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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="1.3" xml:lang="en" article-type="research-article"><?properties manuscript?><processing-meta base-tagset="archiving" mathml-version="3.0" table-model="xhtml" tagset-family="jats"><restricted-by>pmc</restricted-by></processing-meta><front><journal-meta><journal-id journal-id-type="nlm-journal-id">9209845</journal-id><journal-id journal-id-type="pubmed-jr-id">36148</journal-id><journal-id journal-id-type="nlm-ta">J Occup Organ Psychol</journal-id><journal-id journal-id-type="iso-abbrev">J Occup Organ Psychol</journal-id><journal-title-group><journal-title>Journal of occupational and organizational psychology</journal-title></journal-title-group><issn pub-type="ppub">0963-1798</issn><issn pub-type="epub">2044-8325</issn></journal-meta><article-meta><article-id pub-id-type="pmid">38282746</article-id><article-id pub-id-type="pmc">10821796</article-id><article-id pub-id-type="manuscript">HHSPA1951651</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Can supervisor support improve daily employee well-being? Evidence of supervisor training effectiveness in a study of veteran employee emotions</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9884-2246</contrib-id><name><surname>Mohr</surname><given-names>Cynthia D.</given-names></name><xref rid="CR1" ref-type="corresp">*</xref><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8066-7531</contrib-id><name><surname>Hammer</surname><given-names>Leslie B.</given-names></name><xref rid="A1" ref-type="aff">1</xref><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-3967-9017</contrib-id><name><surname>Brady</surname><given-names>Jacquelyn M.</given-names></name><xref rid="A2" ref-type="aff">2</xref><xref rid="A3" ref-type="aff">3</xref></contrib><contrib contrib-type="author"><name><surname>Perry</surname><given-names>MacKenna L.</given-names></name><xref rid="A4" ref-type="aff">4</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7001-274X</contrib-id><name><surname>Bodner</surname><given-names>Todd</given-names></name><xref rid="A1" ref-type="aff">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Portland State University, Oregon, USA</aff><aff id="A2"><label>2</label>Oregon Health and Science University, Portland, Oregon, USA</aff><aff id="A3"><label>3</label>San Jos&#x000e9; State University, California, USA</aff><aff id="A4"><label>4</label>Clarity Scientific LLC, Beaverton, Oregon, USA</aff><author-notes><fn fn-type="con" id="FN1"><p id="P1">Author contributions</p><p id="P2">Cynthia Mohr (Conceptualization; Funding acquisition; Methodology; Project administration; Resources; Supervision; Validation; Visualization; Writing &#x02013; original draft; Writing &#x02013; review &#x00026; editing) Leslie B. Hammer (Conceptualization; Funding acquisition; Methodology; Project administration; Resources; Supervision; Validation; Writing &#x02013; original draft; Writing &#x02013; review &#x00026; editing) Jacquelyn Brady (Conceptualization; Formal analysis; Software; Validation; Writing &#x02013; original draft; Writing &#x02013; review &#x00026; editing) MacKenna Perry (Conceptualization; Data curation; Formal analysis; Software; Visualization; Writing &#x02013; original draft; Writing &#x02013; review &#x00026; editing) Todd Bodner (Conceptualization; Formal analysis; Methodology; Software; Supervision; Validation; Writing &#x02013; original draft; Writing &#x02013; review &#x00026; editing)</p></fn><corresp id="CR1"><label>*</label>Correspondence should be addressed to Cynthia D. Mohr, Portland State University, P.O. Box 751, Portland, OR, 97207, USA, <email>cdmohr@pdx.edu</email>.</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>15</day><month>12</month><year>2023</year></pub-date><pub-date pub-type="ppub"><season>3rd Quarter</season><year>2021</year></pub-date><pub-date pub-type="pmc-release"><day>27</day><month>1</month><year>2024</year></pub-date><volume>94</volume><issue>2</issue><fpage>400</fpage><lpage>426</lpage><abstract id="ABS1"><p id="P3">Workplace supportive supervisor interventions offer an effective, though underutilized mechanism to bolster employee well-being, which may have important benefits particularly for understudied groups such as military veterans in the civilian workforce. The present study employed a two-wave daily diary study to test the effectiveness of a supportive supervisor training on positive and negative emotions of veteran employees. Daily diaries are instrumental to understanding well-being, in that they accurately capture emotions as they are experienced without retrospective biases that reflect more global emotional assessments. Each wave (baseline and 6 months later) comprised emotion reports over 32-day periods. Thirty-five organizations were randomized into intervention and control groups; 144 veterans (91% men) participated in the daily diaries at baseline. The training significantly improved well-being facets including improvements in unactivated positive (i.e., calm) emotions at follow-up. Two significant moderation effects were also revealed for PTSD screening. For veteran employees with positive PTSD screens, the intervention functioned to reduce negative emotions. For those employees with negative PTSD screens, the intervention enhanced positive emotions. Our work highlights the benefit of workplace supervisor support to positive and negative employee mood.