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The SSHeW Study Protocol: Does Slip Resistant Footwear Reduce Slips Among Healthcare Workers? A Randomised Controlled Trial

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Publication details

JournalBMJ Open
DateAccepted/In press - 6 Sep 2018
DatePublished (current) - 16 Nov 2018
Original languageEnglish


Introduction: Slips, trips and falls are common causes of injuries in the workplace. It is estimated that in Great Britain, nearly one million days are taken off work due to these injuries. There is some evidence to suggest this accident burden could be reduced by the use of slip resistant footwear. This protocol describes a multicentre trial investigating the effectiveness and cost-effectiveness of slip resistant footwear to prevent slips in NHS staff working in clinical, general or catering environments.
Methods and analysis: A two-arm, randomised controlled trial conducted within England, with 4,400 NHS staff, aged 18 and above, who adhere to a dress code policy and work in a clinical, catering or general hospital environment. Participants will be randomised 1:1 to the intervention or waiting list control group. The intervention group will be offered a pair of 5-star GRIP rated slip resistant footwear. The control group will be offered the footwear at the end of the trial. The primary outcome is the incidence rate of self-reported slips in the workplace over a 14-week period, as reported via weekly text messages. Secondary outcomes include: time to first slip/fall, proportion of participants who slip and fall over 14 weeks, and incidence rate of falls resulting from and not resulting from a slip in the workplace over 14 weeks. An economic evaluation will assess cost-effectiveness, in terms of cost per quality adjusted life year gained. A nested qualitative study will explore the acceptability of the footwear and compliance.
Ethics and dissemination: This protocol received a favourable ethical opinion from the University of York, Department of Health Sciences Research Governance Committee. The trial results will be published in peer-reviewed journals and at conferences. A summary of the findings will be made available to participants.
Trial registration: Current Controlled Trials ISRCTN33051393, assigned 14/03/2017

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