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

• 批准号: 7690812
• 负责人: LISA F BERKMAN
• 金额: $ 142.06万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7690812
• 关键词: Absenteeism; Address; Adopted; Adult; Age; Area; Arts; 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; 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

DESCRIPTION (provided by applicant): 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.

描述(申请人提供)：尽管近几年美国职场中“家庭友好型”政策的盛行显著增加，但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成立了工作、家庭和健康网络(WFHN)。在第一阶段，WFHN设计并进行了多项试点和可行性研究。在第二阶段，WFHN被要求在第一阶段试点研究的基础上实施创新的干预措施，旨在增加家庭支持的主管行为和员工对工作的控制，并使用组随机实验设计来评估干预措施。这项拟议研究的目标是评估工作场所干预的效果，旨在减少工作-家庭冲突，从而改善员工、他们的家人和工作场所的健康和福祉。研究干预以多学科的理论为基础，并得到我们的试点/可行性研究结果的支持。我们将通过分组随机现场实验来评估干预的效果，每个实验在代表不同行业的两个雇主身上进行。在每个行业合作伙伴中，每个50-120名员工的30个工作地点将被随机分配到干预或常规实践条件下。所有员工和主管参与者将在基线以及基线后6个月、12个月和18个月进行评估，包括基于选定的生物标记物和动作学对心血管风险和睡眠失调进行调查访谈和健康评估。将对10-17岁雇员的配偶/伴侣和/或子女(每名雇员一名常驻子女)进行评估，以记录干预对家庭功能的影响。此外，为了对工作-家庭冲突与健康之间的时间关系提供更详细的视角，500名员工参与者及其子女将参加每日日记评估，包括电话采访和唾液采样。我们的过程评估记录了干预实施的细节和参与者接受的剂量。WFHN还将把调查结果翻译到商业环境和其他公共媒体渠道。这项研究很有希望为循证家庭友好政策的实施提供信息，从而改善全国员工及其家人的健康和福祉。哈佛WFHN在以下领域拥有独特的专业知识：1.依赖最先进的生物标记物和睡眠相关活动评估的健康评估；2.工作场所研究的丰富历史，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。我们的初步研究表明，来自护理、看护和食品准备等职业的工人可以成功地招募到应答率较高的研究中。我们的结果表明，工作家庭实践是 与心血管疾病风险和睡眠中断的客观健康指标密切相关。