</p></abstract></article-meta></front><body><p id="P4">Military veterans comprise nearly 6% of the U.S. civilian workforce (<xref rid="R16" ref-type="bibr">Bureau of Labor Statistics, 2020</xref>). Over four million people have served in the U.S. military since Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF, or post-9/11); the number of transitioning service members is estimated to continue to grow, with current numbers reaching 200,000 per year (<xref rid="R1" ref-type="bibr">Ainspan, Penk, &#x00026; Kearney, 2018</xref>). Veterans are well-qualified for many workplace roles, bringing diverse experiences and perspectives, along with strong skills (<xref rid="R43" ref-type="bibr">Hammer, Brockwood, &#x00026; Haverly, 2021</xref>; <xref rid="R51" ref-type="bibr">Hardison &#x00026; Shanley, 2016</xref>). Successful integration into the civilian workforce is an important opportunity for organizations. Furthermore, successful integration is critical to the well-being of service members who have sacrificed for the benefit of the country (<xref rid="R36" ref-type="bibr">Elnitsky, Blevins, Fisher, &#x00026; Magruder, 2017</xref>). According to Elnitsky et al., too little research has focused on community-level factors (such as workplaces) that play a critical role in successful societal reintegration; research fails to acknowledge the interplay between community- and individual-level factors (e.g., how supportive work environments can promote individual veteran psychological health). This coincides with recent calls for more research on this underserved population of employees (e.g., <xref rid="R21" ref-type="bibr">Colella, Hebl, &#x00026; King, 2017</xref>). Although many veterans make the transition seamlessly, some need greater support, and the workplace is an effective context for interventions demonstrated to improve psychological health (<xref rid="R48" ref-type="bibr">Hammer, Wan, Brockwood, Bodner, &#x00026; Mohr, 2019</xref>) and the work&#x02013;family interface, especially for higher-stressed employees (<xref rid="R45" ref-type="bibr">Hammer, Kossek, Anger, Bodner, &#x00026; Zimmerman, 2011</xref>). Indeed, a subset of post-9/11 veterans experience post-traumatic stress disorder (PTSD; about 13.5%; <xref rid="R35" ref-type="bibr">Dursa, Reinhard, Barth, &#x00026; Schneiderman, 2014</xref>) and thus may have particular support needs. The aim of the present study is to examine the effectiveness of one such intervention &#x02013; a supervisor support training (SST) intervention tailored to support military veterans who have transitioned to the civilian workplace.</p><p id="P5">With increased interest in the improvement of health and well-being of workers among occupational health scholars and organizational practitioners, more efforts have been focused on developing and evaluating the effects of workplace interventions (<xref rid="R47" ref-type="bibr">Hammer &#x00026; Perry, 2019</xref>). Positive effects have been demonstrated for training interventions targeting supervisor supportive behaviours on worker outcomes including sleep (e.g., <xref rid="R22" ref-type="bibr">Crain et al., 2019</xref>) and psychological health (e.g., psychological distress; <xref rid="R58" ref-type="bibr">Kossek et al., 2019</xref>). Such trainings draw on the rich and voluminous literature on social support to provide supervisors with evidence-based tools to enrich employees&#x02019; positive resources and mitigate negative stress-related outcomes. Based on evidence of the value of supporting employee health and well-being, as well as theoretical and empirical support for the importance of emotional well-being, interventions that target reductions in employee stress and enhance resources by increasing supervisor support should benefit both employees and the workplace. However, evaluating the effectiveness of such interventions on employees&#x02019; emotional well-being may require different strategies from traditional longitudinal multi-wave surveys.