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，重点是一个单一的机构，康涅狄格州矫正部（DOC）。有三个令人信服的理由。首先，惩戒机构是许多国家最大的公共雇员群体，存在着广泛的身心危害，但显然未得到充分研究。其次，研究结果将推广到其他危险的公共安全工作。第三，迄今为止，DOC的工作取得了显着的进展，提供了将设施级方法与全面工人健康（TM）相结合的机会-将对工作环境风险和个人健康风险的关注与直接参与组织结构和实践的“系统方法”相结合（例如，预算和采购、工程和工作场所设计以及生产力衡量）。HITEC II的前提，与其他CPH-NEW项目一致，是工作场所健康的变化，无论是参与性的还是从上面引入的，都可能是不完整和不可持续的，除非管理层经历同步的结构性变化，而不仅仅是为当地健康促进活动提供基本支持。CT DOC和兄弟机构，如行政服务和主计长办公室，似乎已经为下一个关键的干预阶段做好了准备。这些上层干预的成功结果将在HITEC II的生命周期内转化为实用工具包。HITEC II由两个具体目标组成，围绕两个计划组成部分组织：1。继续对最佳做法、半参与式方法（地点A）和参与式地点（地点B）进行设施比较，在参与式地点，职业健康/安全（OHS）和工作场所健康促进（WHP）干预措施由自下而上的设计团队在中层管理团队的支持下制定。这种比较的特点是HITEC 1研究设计的结构变化，即用“改善”方法取代自上而下的最佳实践;增加影响两个网站的上层设计元素;以及更大的标准化和跨网站干预措施的可比性。 2.一项新的干预研究，针对连续的初始队列，即2013-2014年新军官的班级 正在DOC培训学院接受强化培训。其中一半将接受标准化方法，另一半将直接参与双层指导系统。

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.