Center for the Promotion of Health in the New England Workplace

描述（由申请人提供）：HITEC II是一项干预研究，专注于单一机构，康涅狄格州惩教部（DOC）。有三个令人信服的理由。首先，在许多国家，惩教是最大的单一公共雇员机构，具有广泛的身体和心理危害，但显然没有得到充分研究。其次，结果将推广到其他危险的公共安全工作。第三，迄今为止，DOC的工作取得了显著进展，提供了机会，将设施层面的方法与直接涉及组织结构和实践（例如，预算和采购，工程和工作场所设计以及生产力测量）的“系统方法”结合起来，以实现工人总健康(tm) -整合对工作环境风险和个人健康风险的关注。与其他CPH-NEW项目一致，HITEC II的前提是，工作场所卫生的变化，无论是参与性的还是自上而下的，都可能是不完整和不可持续的，除非管理层在为地方卫生促进活动提供基本支持之外进行同步的结构变革。商务部和姊妹机构，如行政事务处和审计署，似乎已经为下一个关键的干预阶段做好了准备。在HITEC II的使用寿命期间，这些上层干预的成功结果将转化为实用的工具包。HITEC II由两个具体目标组成，围绕两个项目组成部分：1。继续比较基于“改善”型原则的最佳做法、半参与式方法（地点a）和参与式地点（地点B），其中职业健康/安全（OHS）和工作场所健康促进（WHP）干预措施是由自下而上的设计团队在中层管理团队的支持下制定的。这一比较体现了HITEC 1研究设计的结构性变化，即用“改善”方法取代了自上而下的最佳实践；增加影响两个场地的上层设计元素；更大的标准化和跨站点干预的可比性。

DESCRIPTION (provided by applicant): HITEC II is an intervention study that focuses on a single agency, the Connecticut Department of Correction (DOC). There are three compelling reasons. First, corrections is the largest single body of public employees in many States, with a wide range of physical and psychosocial hazards but markedly understudied. Second, results will be generalizable to other hazardous public safety jobs. Third, work at DOC to date has progressed in a remarkable way, offering the opportunity to merge a facility-level approach to Total Worker Health(tm) - integrating attention to work environment risks and the health risks of individuals - with a 'systems approach' that directly engages organizational structures and practices (e.g., budgeting and procurement, engineering and workplace design, and productivity measurement). The premise of HITEC II, in alignment with the other CPH-NEW projects, is that changes in worksite health, whether participatory or introduced from above, are likely to be incomplete and unsustainable unless management undergoes coincident structural change beyond offering basic support for local health promotion activities. The CT DOC and sister agencies, such as Administrative Services and the Office of the Comptroller, appear to be ready for this next critical intervention phase. The successful results of these upper level intervention will be translated into practical toolkits during the lifespan of HITEC II. HITEC II consists of tw Specific Aims, organized around two program components: 1. Continuation of the facility comparison between a best practices, semi-participatory approach (Site A), based on 'kaizen' -type principles, and a participatory site (Site B) where occupational health/safety (OHS) and workplace health promotion (WHP) interventions are developed by a bottom-up design team, supported by a middle-management team. This comparison features structural changes from the HITEC 1 study design, namely the replacement of top-down best practices with the 'kaizen' approach; the addition of upper level design elements affecting both sites; and greater standardization and comparability of interventions across sites. 2. A new intervention study on sequential inception cohorts, namely 2013-2014 classes of new officers undergoing intensive training at the DOC training academy. Half will receive a standardized approach and half will be directly engaged in a two-tier mentoring system.