</p><p id="P6">Although SSTs provide benefits to workplace organizations and their employees as a whole, research has documented the tailored benefits that can be afforded to employees confronting particular challenges, such as employees managing work&#x02013;family conflicts (e.g., <xref rid="R45" ref-type="bibr">Hammer et al., 2011</xref>), or those experiencing a period of high stress or mental health difficulties (e.g., <xref rid="R34" ref-type="bibr">Dimoff &#x00026; Kelloway, 2019</xref>). For veterans and non-veterans alike, generational demographic changes in the workforce have led to a burgeoning interest in the work&#x02013;family interface with the evolution in work and domestic roles (e.g., women working outside the home; <xref rid="R42" ref-type="bibr">Halpern, 2005</xref>), along with interventions designed to maximize the benefits of flexibility, while reducing conflicts between work and family domains (e.g., <xref rid="R45" ref-type="bibr">Hammer et al., 2011</xref>). Social support may be particularly beneficial to people in greater need, such as members of disadvantaged groups (<xref rid="R6" ref-type="bibr">Bavik, Shaw, &#x00026; Wang, 2020</xref>). One such disadvantaged group is that of military veteran employees, as this is a group of employees who are likely to face stigma in the workplace (<xref rid="R88" ref-type="bibr">Stone &#x00026; Colella, 1996</xref>; <xref rid="R87" ref-type="bibr">Stone &#x00026; Stone, 2015</xref>) due to perceptions of being &#x02018;damaged&#x02019; or of &#x02018;poorer&#x02019; mental health than the general population (<xref rid="R15" ref-type="bibr">Britt, Black, Cheung, Pury, &#x00026; Zinzow, 2018</xref>).</p><sec disp-level="2" id="S2"><title>Workplace social support</title><p id="P7">Social support theory provides the foundation for understanding supervisor support mechanisms and provides guidance for tools and strategies supervisors can use to bolster employee well-being. Generally speaking, the social support we receive from others in our social networks, including the people with whom we work, is vital to our health and well-being (e.g., <xref rid="R19" ref-type="bibr">Cohen &#x00026; Wills, 1985</xref>) including emotions (<xref rid="R75" ref-type="bibr">Pierce &#x00026; Quiroz, 2019</xref>). Perceptions of workplace social support involve the perception that one is a valued employee and the access to resources that help meet role demands (e.g., <xref rid="R57" ref-type="bibr">Kossek, Pichler, Bodner, &#x00026; Hammer, 2011</xref>); such resources include emotional and instrumental or tangible assistance (e.g.,<xref rid="R27" ref-type="bibr">Cutrona, 1989</xref>).According to a recent comprehensive meta-analysis of the multidisciplinary social support literature, social support plays multiple distinct roles in shaping well-being (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>). Of most relevance to our investigation is the role of social support as <italic toggle="yes">positivity catalyst and negativity buffer</italic> (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>).</p><p id="P8">Positivity catalyst describes how the exchange of resources over time fosters high quality social relationships and is built on the social norm of reciprocity that governs all relationships (e.g., <xref rid="R41" ref-type="bibr">Gouldner, 1960</xref>). When social support acts as a positivity catalyst, an employee provided with a supportive benefit engenders their own positive behaviour (e.g., employee engagement). While this role of social support as a positivity catalyst is consistent with social exchange theory (<xref rid="R10" ref-type="bibr">Blau, 1964</xref>), it also suggests that the provision of support serves as a resource, as described in the conservation of resources (COR) theory (<xref rid="R52" ref-type="bibr">Hobfoll, 1989</xref>) and the job demands-resources (JD-R) model (<xref rid="R29" ref-type="bibr">Demerouti, Bakker, Nachreiner, &#x00026; Schaufeli, 2001</xref>). COR theory and the JD-R model articulate how employees are motivated to accumulate and maintain highly valued resources, yielding work and well-being benefits. This view of social support most closely aligns with the direct effect model of social support (<xref rid="R19" ref-type="bibr">Cohen &#x00026; Wills, 1985</xref>), in which positive benefits are derived directly from one&#x02019;s socially rewarding social roles and embeddedness in a larger social network, and not necessarily in response to a real or potential stressor.