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: 8434909
• 负责人: ORFEU M BUXTON
• 金额: $ 41.53万
• 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/8434909
• 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.

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、他们的家人和工作场所的健康和福祉。尽管近年来美国职场工作-生活政策的普及率大幅上升，但很少有使用实验设计的纵向研究来评估特定的工作-家庭干预措施对工作-家庭冲突和员工健康结果的影响。为了解决支持工作-家庭政策的知识库中的这一严重缺口，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NIH和CDC资助的试点和形成性研究，工作、家庭和健康网络开始了一项重大的(3100万美元)研究，在工作场所(30个地点)、工作组(每个工作地点~7个)、员工(n=1500)和员工家庭层面的多层次框架中评估特定行为工作场所干预的效果。这一母项目评估了一种创新的工作场所干预措施，旨在减少工作-家庭冲突对长期保健行业直接患者护理员工的健康，特别是心脏代谢和睡眠健康的影响。这种干预旨在减少员工的工作-家庭冲突，但有可能增加对中层管理人员--那些在战壕中处理员工日常工作生活和监督的主管--的工作-家庭需求的组织支持，从而改善这些管理人员的健康。在这项辅助性研究提案中，我们建议对28个工作地点的经理(n=163)进行研究，同时收集2010至2013年间的母公司研究数据。我们建议使用与母体研究评估相同的方法来评估中层管理人员的心脏代谢和睡眠健康。具体地说，我们假设1)以管理者实践和员工赋权为重点的有效工作场所干预最终将减少经理压力，我们将其操作为降低心脏代谢疾病风险和增加经理睡眠时间(在干预后6个月、12个月、18个月的随访中)；以及2)工作场所干预对直接测量的经理健康(心脏代谢疾病风险和睡眠)的影响将与员工在6个月、12个月、18个月的跟踪中直接测量的健康(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统计方法，用于变量选择，以确定在存在缺失数据的纵向研究中的结果预测因素，使用惩罚似然方法。我们扩展了父母研究的概念框架，纳入了管理者级别的客观健康衡量标准，使之能够评估工作场所干预对管理者健康结果的影响，而不是持续的惯常做法。这项建议是研究工作场所影响健康和慢性心脏代谢性疾病风险的多层次因素的一个独特和对时间敏感的机会。