{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:00:47Z","timestamp":1784300447615,"version":"3.55.0"},"reference-count":42,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T00:00:00Z","timestamp":1671321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000001","name":"United States National Science Foundation","doi-asserted-by":"publisher","award":["2128716"],"award-info":[{"award-number":["2128716"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000001","name":"United States National Science Foundation","doi-asserted-by":"publisher","award":["2128823"],"award-info":[{"award-number":["2128823"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Exoskeletons and exosuits (collectively termed EXOs) have the potential to reduce the risk of work-related musculoskeletal disorders (WMSDs) by protecting workers from exertion and muscle fatigue due to physically demanding, repetitive, and prolonged work in construction workplaces. However, the use of EXOs in construction is in its infancy, and much of the knowledge required to drive the acceptance, adoption, and application of this technology is still lacking. The objective of this research is to identify the facilitators, barriers, and corresponding solutions to foster the adoption of EXOs in construction workplaces through a sequential, multistage Delphi approach. Eighteen experts from academia, industry, and government gathered in a workshop to provide insights and exchange opinions regarding facilitators, barriers, and potential solutions from a holistic perspective with respect to business, technology, organization, policy\/regulation, ergonomics\/safety, and end users (construction-trade professionals). Consensus was reached regarding all these perspectives, including top barriers and potential solution strategies. The outcomes of this study will help the community gain a comprehensive understanding of the potential for EXO use in the construction industry, which may enable the development of a viable roadmap for the evolution of EXO technology and the future of EXO-enabled workers and work in construction workplaces.<\/jats:p>","DOI":"10.3390\/s22249987","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T09:31:01Z","timestamp":1671442261000},"page":"9987","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Identifying Facilitators, Barriers, and Potential Solutions of Adopting Exoskeletons and Exosuits in Construction Workplaces"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3032-5466","authenticated-orcid":false,"given":"Dilruba","family":"Mahmud","sequence":"first","affiliation":[{"name":"Wadsworth Department of Civil and Environmental Engineering, West Virginia University, Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean T.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenhua","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Civil and Environmental Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5374-7691","authenticated-orcid":false,"given":"Peter G.","family":"Adamczyk","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Wehner","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmaraj","family":"Veeramani","sequence":"additional","affiliation":[{"name":"Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8868-2821","authenticated-orcid":false,"given":"Fei","family":"Dai","sequence":"additional","affiliation":[{"name":"Wadsworth Department of Civil and Environmental Engineering, West Virginia University, Morgantown, WV 26506, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Monica, L., Draicchio, F., Ortiz, J., Chini, G., Toxiri, S., and Anastasi, S. (2021, January 13\u201318). Occupational exoskeletons: A new challenge for human factors, ergonomics and safety disciplines in the workplace of the future. Proceedings of the Congress of the International Ergonomics Association, Online.","DOI":"10.1007\/978-3-030-74611-7_17"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"103493","DOI":"10.1016\/j.autcon.2020.103493","article-title":"Exoskeletons for manual material handling\u2014A review and implication for construction applications","volume":"122","author":"Zhu","year":"2021","journal-title":"Autom. Constr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1145\/3303851","article-title":"Exoskeletons today","volume":"62","author":"Shein","year":"2019","journal-title":"Commun. ACM"},{"key":"ref_4","unstructured":"(2022, October 05). POMERLEAU. Available online: https:\/\/pomerleau.ca\/en\/article\/innovation\/exoskeletons-future-construction-productivity-augmentation."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s12984-017-0237-y","article-title":"Physical human-robot interaction of an active pelvis orthosis: Toward ergonomic assessment of wearable robots","volume":"14","author":"Vanetti","year":"2017","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1080\/00140139.2015.1081988","article-title":"Exoskeletons for industrial application and their potential effects on physical work load","volume":"59","author":"Bosch","year":"2016","journal-title":"Ergonomics"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1017\/wtc.2021.11","article-title":"Occupational exoskeletons: A roadmap toward large-scale adoption. Methodology and challenges of bringing exoskeletons to workplaces","volume":"2","author":"Crea","year":"2021","journal-title":"Wearable Technol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2276","DOI":"10.1109\/TNSRE.2020.3014408","article-title":"Design and experimental evaluation of a semi-passive upper-limb exoskeleton for workers with motorized tuning of assistance","volume":"28","author":"Grazi","year":"2020","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"103582","DOI":"10.1016\/j.apergo.2021.103582","article-title":"Benchmarking occupational exoskeletons: An evidence mapping systematic review","volume":"98","author":"Ghillebert","year":"2022","journal-title":"Appl. Ergon."