</p><p id="P9">The most dominant perspective of social support roles is that of the negativity buffer (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>). In this role, the potential impact of a stressor on one&#x02019;s health and well-being is a function of one&#x02019;s appraisal of a perceived stressor and one&#x02019;s adequacy (or inadequacy) of resources to meet the needs of that stressor (<xref rid="R64" ref-type="bibr">Lazarus &#x00026; Folkman, 1984</xref>). In the workplace context, support can also be viewed as a resource, which can reduce the negative effects of stressors and job demands on well-being, consistent with the JD-R model (<xref rid="R29" ref-type="bibr">Demerouti et al., 2001</xref>). This support role is most consistent with the stress-buffering function of social support (<xref rid="R19" ref-type="bibr">Cohen &#x00026; Wills, 1985</xref>). Although received support can be miscarried, support that is given when needed is associated with positive perceptions of support and mental well-being (<xref rid="R69" ref-type="bibr">Melrose, Brown, &#x00026; Wood, 2015</xref>). As a negativity (or stress) buffer, social support can influence the appraisal of a potential stressor, thereby preventing a stress response. Similarly, a key benefit of resource accumulation, as described above, is that it prevents the occurrence of many stressors.</p><p id="P10">Supervisors are particularly valuable source of support for employees in the workplace, as the support they give can serve as both a positivity catalyst and negativity buffer. Supervisors are able to cultivate a culture of support for employees; for example, workplace programmes encouraging family supportive supervisor behaviours (FSSB) lead to improved employee health, well-being, and work outcomes (<xref rid="R47" ref-type="bibr">Hammer &#x00026; Perry, 2019</xref>). Supervisors also hold positions enabling them to provide critical resources to offset work-related stress (<xref rid="R46" ref-type="bibr">Hammer,Kossek,Zimmerman,&#x00026; Daniels, 2007</xref>). They provide direction on performing the job, provide rewards for performance, and are gatekeepers to top organizational leaders and to accessing organizational programmes and policies that can support employees both in times of need and normalcy.</p><p id="P11">Consequently, supervisor support benefits employee health and well-being (for reviews, see <xref rid="R23" ref-type="bibr">Crain &#x00026; Stevens, 2018</xref>; <xref rid="R56" ref-type="bibr">Kelloway &#x00026; Barling, 2010</xref>), impacting both positive and negative psychological health outcomes, including stress and strain (<xref rid="R56" ref-type="bibr">Kelloway &#x00026; Barling, 2010</xref>). During times of high need (e.g., organizational crisis), employee positive and negative emotions mediate the relationship between perceptions of supervisor support and cynicism (<xref rid="R20" ref-type="bibr">Cole, Bruch, &#x00026; Vogel, 2006</xref>). Daily supervisor support protects against work&#x02013;family conflict-associated declines in negative affect (<xref rid="R2" ref-type="bibr">Almeida et al., 2016</xref>). Further, FSSB training, which is conceptually related to the present study intervention, has been shown to improve job satisfaction among employees experiencing significant work&#x02013;family conflict (<xref rid="R45" ref-type="bibr">Hammer et al., 2011</xref>); job satisfaction being a facet of subjective well-being, along with emotions (e.g., <xref rid="R31" ref-type="bibr">Diener, 2009</xref>; <xref rid="R53" ref-type="bibr">Judge &#x00026; Locke, 1993</xref>). Despite evidence on the benefits of supervisor support (e.g., <xref rid="R45" ref-type="bibr">Hammer et al., 2011</xref>; <xref rid="R74" ref-type="bibr">Odle-Dusseau, Hammer, Crain, &#x00026; Bodner, 2016</xref>), little information in the literature instructs supervisors on how to enact supportive behaviours. Recently, research has begun to demonstrate the positive effects of SST interventions that target enactment of supportive behaviours on worker health and well-being outcomes (e.g., <xref rid="R22" ref-type="bibr">Crain et al., 2019</xref>; <xref rid="R58" ref-type="bibr">Kossek et al., 2019</xref>).</p></sec><sec disp-level="2" id="S3"><title>Workplace SST for veterans</title><p id="P12">The workplace SST developed for this study targets support provisions that are relevant to all employees, while also incorporating veteran-specific support that targets the civilian workplace reintegration of veterans and active reservists (e.g., National Guard service members). Our approach helps address the call for the inclusion of more diversity of employees in organizational research, including current and former service members (i.e., veterans; <xref rid="R21" ref-type="bibr">Colella et al., 2017</xref>), in order to better understand the workplace context for that segment of the workforce. Evidence suggests that challenges in work and family domains may be particularly concerning for reintegrating