Using Total Worker Health Concepts to Enhance Workplace Tobacco Prevention and Control


Book Description

"Worksite health promotion programs designed to improve worker health, such as those that help workers stop or reduce tobacco use, have traditionally focused on individual factors and not taken work-related exposures and hazards into account. Through its Total Worker Health(TM) Program, the National Institute for Occupational Safety and Health (NIOSH) recommends an integrated approach to addressing personal as well as workplace safety and health factors." -- NIOSHTIC-2




Total Worker Health


Book Description

This book describes the theory and research evidence underlying Total Worker Health (R), an initiative of the National Institute for Occupational Safety and Health (NIOSH) that aims to create a culture of healthy workplaces nationwide.




Total Worker Health


Book Description

OBJECTIVES: The purpose of this review is to provide an evidence report that the National Institutes of Health, Office of Disease Prevention, Pathways to Prevention Workshop Program can use to inform a workshop focused on Total Worker Health(r) (TWH). TWH is defined as policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being. This review describes the body of evidence evaluating TWH interventions, assesses the benefits and harms of interventions, and highlights research gaps and future research needs. DATA SOURCES: We searched MEDLINE(r), the Cochrane Library, the Cochrane Central Trials Registry, and PsycINFO(r) from January 1, 1990, to September 21, 2015. Eligible studies included randomized controlled trials (RCTs), nonrandomized trials, and prospective cohort studies with a concurrent control group; single-group pre-post studies were also eligible for Key Questions (KQs) describing interventions or identifying contextual factors, research gaps, and future research needs. REVIEW METHODS: Pairs of reviewers independently selected, extracted data from, and rated the risk of bias of relevant studies; they graded the strength of evidence (SOE) using established criteria. We synthesized all evidence qualitatively. RESULTS: We included 24 studies described in 33 publications. Fifteen studies had a concurrent control group (12 RCTs, 2 nonrandomized trials, and 1 cohort study) and were eligible for all KQs; 9 were pre-post studies. Studies were heterogeneous in terms of work settings and populations, interventions, and outcomes. For the 15 studies eligible for KQ 2, we rated 10 as high risk of bias primarily because of selection bias. Evidence of low SOE supported the effectiveness of TWH interventions for improving rates of smoking cessation (measured by self-reported 7-day abstinence) over 22 to 26 weeks and increasing the consumption of fruits and vegetables over 26 to 104 weeks; these results apply to populations of blue-collar manufacturing and construction workers. Evidence of low SOE supported the effectiveness of TWH interventions for reducing sedentary behavior at work over 16 to 52 weeks in office workers. Evidence was insufficient or completely lacking for other outcomes of interest (e.g., rates of work injuries, quality of life). Effective interventions were informed by worker participation and highlighted the potential synergistic risks of hazardous work exposures and health behavior. Work organization factors and union membership status were two commonly mentioned contextual factors that may have modified intervention effectiveness. Future studies should try to directly assess the effectiveness of integration itself by isolating the benefits (or harms) of integration from other components; future studies should also focus on outcomes related to occupational safety and health (OSH). CONCLUSIONS: The body of evidence was small and diverse in terms of populations, interventions, and measured outcomes. TWH interventions were effective in improving intermediate outcomes traditionally measured in health promotion programs (smoking cessation and fruit and vegetable consumption) and reducing sedentary work behavior. Future research should be designed to evaluate the effect of integration by itself (separately from new or improved OSH and health promotion components) and assess the effect of integration on outcomes related to OSH.




Using Total Worker Health(R) to Advance Worker Health and Safety


Book Description

It is now recognized that workplace aspects (scheduling, shift work, physically demanding work, chemical exposure) not only increase the risk of injury and illness, but also impact health behaviors (smoking, physical activity) and health outcomes (sleep disorders and fatigue, obesity, musculoskeletal disorders). In turn, ill health and chronic conditions can affect performance at work, increasing risk for injury, absenteeism, and reduced productivity. In the past few decades, programs that expand the traditional focus of occupational safety and health to consider nontraditional work-related sources of health and well-being have been shown to be more effective than programs that separately address these issues. This Total Worker Health approach has been recognized by the National Institute for Occupational Safety and Health (NIOSH) as a method for protecting the safety and health of workers, while also advancing the overall well-being of these workers by addressing work conditions. This compendium presents work from an international collection of scholars exploring the relationship between workplace factors and worker safety, health, and well-being. It provides guidance for improving the organization and design of work environments, innovative strategies for promoting worker well-being, and novel methods for exposing underlying occupational causes of chronic disease.