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1007\/s12541-012-0197-x","article-title":"The technical trend of the exoskeleton robot system for human power assistance","volume":"13","author":"Lee","year":"2012","journal-title":"Int. J. Precis. Eng. Manuf."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"101212","DOI":"10.1016\/j.jobe.2020.101212","article-title":"Technologies for safety and health management in construction: Current use, implementation benefits and limitations, and adoption barriers","volume":"29","author":"Nnaji","year":"2020","journal-title":"J. Build. Eng."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1080\/24725838.2018.1561557","article-title":"Potential of exoskeleton technologies to enhance safety, health, and performance in construction: Industry perspectives and future research directions","volume":"7","author":"Kim","year":"2019","journal-title":"IISE Trans. Occup. Ergon. Hum. Factors"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Okpala, I., Nnaji, C., Ogunseiju, O., and Akanmu, A. (2022). Assessing the Role of Wearable Robotics in the Construction Industry: Potential Safety Benefits, Opportunities, and Implementation Barriers. Automation and Robotics in the Architecture, Engineering, and Construction Industry, Springer.","DOI":"10.1007\/978-3-030-77163-8_8"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.apergo.2018.02.025","article-title":"Assessing the influence of a passive, upper extremity exoskeletal vest for tasks requiring arm elevation: Part I\u2014\u201cExpected\u201d effects on discomfort, shoulder muscle activity, and work task performance","volume":"70","author":"Kim","year":"2018","journal-title":"Appl. Ergon."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.apergo.2018.02.024","article-title":"Assessing the influence of a passive, upper extremity exoskeletal vest for tasks requiring arm elevation: Part II\u2014\u201cUnexpected\u201d effects on shoulder motion, balance, and spine loading","volume":"70","author":"Kim","year":"2018","journal-title":"Appl. Ergon."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"105382","DOI":"10.1016\/j.ssci.2021.105382","article-title":"Assessment of a passive exoskeleton system on spinal biomechanics and subjective responses during manual repetitive handling tasks among construction workers","volume":"142","author":"Li","year":"2021","journal-title":"Saf. Sci."},{"key":"ref_17","unstructured":"Golabchia, A., Millerb, L., Rouhanic, H., and Tavakolid, M. (2022, January 13\u201315). Impact of Passive Back-Support Exoskeletons on Manual Material Handling Postures in Construction. Proceedings of the 39th International Symposium on Automation and Robotics in Construction, Bogot\u00e1, Colombia."},{"key":"ref_18","first-page":"936","article-title":"Assessment of a passive wearable robot for reducing low back disorders during rebar work","volume":"26","author":"Gonsalves","year":"2021","journal-title":"J. Inf. Technol. Constr."},{"key":"ref_19","unstructured":"Cho, Y.K., Kim, K., Ma, S., and Ueda, J. (2018, January 2\u20134). A robotic wearable exoskeleton for construction worker\u2019s safety and health. Proceedings of the ASCE Construction Research Congress, New Orleans, LA, USA."},{"key":"ref_20","first-page":"1358","article-title":"Evaluation of postural-assist exoskeleton for manual material handling","volume":"29","author":"Ogunseiju","year":"2021","journal-title":"Eng. Constr. Archit. Manag."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1287\/mnsc.9.3.458","article-title":"An experimental application of the Delphi method to the use of experts","volume":"9","author":"Dalkey","year":"1963","journal-title":"Manag. Sci."},{"key":"ref_22","first-page":"315","article-title":"A critical assessment of information technology adoption: Technical, organisational and personal perspectives","volume":"6","author":"Daim","year":"2010","journal-title":"Int. J. Bus. Inf. Syst."},{"key":"ref_23","unstructured":"Rogers, E.M., Singhal, A., and Quinlan, M.M. (2014). Diffusion of innovations. An Integrated Approach to Communication Theory and Research, Routledge."