veterans who report difficulty adjusting to civilian life post-military deployment (44%) and experience strains in family life (48%; <xref rid="R89" ref-type="bibr">Tanielian, Batka, &#x00026; Meredith, 2017</xref>). In addition, veterans face many potential work-related difficulties, including a lack of positive support interactions and stigma in the workplace (<xref rid="R55" ref-type="bibr">Keeling, Kintzle, &#x00026; Castro, 2018</xref>). Many veterans face additional stressors, such as cynicism that carry over from military deployment and issues affecting work and family functioning (<xref rid="R84" ref-type="bibr">Smith, Weisenbach, &#x00026; Jones, 2018</xref>). Thus, workplace supports developed to address work&#x02013;family issues may be especially beneficial to military veterans&#x02019; emotional well-being.</p><p id="P13">The SST examined in the present study (<xref rid="R47" ref-type="bibr">Hammer et al., 2019</xref>) is based on evidence-based FSSB training (<xref rid="R44" ref-type="bibr">Hammer, Demsky, Kossek &#x00026; Bray, 2016</xref>) and targets four types of support behaviours, defined as (1) <italic toggle="yes">emotional</italic>, or behaviours that demonstrate a worker is cared for and their feelings are being considered; (2) <italic toggle="yes">instrumental</italic>, or behaviours that help workers manage schedules and solve schedule conflicts; (3) <italic toggle="yes">role modelling</italic>, or behaviours that show how a supervisor is taking care of their own work/life challenges; and (4) <italic toggle="yes">creative work&#x02013;family management</italic>, or behaviours aimed at redesigning work to support conflicting employee work-life demands in a manner that is a &#x02018;win-win&#x02019; for both employees and employers. Job performance support training was also included covering topics associated with general supervisor skills that address task accomplishment, including measurement, direction, feedback, coaching, providing resources, and health protection, to complement the FSSB training (<xref rid="R44" ref-type="bibr">Hammer et al., 2016</xref>). Our intervention also included information regarding mental and physical health effects that could result from military combat, including clarifying that the incidence of PTSD in the military is lower than public perceptions (<xref rid="R66" ref-type="bibr">Mahar et al., 2017</xref>), while offering tips on warning signs, thereby educating civilian supervisors and destigmatizing such experiences.</p><p id="P14">Thus, we aimed to cultivate greater resources for the veterans through SST leading to improved well-being. The intervention also includes information that contributes to a supportive military culture by highlighting the contributions of service members such as high levels of dedication and strong leadership skills and abilities. Accordingly, the positive emotional enhancement brought about by the SST serves as a positivity catalyst and negativity buffer.</p></sec><sec disp-level="2" id="S4"><title>Emotional well-being and intervention assessment</title><p id="P15">Positive and negative emotions are characterized as feeling pleasant or unpleasant across lay and academic perspectives (e.g., <xref rid="R7" ref-type="bibr">Beedie, Terry, &#x00026; Lane, 2005</xref>; <xref rid="R28" ref-type="bibr">Davidson, 1994</xref>; <xref rid="R81" ref-type="bibr">Russell &#x00026; Barrett, 1999</xref>) and comprise core components of subjective well-being, with the understanding that optimal well-being is represented by a high positive emotion to negative emotion ratio (<xref rid="R30" ref-type="bibr">Diener, 2000</xref>). Positive and negative emotions ebb and flow with everyday positive and negative events (<xref rid="R38" ref-type="bibr">Gable, Reis, &#x00026; Elliot, 2000</xref>) including work stressors (e.g., <xref rid="R14" ref-type="bibr">Bolger, DeLongis, Kessler, &#x00026; Schilling, 1989</xref>). Emotions and cognitions are thought to be primary responses to contextual factors (<xref rid="R62" ref-type="bibr">Lazarus, 1982</xref>; <xref rid="R94" ref-type="bibr">Zajonc, 1980</xref>), preceding behavioural outcomes. Positive and negative emotions function independently (<xref rid="R32" ref-type="bibr">Diener &#x00026; Emmons, 1984</xref>), meaning individuals can experience both low negative and positive emotions simultaneously. Emotional well-being has most often been represented by a summary or composite of positive and of negative emotion scores to represent a general sense of pleasant or unpleasant emotional experience (e.g., <xref rid="R30" ref-type="bibr">Diener, 2000</xref>).