Scale-out of a Total Worker Health® approach for designing interventions to reduce teacher stress: pilot implementation evaluation.
Scale-out of a Total Worker Health® approach for designing interventions to reduce teacher stress: pilot implementation evaluation.
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DOI：
10.1186/s12889-022-13241-6
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发表时间：
2022-04-23
影响因子：
4.5
通讯作者：
Cavallari, Jennifer M.
中科院分区：
文献类型：
--
作者：
Sanetti, Lisa M. H.;Pierce, Alexandra M.;Gammie, Lauren;Dugan, Alicia G.;Cavallari, Jennifer M.
教师的日常压力很大，大多数可用的干预措施都集中在教师层面。然而，Total Worker Health® 方法的最佳实践表明，使用参与式方法确定的组织层面的干预措施是最有效的。我们进行了一项探索性扩展试点研究，以检验健康工作场所参与计划 (HWPP) 的采用情况，这是一种基于证据的全面工人健康方法，旨在让员工（例如教师）和监督人员（例如管理人员）参与两所小学工作场所福祉干预措施的设计和实施。我们使用报告适应和修改扩展框架对计划进行定量和定性评估，收集实施结果数据（即保真度、可接受性、理解性、可行性、系统一致性）以及数据驱动的适应。来自第一所学校的数据告知第二所学校内 HWPP 干预措施（HWPP 教育）的横向扩展调整。我们比较了试点学校 1 和试点学校 2 之间的实施结果，以评估调整后的 HWPP 的改进情况。建议对 HWPP 计划内容和流程进行调整，以提高可行性和环境适应性。与实施改进的 HWPP 教育的学校 1 和学校 2 相比，可接受性、理解性和可行性评级在统计上显示出显着改善。此外，用户报告说，包括更短的会议设计和更快的流程在内的调整在他们的工作环境中是可行的。这项试点研究是首次尝试将 HWPP 扩展到教育工作者，虽然不是为了确认功效，但它显示了有希望的扩展结果。试点学校 1 和 2 的结果表明，系统地使用定量和定性实施数据可以有效地为扩展工作提供信息，从而提高关键成果，如保真度、可接受性、理解性、可行性、系统一致性和领导者参与度，并减少所需的系统资源范围。因此，这种向外扩展的过程可能是一种可行的方法，可以作为教育工作者大规模实施 HWPP 的基础。
Teachers have high rates of daily stress and the majority of available interventions are focused at the teacher-level. Yet, best practices in Total Worker Health® approaches indicate organization-level interventions identified using a participatory approach are most effective. We conducted an exploratory scale-out pilot study to examine the adoption of the Healthy Workplace Participatory Program (HWPP), an evidence-based, Total Worker Health approach to engage employees (e.g., teachers) and supervisory personnel (e.g., administrators) in the design and implementation of workplace well-being interventions within two elementary schools. We evaluated the program both quantitatively and qualitatively collecting implementation outcome data (i.e., fidelity, acceptability, understanding, feasibility, system alignment) as well as data-driven adaptations using the Framework for Reporting Adaptations and Modifications-Expanded. Data from the first school informed scale-out adaptation of the HWPP intervention, HWPP-Education, within the second school. We compared implementation outcomes between Pilot Schools 1 and 2 to evaluate improvements in the adapted HWPP. Adaptations to HWPP program content and process were suggested to increase feasibility and contextual fit. Acceptability, understanding, and feasibility ratings showed statistically significant improvements comparing School 1 to School 2 which implemented the improved HWPP-Education. Furthermore, users reported adaptations including shorter meeting design and faster process were feasible within their work context. This pilot study is the first attempt to scale out the HWPP to educators, and while not intended to confirm efficacy, it showed promising results for scale-out. Results from Pilot Schools 1 and 2 suggest systematic use of quantitative and qualitative implementation data can effectively inform scale-out efforts that increase critical outcomes such as fidelity, acceptability, understanding, feasibility, system alignment, and leader engagement as well as decrease the extent of system resources needed. As such, this scale-out process may be a feasible approach on which to base large-scale implementation efforts of the HWPP among educators.
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影响因子：
9.9
作者：
Demerouti, E;Bakker, AB;Schaufeli, WB
通讯作者：
Schaufeli, WB
影响因子：
2.8
作者：
Brantlinger, E;Jimenez, R;Richardson, V
通讯作者：
Richardson, V
影响因子：
7.2
作者：
Aarons, Gregory A.;Sklar, Marisa;Brown, C. Hendricks
通讯作者：
Brown, C. Hendricks
影响因子：
3.1
作者：
Dugan AG;Punnett L
通讯作者：
Punnett L
DOI：
10.1186/1748-5908-7-32
发表时间：
2012-04-18
期刊：
Implementation science : IS
影响因子：
--
作者：
Aarons GA;Green AE;Palinkas LA;Self-Brown S;Whitaker DJ;Lutzker JR;Silovsky JF;Hecht DB;Chaffin MJ
通讯作者：
Chaffin MJ