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

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 心血管风险和睡眠失调的基础上选定的生物标志物和活动。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 成功招募到高应答率的研究中。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。

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.