Tobacco Control in the Workplace


Book Description

Tobacco products are legal and lethal, and they have numerous adverse impacts in the workplace. Besides being causes of increased healthcare costs and disability from the major tobacco-caused illnesses, tobacco products are also associated with greater absenteeism, decrements in job performance, and increased risk of injury. Tobacco exacts a disproportionate toll on individuals employed in blue-collar jobs who experience greater exposure to workplace toxins that can increase their risk of adverse effects from tobacco smoking. Second-hand tobacco smoke is a major air pollution problem. Persons employed in the hospitality industry and working class occupations are least protected by smoke-free workplace policies. This book provides an overview of recent advances that may help to reduce occupation-based inequities in tobacco harm, including a social contextual intervention model that integrates smoking cessation and occupational health and safety, and a new national effort to link labour unions and tobacco control organisations around their shared interest in reducing tobacco's threat to workers' health. The implications of these efforts for future research and action are highlighted. Combining sound workplace policies and tobacco dependence treatment with organised labour involvement in tobacco control provides synergies to reduce tobacco use in the workforce. These activities benefit workers and their families, employers, and society at large.




OECD Health Policy Studies Promoting Health and Well-being at Work Policy and Practices


Book Description

Policies to promote employee health and well-being not only protect from occupational risks, but also provide benefits for individuals and employers. Unhealthy lifestyles, characterised by high levels of stress, sedentary behaviour and poor eating habits, affect the health of employees and negatively impact workplace productivity.




Health Promotion in the Workplace


Book Description

Health Promotion in the Workplace is a valued reference for anyone who designs, manages, evaluates or studies workplace health promotion programs. Authored by a team of program managers and scholars who have designed and managed programs in several thousand settings, conducted hundreds of program evaluations, and published thousands of scientific studies on the most effective approaches, this 534 page book provides the rare combination of practical perspective combined with conservative scientific rigor. This 4th edition is completely revised from the 3rd edition, which was published in 2002, and builds on the principles first articulated in 1984, in the 1st edition. The earlier editions have been used by tens of thousands of professionals around the world. The overall book is organized around the Awareness, Motivation, Skills and Opportunity (AMSO) Framework, which was first articulated by Dr. Michael P. O'Donnell in 2005. The AMSO Framework has been adopted by hundreds of employers, and integrated into federal legislation that guides federal spending in this area. This book is written with three audiences in mind. The largest audience is the rapidly growing network of professionals who have embraced health promotion as a career. Our hope for them is to provide the insights and tools they need to be as effective as possible in their work, and in turn improve the health and quality of life for millions of people every day. Another key group is human resource professionals who have not chosen health promotion as a career, but have been tasked with implementing programs in their own organizations. Our hope for them is to provide a tangible sense of how programs should work, so they know how to hire the best people to help them and how to monitor and oversee the successful rollout, evaluation, and evolution of a program. The most important audience may be students, most of whom are young people with open minds and passion, people who are still formulating career plans. Our hope is that this book opens their minds to a career path through which they can help individuals experience an enhanced health and sense of wellbeing, transform workplaces into communities that care for their workers while they improve productivity and moderate medical cost increases, all of which will help organizations remain financially sustainable and commercially successful. This text is appropriate for students in undergraduate and graduate level programs. The 23 chapters of the book are organized into six major sections. The three chapters devoted to The Health Promotion Concept, include the health perspective, the business case and the AMSO Framework. The four chapters in on Management cover how to design, manage, evaluate, and market a program. The five chapters on Core Theories describe the behavior change theories most important for health promotion: goal setting, Transtheoretical Model, incentives, self efficacy, and tailoring. The eight chapters on Building Skills address health assessment, fitness, nutrition, stress management, weight control, tobacco control, decision support and EAP. The two chapters on Enhancing Opportunities discuss the impact of social relationships on organization culture. The final chapter is on special challenges in small business settings, the untapped frontier for workplace health promotion.