</p><p id="P16">Because emotional states are dynamic and changeable (e.g., <xref rid="R61" ref-type="bibr">Larsen &#x00026; Kasimatis, 1990</xref>), as are the relationships between day-to-day stressors and emotions, it is critical to capture these variables as they are experienced, as opposed to retrospectively (e.g., <xref rid="R90" ref-type="bibr">Tennen, Affleck, Armeli, &#x00026; Carney, 2000</xref>). Importantly, a recent rigorous evaluation of global perceptions of well-being (as in traditional self-report surveys) revealed that global perceptions overestimate daily experiences of well-being when compared to daily reports of well-being (<xref rid="R73" ref-type="bibr">Newman, Schwarz, &#x00026; Stone, 2020</xref>). Beyond reflecting recent experience, global reports also incorporate peak experiences and frequently occurring experiences. <xref rid="R73" ref-type="bibr">Newman et al. (2020)</xref> highlight the benefits of assessing well-being via aggregated daily emotions or &#x02018;momentary averages&#x02019; of emotions as a more accurate means for assessing well-being as it is experienced in one&#x02019;s daily life. We propose that this more accurate methodological approach should be incorporated into the context of measuring SST effectiveness. Thus, using a randomized controlled trial (RCT) design with 35 organizations, where organization was the unit of randomization, we examined the effects of an SST intervention on employee emotions experienced during the 32-day pre-intervention period and then again 6 months later (post-intervention) in a second 32-day diary. Our study offers a beneficial method for assessing training effectiveness on employee&#x02019;s daily emotional experience.</p><p id="P17">One additional benefit to employing daily emotion reports is that it facilitates the differentiation of positive and negative emotions into discrete emotions based on the pleasant/unpleasant dimension and also the physiological arousal or activation associated with each, as described by the Circumplex Model of Emotion (<xref rid="R59" ref-type="bibr">Larsen &#x00026; Diener, 1992</xref>). Bored emotion, for example, is considered the opposite of enthusiastic or lively emotions. Similarly, unactivated (or deactivated) unpleasant is considered the opposite of activated pleasant emotion, wherein each emotion type (e.g., unactivated pleasant, activated pleasant, unactivated negative, activated negative) is theoretically associated with distinct behavioural effects. FMRI research has provided evidence that valence, or the positive&#x02013;negative dimension of emotion, is associated with a distinct neural substrate in the brain from the arousal dimension (<xref rid="R76" ref-type="bibr">Posner et al., 2009</xref>). <xref rid="R92" ref-type="bibr">Weiss and Cropanzano (1996)</xref> noted the potential value for considering discrete emotional states in workplace studies. A recent study demonstrated clear relationships between perceived supervisor support and both positive and negative emotions in the expected directions (<xref rid="R20" ref-type="bibr">Cole et al., 2006</xref>). Further, <xref rid="R63" ref-type="bibr">Lazarus (2006)</xref> articulated the importance of examining discrete emotions, which can hinder or enhance our interpersonal relationships and are a central feature of our ongoing relationships, in addition to general summaries (composite scores) of positive and negative emotions via daily diary reports. We proposed to examine emotions from both a dimensional view, which presumes there is an underlying commonality according to valence (i.e., positive vs. negative), as well as a discrete emotions view, whereby emotions &#x02018;are assumed to be psychologically meaningful units that have unique organizational significance&#x02019; (<xref rid="R33" ref-type="bibr">Diener, Thapa, &#x00026; Tay, 2020</xref>, p. 453).</p><p id="P18">Despite previous work demonstrating the beneficial effects of SST on employee health and work outcomes (<xref rid="R47" ref-type="bibr">Hammer et al., 2019</xref>) there is no published research establishing the effects of such an intervention on daily emotions. Considering that emotion is a core component of well-being, and the above literature ties supportive supervision to emotional well-being, we hypothesized that:</p><p id="P19"><italic toggle="yes">H 1</italic>. The SST would have a significant effect on veteran employee emotions, specifically improving positive emotions and decreasing negative emotions 6 months post-intervention both in terms of composite (average) and discrete positive and negative emotions.