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Evaluating the Health Benefits of Workplace Policies and Practices - Phase II

评估工作场所政策和实践的健康益处 - 第二阶段

基本信息

批准号：
8312560
负责人：
LISA F BERKMAN
金额：
$ 90.87万
依托单位：
HARVARD SCHOOL OF PUBLIC HEALTH
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-30 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8312560
关键词：
Absenteeism Address Adopted Adult Age Area Behavior Biological Biological Markers Businesses Care given by nurses Centers for Disease Control and Prevention (U.S.)Characteristics Child Communities Complement Conflict (Psychology)Consent Data Data Coordinating Center Discipline Dose Economics Employee Employee Health Environment Evaluation Experimental Designs Family Family Policy Family Practice Family Process Family health status Feasibility Studies Genetic Crossing Over Goals Health Health Benefit Health Psychology Human Resources Individual Industry Injury Intervention Intervention Studies Interview Job Satisfaction Letters Life Life Cycle Stages Long-Term Care Maintenance Mediating Methodology Methods Minnesota Monitor Occupational Health Occupations Organizational Culture Outcome Parents Participant Patient Self-Report Personal Satisfaction Phase Pilot Projects Policies Positioning Attribute Prevalence Process Productivity Randomized Recording of previous events Recruitment Activity Research Research Personnel Risk Safety Saliva Sampling Services Site Sleep Spouses Stress Surveys Symptoms Telephone Interviews Testing Time Training Translating Translational Research Translations Treatment Efficacy United States National Institutes of Health Wages Work Workplace actigraphy aged base cardiovascular risk factor design diaries dissemination research evidence base experience food preparation improved industry partner innovation intervention effect meetings multidisciplinary parental involvement physical conditioning programs psychological distress racial and ethnic research study response satisfaction sound statistics stress resilience theories therapy design working group

项目摘要

Although the prevalence of "family-friendly" policies in US workplaces has increased dramatically in recent years, few have been studied using scientifically sound designs. To address this critical gap,NIH and CDC formed the Work, Family, and Health Network (WFHN). During Phase 1, WFHN designed and conducted multiple pilot and feasibility studies. For Phase 2, the WFHN has been called upon to implement an innovative intervention based on Phase I pilot studies that is designed to increase family-supportive supervisor behaviors and employee control over work, and to evaluate the intervention using a group randomized experimental design. The goal of the proposed study is to assess the effects of a workplace intervention designed to reduce work-family conflict, and thereby improve the health and well being of employees, their families, and their workplaces. The study intervention is grounded in theory from multiple disciplines and supported by findings from our pilot/feasibility studies. We will assess the efficacy of the intervention via group-randomized field experiments, one at each of two employers representing different industries. Within each industry partner, 30 worksites of 50-120 employees each will be randomly assigned to intervention or usual practice conditions. All employee and supervisor participants will be assessed at baseline and at 6-, 12-, and 18-months post baseline, including survey interviews and health assessments of cardiovascular risk and sleep dysregulation based on selected biomarkers and actigraphy. Employees' spouse/partners and/or children (one resident child per employee) aged 10-17 years will be assessed to document the impact of the intervention on family functioning. In addition, to provide a more detailed perspective on the temporal relationship of work-family conflict and health, a sub-sample of 500 employee participants and their child will participate in a daily diary assessment including telephone interviews and saliva sampling. Our process evaluation documents details of intervention implementation and dose received by participants. The WFHN will also translate findings to business environments and other public media channels. The study holds great promise for informing the implementation of evidence-based family-friendly policies, and therefore improving the health and well-being of employees and their families nationwide. The Harvard WFHN has unique expertise in areas focusing on: 1 .assessments of health that rely on state of the art biomarker and sleep-related actigraphy assessments and 2. a strong history of worksite studies especially in long term care and among low wage workers from diverse racial/ethnic backgrounds. Our pilot studies suggest that workers from occupations including nursing care, custodial and food preparation can be successfully recruited to studies with high response rates. Our results indicate that work family practices are strongly related to objective health indicators of CVD risk and sleep disruption.

尽管近年来美国工作场所“家庭友好”政策的流行程度急剧上升，多年来，很少有人使用科学合理的设计进行研究。为了解决这一关键差距，NIH和CDC 工作，家庭和健康网络（WFHN）。在第一阶段，WFHN设计并实施了多项试点和可行性研究。在第二阶段，WFHN被要求实施一项基于第一阶段试点研究的创新干预措施，旨在增加家庭支持管理者行为和员工对工作的控制，并使用小组评估干预措施随机实验设计这项研究的目的是评估工作场所旨在减少工作与家庭冲突的干预措施，从而改善员工、他们的家庭和他们的工作场所。研究干预的理论基础来自多个我们的研究成果得到了我们的试点/可行性研究的支持。我们会评估通过分组随机实地实验进行干预，分别在代表不同雇主的两个雇主中进行行业在每个行业合作伙伴中，将随机分配30个工作地点，每个工作地点有50-120名员工干预或通常的实践条件。所有员工和主管参与者将在基线和基线后6个月、12个月和18个月，包括调查访谈和健康评估基于选定的生物标志物和体动记录仪的心血管风险和睡眠失调。雇员配偶/伴侣和/或10-17岁的子女（每位员工一名居民子女）将被评估为记录干预措施对家庭功能的影响。此外，为了提供更详细的工作-家庭冲突与健康的时间关系研究参与者和他们的孩子将参加每日日记评估，包括电话采访，唾液取样我们的过程评估记录了干预实施和接收剂量的详细信息参与者。WFHN还将把调查结果转化为商业环境和其他公共媒体渠道这项研究为实施以证据为基础的家庭友好型计划提供了很大的希望。政策，从而改善全国雇员及其家庭的健康和福祉。哈佛WFHN在以下领域拥有独特的专业知识：1 .依赖于国家的健康评估现有技术的生物标志物和睡眠相关的体动记录评估，以及2.一个强大的历史工地研究特别是在长期护理和来自不同种族/民族背景的低工资工人中。我们的飞行员研究表明，从事护理、看管和食品准备等职业的工人可以成功招募到具有高响应率的研究中。我们的研究结果表明，工作家庭的做法是与心血管疾病风险和睡眠中断的客观健康指标密切相关。

项目成果

期刊论文数量（9）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Depressive symptoms in extended-care employees: children, social support, and work-family conditions.

DOI：
10.3109/01612840.2011.609958
发表时间：
2011-01-01
期刊：
Issues in mental health nursing
影响因子：
2.1
作者：
O'Donnell, Emily M;Ertel, Karen A;Berkman, Lisa F
通讯作者：
Berkman, Lisa F

Racial/ethnic and gender differences in the association between self-reported experiences of racial/ethnic discrimination and inflammation in the CARDIA cohort of 4 US communities.

DOI：
10.1016/j.socscimed.2012.04.027
发表时间：
2012-09
期刊：
SOCIAL SCIENCE & MEDICINE
影响因子：
5.4
作者：
Cunningham, Timothy J.;Seeman, Teresa E.;Kawachi, Ichiro;Gortmaker, Steven L.;Jacobs, David R.;Kiefe, Catarina I.;Berkman, Lisa F.
通讯作者：
Berkman, Lisa F.

Effects of a workplace intervention on daily stressor reactivity.

工作场所干预对每日应激反应性的影响。