Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment
Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment
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DOI：
10.3390/ijerph14040384
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发表时间：
2017-04-01
影响因子：
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通讯作者：
Lin, Ting-Ti
中科院分区：
文献类型：
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作者：
Muramatsu, Naoko;Yin, Lijuan;Lin, Ting-Ti
家庭护理助理(HCA)，主要是女性，是美国增长最快的职业之一。HCA在缺乏典型工作场所资源和福利的客户家中工作。这项混合方法的研究调查了HCAs的工作环境是如何通过一个针对客户和工人的试点工作场所健康促进计划而改变的。干预始于培训HCA，让他们在医疗补助资助的家庭护理计划中为年长的客户提供温和的身体活动计划。年龄在50岁以上的HCA报告称，他们为客户提供的体力活动(伸展或强化运动)的时间增加了(p=0.027)。几乎所有(98%)的HCA对该计划感到满意。这些定量结果得到了来自开放式调查问题和焦点小组的定性数据的证实。HCA描述了他们如何与客户一起锻炼，以及心理社会工作环境如何随着项目的变化而变化。将体力活动纳入HCA的工作是可行的，可以有效地促进HCA的健康，特别是在较年长的HCA中。
Home care aides (HCAs), predominantly women, constitute one of the fastest growing occupations in the United States. HCAs work in clients' homes that lack typical workplace resources and benefits. This mixed-methods study examined how HCAs' work environment was transformed by a pilot workplace health promotion program that targeted clients as well as workers. The intervention started with training HCAs to deliver a gentle physical activity program to their older clients in a Medicaid-funded home care program. Older HCAs aged 50+ reported increased time doing the types of physical activity that they delivered to their clients (stretching or strengthening exercise) (p = 0.027). Almost all (98%) HCAs were satisfied with the program. These quantitative results were corroborated by qualitative data from open-ended survey questions and focus groups. HCAs described how they exercised with clients and how the psychosocial work environment changed with the program. Building physical activity into HCAs' job is feasible and can effectively promote HCAs' health, especially among older HCAs.