</p></sec><sec disp-level="2" id="S5"><title>Post-traumatic stress (PTSD)</title><p id="P20">Negative affective disturbance (e.g., loneliness, irritability) is a defining feature of PTSD, as are difficulties enjoying positive experiences (APA; <xref rid="R4" ref-type="bibr">American Psychiatric Association, 2013</xref>). According to the DSM-V, those with PTSD can experience &#x02018;persistent negative emotional states&#x02019; as wellas &#x02018;persistent inability to experience positive emotions&#x02019; (pp. 271&#x02013;272). Consequently, veterans who are experiencing greater PTSD may experience greater negative emotions in their daily lives than those who do not have PTSD and thus may be in particular need of supportive intervention to help reduce such distress. Experimental research has shown that following exposure to emotion words in the laboratory, combat veterans with PTSD experienced less positive emotion (i.e., calm, pleased) and greater negative emotion than combat veterans without PTSD (<xref rid="R3" ref-type="bibr">Amdur, Larsen, &#x00026; Liberzon, 2000</xref>). Yet, social support should buffer the effects of negative stimuli on individual well-being (<xref rid="R19" ref-type="bibr">Cohen&#x00026; Wills, 1985</xref>). Correspondingly, post-deployment social support has been shown to reduce PTSD severity for veterans (<xref rid="R50" ref-type="bibr">Han et al., 2014</xref>). We proposed that although PTSD screening would have a positive relationship with daily negative emotions, the intervention would buffer the relationship between PTSD and daily negative emotions. It is less clear whether the intervention would boost positive emotions among those with PTSD, given the evidence of anhedonia or emotional numbing reported in (male) veterans with PTSD in terms of positive emotion (e.g., <xref rid="R54" ref-type="bibr">Kashdan, Elhai, &#x00026; Frueh, 2007</xref>). Consequently, we did not propose a directional hypothesis for this test.</p><p id="P21">As previously reported (<xref rid="R67" ref-type="bibr">McCabe, Mohr, Hammer &#x00026; Carlson, 2019</xref>), the estimate of positive PTSD screens from our survey sample was 17%. Such PTSD screening and cutoffs are defined based on empirically based levels that identify those veterans who are likely to be experiencing PTSD symptoms and in need of early intervention (<xref rid="R12" ref-type="bibr">Bliese et al., 2008</xref>). The use of screening tools with empirically validated cutoff values, such as the PTSD screening, has been widely encouraged as a way of reaching more members of the general public who may need support or intervention. Researchers have noted this as a significant development for public mental health, as these tools can be quickly and easily administered without a clinician and have been instituted broadly including in the military (e.g., <xref rid="R11" ref-type="bibr">Bliese, Adler, &#x00026; Castro, 2011</xref>). The present study affords the opportunity to consider whether those above the PTSD screening cutoff receive particular benefit from the supervisor support intervention, relative to those below the PTSD screening cutoff.</p><p id="P22"><italic toggle="yes">H 2</italic>. PTSD scores would moderate the effects of the SST on employee negative emotions such that the intervention has a stronger (decreasing) effect on negative emotions among veteran employees with positive screens for PTSD, compared to those with negative PTSD screens.</p><p id="P23"><italic toggle="yes">RQ1</italic>: Do PTSD scores moderate the effect of the SST on employee positive emotions such that the intervention has a stronger (increasing) effect on positive emotions among veteran employees with negative screens for PTSD, compared to those with positive PTSD screens?</p></sec><sec id="S6"><title>Method</title><sec id="S7"><title>Study design overview</title><p id="P24">Using a randomized controlled trial (RCT) design with 35 organizations where workplace was the unit of randomization, we examined the effects of a supervisor training and self-monitoring intervention on employee emotions at 6-months post-baseline (i.e., post-intervention), controlling for baseline emotions using daily diary data aggregated across two 32-day diary waves (see <xref rid="F1" ref-type="fig">Figure 1</xref>). Daily diary data were collected as part of veteran couples&#x02019; study, which was developed as a multi-wave daily Internet study in which National Guard members, reservists, and separated (former) service members (termed veterans) and married or cohabiting partners (referred to as spouses) were invited to participate in a 32-day Internet survey at baseline and again 6 months later. The Daily Internet Study (DIS) was designed as a complementary study to the veteran employee study which developed and scientifically evaluated SST to enhance retention of veterans, with the goal of improving workplace culture and general well-being of veterans. At the start of the DIS study screening, veterans indicated their interest in participating in a couples&#x02019; study with their spouse or cohabiting partner (i.e., living together for 6+ months) by providing their spouse&#x02019;s name and contact information. To be eligible to begin the DIS study, both veteran and spouse were required to consent and complete the baseline survey questionnaire. Veterans who completed at least 7 + daily surveys in the baseline DIS (along with spouses) were invited to participate in a second 32-day survey wave 6 months post-baseline, after the supervisor intervention. Although data were obtained from both members of each couple, the current study focuses only on veteran employees.