Evaluating cardiometabolic and sleep health benefits of a workplace intervention

评估工作场所干预对心脏代谢和睡眠健康的益处

• 批准号: 8217279
• 负责人: ORFEU M BUXTON
• 金额: $ 44.42万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-02-01 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8217279
• 关键词: Address; Ancillary Study; Behavioral; Businesses; Cardiovascular system; Centers for Disease Control and Prevention (U.S.); Chronic; Clinical Trials; Clinical Trials Design; Conflict (Psychology); Controlled Study; Data; Data Collection; Employee; Employee Health; Enrollment; Evaluation; Experimental Designs; Family; Family Policy; Family health status; Family member; Funding; Goals; Health; Health Benefit; Healthcare Industry; Intervention; Intervention Studies; Life; Longitudinal Studies; Measures; Methodology; New England; Occupations; Outcome; Parents; Personal Satisfaction; Policies; Prevalence; Process; Productivity; Randomized; Randomized Controlled Trials; Research; Research Design; Risk; Site; Sleep; Social Change; Social Environment; Stress; Supervision; Testing; Time; Training; Translating; United States National Institutes of Health; Work; Workplace; abstracting; cardiovascular disorder risk; design; direct patient care; disorder prevention; disorder risk; empowerment; experience; falls; flexibility; follow-up; high standard; improved; innovation; intervention effect; knowledge base; member; novel; parent project; physical conditioning; post intervention; research study; skills; therapy design; working group

DESCRIPTION (provided by applicant): Managing work and family responsibilities in the U.S. is often difficult and impacts the health and well-being of employees, their families, and the workplace. Although the prevalence of work-life policies in U.S. workplaces has increased dramatically in recent years, there are few longitudinal studies using experimental designs to evaluate the effects of specific work-family interventions on work-family conflict and worker health outcomes. To address this critical gap in the knowledge base supporting work-family policies, the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) formed the Work, Family, and Health Network (WFHN). After 3 years of NIH- and CDC-funded pilot and formative research, the Work, Family and Health Network has embarked on a major ($31M) study of the effects of a specific behavioral workplace intervention evaluated in a multi-level framework at the workplace (30 sites), work group (~ 7 per worksite), employee (n=1500), and employee family levels. This parent project evaluates an innovative workplace intervention designed to reduce work-family conflict on the health, particularly cardiometabolic and sleep health, of direct patient-care employees in the long-term health care industry. This intervention is designed to decrease work-family conflict for employees, but has the potential of increasing the organizational support for the work-family needs of mid-level managers-those supervisors in the trenches who deal with the day to day work life and supervision of employees-leading to improved health of these managers. In this ancillary study proposal, we propose to study managers (n=163) at 28 worksites in parallel with the parent study data collection from 2010 through 2013. We propose to assess mid-level managers' cardiometabolic and sleep health using measures identical to the parent study assessments in employees. Specifically, we hypothesize that 1) an effective workplace intervention focused on manager practices and employee empowerment will ultimately reduce manager stress, which we operationalize as decreased cardiometabolic disease risk and increased manager sleep duration (at 6-, 12-, 18-month follow-ups post-intervention); and 2) that the effects of the workplace intervention on directly-measured managers health (cardiometabolic disease risk and sleep) will be associated with employees' directly-measured health (cardiometabolic disease risk and sleep) at the 6-, 12, 18-month follow-ups. To test these hypotheses we will also develop novel and broadly applicable statistical methodologies for variable selection to identify predictors of the outcomes in longitudinal studies in the presence of missing data, using a penalized likelihood approach. We extend the conceptual framework of the parent study by including manager-level objective health measures that enable the evaluation of the effects of the workplace intervention, versus continued usual practice, on manager health outcomes. This proposal represents a unique and time-sensitive opportunity to study the multi-level factors influencing health and chronic cardiometabolic disease risk in the workplace. PUBLIC HEALTH RELEVANCE: Narrative Although the prevalence of "family-friendly" or "work-life" policies in U.S. workplaces has increased dramatically in recent years, few longitudinal experiments have evaluated the effects of work-family interventions on employee health outcomes. The Work, Family and Health Study is an ongoing, randomized, controlled trial of an innovative workplace intervention to improve employee health. This time-sensitive Ancillary Study proposal adds objective health outcomes in mid-level managers, a focus of the intervention, to evaluate the effects of this workplace intervention on managers' cardiometabolic and sleep health, and represents a unique opportunity to study the multi-level factors influencing health in the workplace. (End of Abstract)

描述（由申请人提供）：在美国管理工作和家庭责任通常很困难，会影响员工、家人和工作场所的健康和福祉。尽管近年来美国工作场所的工作-生活政策的流行率急剧增加，但很少有纵向研究使用实验设计来评估特定工作-家庭干预措施对工作-家庭冲突和工人健康结果的影响。为了解决支持工作-家庭政策的知识库中的这一关键差距，美国国立卫生研究院（NIH）和疾病控制和预防中心（CDC）成立了工作，家庭和健康网络（WFHN）。经过3年的国家卫生研究院和疾病预防控制中心资助的试点和形成性研究，工作，家庭和健康网络已经开始了一项重大的（3100万美元）研究，在工作场所（30个站点），工作组（每个站点约7个），员工（n=1500）和员工家庭水平的多层次框架中评估特定行为工作场所干预的影响。该母项目评估了一种创新的工作场所干预措施，旨在减少长期医疗保健行业中直接患者护理员工的健康，特别是心脏代谢和睡眠健康的工作家庭冲突。这种干预的目的是减少员工的工作-家庭冲突，但有可能增加组织对中层管理人员工作-家庭需求的支持，这些管理人员在战壕中处理日常工作生活和监督企业，从而改善这些管理人员的健康状况。在这项辅助研究提案中，我们建议在2010年至2013年期间，在收集母研究数据的同时，在28个研究中心进行研究经理（n=163）。我们建议使用与员工父母研究评估相同的措施来评估中层管理人员的心脏代谢和睡眠健康。具体来说，我们假设：1）一个有效的工作场所干预，重点是管理者的做法和员工授权，最终将减少管理者的压力，我们操作为降低心脏代谢疾病的风险和增加经理睡眠时间（干预后6、12、18个月随访时）;工作场所干预对直接测量的管理人员健康的影响（心脏代谢疾病风险和睡眠）将与员工在6个月、12个月、18个月随访时直接测量的健康（心脏代谢疾病风险和睡眠）相关。为了检验这些假设，我们还将开发新的和广泛适用的变量选择的统计方法，以确定在缺失数据的存在下，在纵向研究的结果的预测因子，使用惩罚似然方法。我们扩展的概念框架的父母研究，包括管理层的客观健康措施，使工作场所的干预，与持续的惯常做法，对管理人员的健康结果的影响进行评估。这项提案是一个独特的和时间敏感的机会，研究影响工作场所健康和慢性心脏代谢疾病风险的多层次因素。公共卫生关系：叙述虽然流行的“家庭友好”或“工作生活”的政策在美国工作场所近年来急剧增加，很少有纵向实验评估工作家庭干预对员工健康结果的影响。工作，家庭和健康研究是一项正在进行的随机对照试验，旨在改善员工健康的创新工作场所干预措施。这项时间敏感的辅助研究提案增加了中层管理人员的客观健康结果，这是干预的重点，以评估这种工作场所干预对管理人员心脏代谢和睡眠健康的影响，并代表了研究影响工作场所健康的多层次因素的独特机会。(End摘要）