnesota educators. 6469 were eligible and contacted in study Phase 1 to determine violent events. In Phase 2 (case-control study), cases (n=299 reporting physical assault in previous year) and controls n=(867, no events) provided exposure information for the month prior to assault, and randomly selected months, respectively. Directed acyclic graphs were used to select confounders for multiple regression analyses. Results Response for each study phase was 84%. Cases and controls, respectively, reported being trained about the following ten topics by their current employer/school: resolving conflicts (55%, 54%); using appropriate restraining techniques (55%, 27%); reporting work-related physical assault (54%, 50%); preventing bullying (53%, 58%); reporting work-related harassment (52%, 52%); managing threats/assaults (51%, 44%); recognizing risk factors for violence (50%, 41%); having a violence prevention policy (49%, 37%); using self-defense (29%, 12%); and operating safety alarms or devices (20%, 22%). The majority of cases and controls received one-two sessions of violence prevention training in the past year (60%, 56%) for primarily less than five hours (cases, 37%; controls, 46%). Preliminary multivariate analyses indicated that those trained to use appropriate restraint techniques had an increased risk of physical assault (OR: 1.68; 95% CI: 1.08-2.59). Conclusions Empirical evidence on the efficacy of training on violence prevention is lacking. These data are critical to understand the association of training and physical assault of educators.
Force; Epidemiology; Teaching; Education; Physical-stress; Hazards; Exposure-levels; Risk-factors; Humans; Men; Women; Statistical-analysis; Behavior; Work-environment; Workers; Demographic-characteristics; Mental-health; Stress; Author Keywords: Violence; School Health
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APHA 136th Annual Meeting and Exposition, San Diego, California, October 25-29, 2008
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University of Minnesota - Twin Cities