Health Promotion in the Workplace


Book Description

Health Promotion in the Workplace, 5th edition, is a valuable reference for anyone who designs, manages, evaluates or studies workplace health promotion programs. Authored by a team of program managers and scholars who have designed and managed programs in several thousand settings, conducted hundreds of program evaluations, and published thousands of scientific studies on the most effective approaches, this 689 page book provides the rare combination of practical perspective combined with conservative scientific rigor. Earlier editions have been used by tens of thousands of professionals around the world. The overall book is organized around the Awareness, Motivation, Skills and Opportunity (AMSO) Framework, which was first articulated by Dr. Michael P. O'Donnell in 2005. The AMSO Framework has been adopted by hundreds of employers, and integrated into federal legislation that guides federal spending in this area. Health Promotion in the Workplace, 5th edition is written with three audiences in mind. The largest audience is the rapidly growing network of professionals who have embraced health promotion as a career. Our hope for them is to provide the insights and tools they need to be as effective as possible in their work, and in turn improve the health and quality of life for millions of people every day. Another key group is human resource professionals who have not chosen health promotion as a career, but have been tasked with implementing programs in their own organizations. Our hope for them is to provide a tangible sense of how programs should work, so they know how to hire the best people to help them and how to monitor and oversee the successful rollout, evaluation, and evolution of a program. The most important audience may be students, most of whom are young people with open minds and passion, people who are still formulating career plans. Our hope is that this book opens their minds to a career path through which they can help individuals experience an enhanced health and sense of wellbeing, transform workplaces into communities that care for their workers while they improve productivity and moderate medical cost increases, all of which will help organizations remain financially sustainable and commercially successful. This text is appropriate for students in undergraduate and graduate level programs. The 23 chapters of the book are organized into six major sections. The three chapters devoted to The Health Promotion Concept, include the health perspective, the business case and the AMSO Framework. The four chapters in on Management cover how to design, manage, evaluate, and market a program. The five chapters on Core Theories describe the behavior change theories most important for health promotion: goal setting, Transtheoretical Model, incentives, self efficacy, and tailoring. The eight chapters on Building Skills address health assessment, fitness, nutrition, stress management, weight control, tobacco control, decision support and EAP. The two chapters on Enhancing Opportunities discuss the impact of social relationships on organization culture. The final chapter is on special challenges in small business settings, the untapped frontier for workplace health promotion.




Research Compendium


Book Description

In October 2004, NIOSH and our partners sponsored the Steps to a Healthier U.S. Workforce symposium. The symposium marked the launch of a new initiative, based on a comprehensive view of worker safety and health, that explored all avenues that affect the health of workers. The “Steps” symposium brought together leaders from the occupational safety and health community with leaders from the health promotion community to explore ways in which an integrated approach could help improve the protection and promotion of worker health. The symposium was developed around the themes of research, practice, and policy related to the integration of health protection and health promotion. In planning the symposium, NIOSH commissioned three white papers to examine the state of the science, stimulate discussion, and improve communication between researchers and practitioners in the fields of worksite health promotion and occupational safety and health. These formative papers established the rationale for expanding research on the benefits of integrated programs to improve the health of workers and workplaces. They are widely cited and are considered seminal writings on the science and practice of integrating health protection and health promotion. In the 7 years that have elapsed, interest in integrated approaches to worker health and safety has mushroomed. Because of these developments, we asked the authors to update their papers and, as a service to NIOSH stakeholders, we have assembled them together into a single compendium to facilitate their dissemination and accessibility. In the past 7 years, NIOSH has remained steadfast in its commitment to advancing efforts to improve workplace health and safety through multi-faceted approaches. Following the “Steps” symposium, NIOSH implemented a WorkLife Initiative under which we funded three extramural Centers of Excellence to further explore and research these concepts. In 2011, we renewed funding for those three Centers and added a fourth. As we set our sights on future directions for 2012 and beyond, NIOSH has also begun building a comprehensive intramural and extramural research program for Total Worker Health™ that builds on the progress under the “Steps” symposium and WorkLife Initiative.