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"104229","DOI":"10.1016\/j.respol.2021.104229","article-title":"Advanced manufacturing technology adoption and innovation: A systematic literature review on barriers, enablers, and innovation types","volume":"50","author":"Stornelli","year":"2021","journal-title":"Res. Policy"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Bennett, S.T., Adamczyk, P.G., Dai, F., Wehner, M., Veeramani, D., and Zhu, Z. (2022, January 11\u201314). Field-based assessment of joint motions in construction tasks with and without exoskeletons in support of worker-exoskeleton partnership modeling and simulation. Proceedings of the 2022 Winter Simulation Conference, Singapore.","DOI":"10.1109\/WSC57314.2022.10015314"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1061\/(ASCE)CO.1943-7862.0000137","article-title":"Qualitative research: Application of the Delphi method to CEM research","volume":"136","author":"Hallowell","year":"2010","journal-title":"J. Constr. Eng. Manag."},{"key":"ref_27","unstructured":"Creswell, J.W., and Creswell, J.D. (2017). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, Sage Publications."},{"key":"ref_28","unstructured":"(2022, September 19). Center for Construction Research and Training (CPWR). Available online: http:\/\/www.cpwr.com\/wp-content\/uploads\/publications\/small-businesses_09sn-508.pdf."},{"key":"ref_29","unstructured":"(2022, October 20). sbir.gov, Available online: https:\/\/www.sbir.gov\/about."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1080\/24725838.2019.1579769","article-title":"ASTM F48 formation and standards for industrial exoskeletons and exosuits","volume":"7","author":"Lowe","year":"2019","journal-title":"IISE Trans. Occup. Ergon. Hum. Factors"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"04015008","DOI":"10.1061\/(ASCE)CO.1943-7862.0000979","article-title":"Risk assessment of work-related musculoskeletal disorders in construction: State-of-the-art review","volume":"141","author":"Wang","year":"2015","journal-title":"J. Constr. Eng. Manag."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/j.apergo.2009.01.006","article-title":"Effectiveness of an on-body lifting aid at reducing low back physical demands during an automotive assembly task: Assessment of EMG response and user acceptability","volume":"40","author":"Graham","year":"2009","journal-title":"Appl. Ergon."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"103036","DOI":"10.1016\/j.ergon.2020.103036","article-title":"Farmers\u2019 perceptions of exoskeleton use on farms: Finding the right tool for the work (er)","volume":"80","author":"Omoniyi","year":"2020","journal-title":"Int. J. Ind. Ergon."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Wang, H.-M., Le, D.K.L., and Lin, W.-C. (2021). Evaluation of a passive upper-limb exoskeleton applied to assist farming activities in fruit orchards. Appl. Sci., 11.","DOI":"10.3390\/app11020757"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1109\/MRA.2019.2954160","article-title":"Testing an exoskeleton that helps workers with low-back pain: Less discomfort with the passive spexor trunk device","volume":"27","author":"Baltrusch","year":"2019","journal-title":"IEEE Robot. Autom. Mag."},{"key":"ref_36","first-page":"173","article-title":"Passive shoulder exoskeletons: More effective in the lab than in the field?","volume":"29","author":"Ghillebert","year":"2020","journal-title":"IEEE Trans. Neural Syst. Rehabil. Eng."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Motmans, R., Debaets, T., and Chrispeels, S. (2018, January 26\u201330). Effect of a passive exoskeleton on muscle activity and posture during order picking. Proceedings of the Congress of the International Ergonomics Association, Florence, Italy.","DOI":"10.1007\/978-3-319-96083-8_45"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.rehab.2020.05.004","article-title":"The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19","volume":"63","author":"Settembre","year":"2020","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Hefferle, M., Snell, M., and Kluth, K. (2020, January 16\u201320). Influence of two industrial overhead exoskeletons on perceived strain\u2013A field study in the automotive industry. Proceedings of the International Conference on Applied Human Factors and Ergonomics, San Diego, CA, USA.","DOI":"10.1007\/978-3-030-51758-8_13"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"103120","DOI":"10.1016\/j.apergo.2020.103120","article-title":"Ergonomics assessment of passive upper-limb exoskeletons in an automotive assembly plant","volume":"87","author":"Iranzo","year":"2020","journal-title":"Appl. Ergon."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1080\/24725838.2018.1563010","article-title":"A field evaluation of arm-support exoskeletons for overhead work applications in automotive assembly","volume":"7","author":"Smets","year":"2019","journal-title":"IISE Trans. Occup. Ergon. Hum. Factors"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.procir.2018.04.028","article-title":"Experimental study of the physical impact of a passive exoskeleton on manual sanding operations","volume":"70","author":"Moyon","year":"2018","journal-title":"Procedia Cirp"}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/22\/24\/9987\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:43:41Z","timestamp":1760147021000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/22\/24\/9987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,18]]},"references-count":42,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["s22249987"],"URL":"https:\/\/doi.org\/10.3390\/s22249987","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,18]]}}}