Voices Illuminating Solutions for Outdoor Workers' Needs and Safety
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Receive education on heat and air quality health risks, Participate in Photovoice and climate health risk education.
- Who it may be relevant to
- Registry conditions: Air Pollution Exposure. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
VISIONS: Voices Illuminating Solutions for Outdoor Workers' Needs and Safety
Overview
The goal for this multidisciplinary randomized controlled trial (RCT) is to actively and meaningfully engage outdoor workers (can include agricultural workers, construction workers, landscaping, wildland firefighters, fire cleanup crews, etc.) and community members in describing the impact of climate change on their lives and working conditions in San Joaquin Valley, Kings County, and Monterey County. Participants will be randomly assigned to one of two study arms: (1) the Intervention Group, which will receive bilingual (Spanish and English) Cal/OSHA educational materials and engage in the Our Voice participatory action research (photovoice) method using a bilingual (Spanish and English) mobile application, or (2) the Control Group, which will only receive bilingual (Spanish and English) Cal/OSHA educational materials. Core outcomes will be measured identically across both groups to allow direct comparison of the two approaches. Using the "Our Voice participatory action research method" and Cal/OSHA educational materials, the investigators will learn about participants' attitudes, behaviors, and actions in response to changing climate in the counties and evaluate whether the education and photovoice approach is more impactful than traditional didactic Cal/Osha education only.
Detailed description
This study uses a randomized controlled trial (RCT) design with two parallel arms to evaluate whether combining participatory action research with occupational health education produces greater changes in climate-related attitudes, behaviors, and protective actions compared to occupational health education alone. The study targets outdoor workers and community members across California: San Joaquin Valley, Kings and Monterey Counties, regions where outdoor workers face disproportionate exposure to climate-related health hazards including extreme heat and degraded air quality.
Intervention
The Intervention Group will engage in the "Our Voice photovoice program," a community-based participatory action research methodology developed at Stanford University. Our Voice uses a mobile application called the Discovery Tool, which allows participants to document features of their local environment by taking photos and recording written or audio reflections in real time. The app is available in multiple languages, including English and Spanish. Participants in the Intervention Group will complete three sequential activities:
Discovery Tool Training: a live or pre-recorded individual or small group session (by phone, Zoom, or in-person) led by a Stanford RA, orienting participants to the photovoice approach and app use
Discovery Walk: an independent walk in their home or work neighborhood to document environmental features relevant to climate and health using the Discovery Tool
Community Discovery Meeting: a facilitated approximately 2-hour group meeting held within six weeks of the Discovery Walk, where participants collectively review photos, identify common themes, and discuss community assets and challenges they wish to address
Control Both groups will receive bilingual (English and Spanish) Cal/OSHA educational materials covering heat illness prevention, air quality risks, and protective measures for outdoor workers. The Control Group receives these materials as the sole study intervention. The Intervention Group receives the same materials as part of their Community Discovery Meeting.
Randomization Eligible participants will be randomly assigned in a 1:1 ratio to either the Intervention or Control Group using simple randomization via REDCap.
Interventions
- Behavioral Receive education on heat and air quality health risks
Participants will receive Cal/OSHA educational materials covering heat and air quality risks for outdoor workers \[will insert more info (how often, method etc once MP revises protocol\]. - Behavioral Participate in Photovoice and climate health risk education
Participants will engage in the full Our Voice photovoice program, including training on the Discovery Tool, a Discovery Walk, attendance at a Community Discovery Meeting, and receive the same Cal/OSHA educational materials \[will insert more info (how often, method etc once MP revises protocol\].
Primary outcome measures
- Change in self-efficacy as assessed by the Individual Community-Related Empowerment (ICRE) Scale. [Time frame: Change in self-efficacy from baseline to immediately after the intervention photovoice activity or control education activity and at 6 months]
Secondary outcome measures (2)
- Change in social cohesion and collective efficacy as assessed by the Social Cohesion and Self-Efficacy scale. [Time frame: Change in social cohesion and collective efficacy from baseline to immediately after the intervention photovoice activity or control education activity and 6 months]
- Change in climate change hope and agency as assessed by the Climate Change Hope Scale (CCHS). [Time frame: Change in climate change hope and agency from baseline to immediately after the intervention photovoice activity or control education activity and 6 months]
Eligibility criteria
Inclusion criteria
- Participants must be 18 years or older.
- Participants must be connected to the San Joaquin Valley, Monterey County, or Kings County as either an outdoor worker or community member.
- Participants must have the capacity to verbally consent in English or Spanish
- Participants must have the ability to walk or otherwise move around their community using the Discovery Tool.
- Have a smartphone capable of loading the Discovery Tool OR willingness to use a TracFone provided by the research team
Exclusion criteria
- Inability to consent to the study.
- Unable to navigate the Discovery Tool with reasonable technical guidance from the research team.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Health services research
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07713264 · 83894