*1.2. Translating Home Care Worker Interventions for Practice*

Although evidence-based and useful interventions for HCWs and other caregivers are available, we were unable to find any peer-reviewed publications regarding their dissemination. Therefore, we reached out for phone interviews with contacts for caregiver programs or resources we were familiar with. The principal investigator for the Safe Home Care Project (M. Quinn, personal communication, 5 October 2018) indicated that its dissemination occurs via fact sheets containing safety and health education, publications in scientific journals, and articles within HCW trade association magazines. The Health Education Program, a supportive group program for family caregivers, is distributed by the principal investigator when requested by caregiver agencies (R. Toseland, 26 September 2018). The Caring For Yourself While Caring For Others handbook, developed by the Labor Occupational Health Program in partnership with NIOSH for Alameda County workers in California, was later adopted within the Alameda County Health Consortium. However, its current dissemination channels outside of being downloadable through its website are unknown (L. Stock, 26 September 2018). In these selected cases, translation, dissemination, and adoption efforts have not been systematically described, and appear to have been supported by dedicated principal investigators or partners without funding or formal systemic support following initial development and evaluation research.

In our view, an important way to address this gap and inform future translation and dissemination efforts, is to publish qualitative and quantitative descriptions of barriers, facilitators, and successes in dissemination after interventions are established to be effective. On this theme, the current paper reports the process and results of a successful intervention adaptation and dissemination effort in progress. The COMmunity of Practice And Safety Support (COMPAS*S*) program was designed to advance the safety, health, and well-being of HCWs. The intervention's peer-led and supportive group tactics are aimed at creating a protective occupational social support structure for typically isolated HCWs. Developed using a *Total Worker Health*® approach, COMPASS simultaneously focused on reducing hazards for injuries and illnesses, while also promoting factors to advance workers' health and well-being. The intervention was developed with labor and governmental partners, and was demonstrated effective through a cluster randomized controlled trial (RCT). A range of factors showed significant improvements, including workers' experienced community of practice, safety behaviors (including ergonomic tool use), and health factors (such as fruit and vegetable consumption [10]). Following the RCT, COMPASS was adapted for dissemination with the Oregon Home Care Commission (OHCC), pilot tested in its adapted form, and is now being rolled out statewide by the OHCC as a paid training opportunity available to roughly 60% of Oregon's home care workforce. The current project describes original and adapted programs, results from the pilot test of the adapted program, and preliminary training evaluation data from the COMPASS rollout by the OHCC.
