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

描述（由申请人提供）：尽管近年来美国工作场所的“家庭友好”政策的流行率急剧增加，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。对于第二阶段，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，旨在增加家庭支持性主管行为和员工对工作的控制，并使用分组随机实验设计评估干预措施。拟议研究的目标是评估旨在减少工作-家庭冲突的工作场所干预措施的效果，从而改善员工，他们的家庭和工作场所的健康和福祉。研究干预以多个学科的理论为基础，并得到我们的试点/可行性研究结果的支持。我们将通过随机分组的现场实验来评估干预的有效性，实验对象为代表不同行业的两名雇主。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名雇员，接受干预或常规做法条件。将在基线和基线后6个月、12个月和18个月对所有员工和主管参与者进行评估，包括基于选定的生物标志物和活动记录仪的调查访谈和心血管风险和睡眠失调的健康评估。将对雇员的配偶/伴侣和/或10-17岁的子女（每名雇员一名常住子女）进行评估，以记录干预措施对家庭功能的影响。此外，为了更详细地了解工作家庭冲突与健康的时间关系，500名员工参与者及其子女的子样本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参与者接受的干预实施和剂量的详细信息。WFHN还将把调查结果转化为商业环境和其他公共媒体渠道。该研究为实施以证据为基础的家庭友好政策提供了很大的希望，从而改善了全国员工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 .依赖于最先进的生物标志物和睡眠相关活动记录评估的健康评估;一个强大的历史的工地研究，特别是在长期护理和低工资工人从不同的种族/民族背景。我们的试点研究表明，工人的职业，包括护理，保管和食品准备，可以成功地招募到高响应率的研究。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。

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.