{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:48:46Z","timestamp":1765727326326,"version":"3.48.0"},"reference-count":12,"publisher":"BMJ","issue":"11","funder":[{"DOI":"10.13039\/501100000869","name":"Health and Safety Executive","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000869","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001921","name":"Public Health Research Programme","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,9,5]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Slips, trips and falls are common causes of injuries in the workplace. It is estimated that in Great Britain, nearly 1 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 National Health Service (NHS) staff working in clinical, general or catering environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>A two-arm, randomised controlled trial conducted within England, with 4400 NHS staff, aged 18 years 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"ISRCTN33051393\" ext-link-type=\"isrctn\" specific-use=\"clinicaltrial pre-results\">ISRCTN33051393<\/jats:ext-link>\n                      ; Pre results.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-026023","type":"journal-article","created":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T02:39:11Z","timestamp":1542335951000},"page":"e026023","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["SSHeW study protocol: does slip resistant footwear reduce slips among healthcare workers? A randomised controlled trial"],"prefix":"10.1136","volume":"8","clinical-trial-number":[{"clinical-trial-number":"isrctn33051393","registry":"10.18810\/isrctn","type":"preResults"}],"author":[{"given":"Sarah","family":"Cockayne","sequence":"first","affiliation":[{"name":"York Trials Unit, Department of Health Sciences, University of York, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Fairhurst","sequence":"additional","affiliation":[{"name":"York Trials Unit, Department of Health Sciences, University of York, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3339-8898","authenticated-orcid":false,"given":"Gillian","family":"Frost","sequence":"additional","affiliation":[{"name":"Health and Safety Executive, Buxton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Hewitt","sequence":"additional","affiliation":[{"name":"York Trials Unit, Department of Health Sciences, University of York, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Liddle","sequence":"additional","affiliation":[{"name":"Health and Safety Executive, Buxton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Zand","sequence":"additional","affiliation":[{"name":"Health and Safety Executive, Bootle, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Iles-Smith","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorraine","family":"Green","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Cunningham-Burley","sequence":"additional","affiliation":[{"name":"York Trials Unit, Department of Health Sciences, University of York, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Torgerson","sequence":"additional","affiliation":[{"name":"York Trials Unit, Department of Health Sciences, University of York, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,11,15]]},"reference":[{"key":"2025121407454736000_8.11.e026023.1","unstructured":"Health and Safety Executive. Kind of accident in great britain. http:\/\/www.hse.gov.uk\/statistics\/causinj\/index.htm2017 (accessed 28 Feb 2018)."},{"key":"2025121407454736000_8.11.e026023.2","unstructured":"Health and Safety Executive, 2017. Labour Force Survey - Self-reported work-related ill health and workplace injuries: Index of LFS tables http:\/\/www.hse.gov.uk\/statistics\/lfs\/index.htm."},{"key":"2025121407454736000_8.11.e026023.3","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2010.056218"},{"key":"2025121407454736000_8.11.e026023.4","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/17457300.2010.487156","article-title":"Reduction of slips, trips and falls and better comfort by using new anti-slipping boots in fishing","volume":"18","author":"Jensen","year":"2011","journal-title":"Int J Inj Contr Saf Promot"},{"key":"2025121407454736000_8.11.e026023.5","unstructured":"Hallas K , Thorpe S , Liddle M , et al . The Role of Safety Footwear in Slipping Accidents. The 17th IEA World Congress on Ergonomics; Beijing 2009."},{"key":"2025121407454736000_8.11.e026023.6","unstructured":"Blanchette MG , Powers CM , 2011. Validity and accuracy of a slip resistance measurement protocol for the assessment of slip potential. American Society of Biomechanics. http:\/\/www.asbweb.org\/conferences\/2011\/pdf\/38.pdf (accessed 08 Feb 2013)."},{"key":"2025121407454736000_8.11.e026023.7","unstructured":"Patton M . Qualitative evaluation and research methods. 2nd edn. Newbury Park: CA: Sage, 1990."},{"key":"2025121407454736000_8.11.e026023.8","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1002\/hec.3564","article-title":"Valuing health-related quality of life: An EQ-5D-5L value set for England","volume":"27","author":"Devlin","year":"2018","journal-title":"Health Econ"},{"key":"2025121407454736000_8.11.e026023.9","unstructured":"Silverman D . Interpreting qualitative data: methods for analyzing talk, text and interaction: London: Sage, 1993."},{"key":"2025121407454736000_8.11.e026023.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.6997.109"},{"key":"2025121407454736000_8.11.e026023.11","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305285708"},{"key":"2025121407454736000_8.11.e026023.12","doi-asserted-by":"crossref","unstructured":"O\u2019Cathain A , Murphy E , Nicholl J . Three techniques for integrating data in mixed methods studies. BMJ 2010;341.","DOI":"10.1136\/bmj.c4587"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2018-026023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:45:56Z","timestamp":1765727156000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2018-026023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":12,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2018,11,15]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bmjopen-2018-026023"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2018-026023","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}