</p><p id="P25">Study recruitment was conducted through workplaces throughout the U.S. States of Oregon and Southwest Washington. Each organization was invited to participate in a randomized study of the supervisor intervention or wait-list control condition; veterans were recruited primarily through emails once the organization agreed to participate. Overall, 35 workplace organizations enrolled in the two-group RCT, with 19 randomized to the wait-list control condition and 16 randomized to the intervention. Eligibility requirements for the larger study included employment at least 20 hr/week at a participating organization and post-9/11 service in the U.S. military. Survey data were collected from veterans at baseline (pre-intervention) and then post-intervention at both 3 and 9 months following baseline. For a description of the baseline sample, as well as work, family, and health characteristics of the veterans involved in the larger study, see <xref rid="R49" ref-type="bibr">Hammer, Wan, Brockwood, Mohr, and Carlson (2017)</xref>. All research activities in the current study were approved and overseen by [Portland State University&#x02019;s] IRB, and the U.S. Army Medical Research and Materiel Command, Human Research Protection Office.</p></sec><sec id="S8"><title>Participants</title><p id="P26">Of 509 veteran employee study participants, 395 were eligible for the DIS (i.e., were married or cohabiting), from which 191 veterans consented and enrolled. However, 16 of those veterans completed an early version of the DIS that did not include the survey items of interest in the current study, leaving a potential 175. An additional eight veterans were randomized but excluded from intervention analyses because they were either no longer at the participating organization or were considered supervisors. Thus, 167 veterans completed at least 1 day of the daily baseline survey and were potentially appropriate for inclusion in the intervention study. We were able to contact 161 veterans at 6-month follow-up of which 120 indicated interest in completing the follow-up survey; 116 completed at least one daily survey; 72% response rate. Of those, 11 were excluded as they were no longer at the participating organization or were considered supervisors. Participants were paid up to $90 in exchange for their participation in each daily diary wave based on number of completed surveys.</p><p id="P27">Consistent with daily process methodology practices, those with fewer than 5 completed surveys/days were deemed as having poor daily study compliance and removed from study analyses (e.g., <xref rid="R5" ref-type="bibr">Armeli, Conner, Todd, &#x00026; Tennen, 2008</xref>). This resulted in an analysis sample of 144 participants (72 Intervention, 72 control) at baseline and 92 participants at 6-month follow-up (48 Intervention, 44 control). Comparing those who completed the DIS 6-month follow-up to those who completed only the baseline DIS revealed no significant differences in study variables. Demographically, those who completed the 6-month follow-up were similar to those who did not, with no differences in terms of gender, age, dependent children at home, work tenure, educational status, military status (active reservists vs. separated active duty), work shift (regular hours vs. alternate schedule), or work hours. To examine study attrition, we created a dichotomous variable differentiating study stayers (1) from study leavers (0), which was then regressed on baseline levels of outcome variables, individual differences/moderator variables, and treatment (see <xref rid="R40" ref-type="bibr">Goodman &#x00026; Blum, 1996</xref>). Logistic regression analyses revealed no significant differences in completion status as a function of any study variable. Thus, we found no evidence that non-random sampling effects of subject attrition were responsible for our results in either set of analyses for emotions variables (<italic toggle="yes">p</italic>s range = .11 to .79), PTSD (<italic toggle="yes">p</italic> = .08) and treatment condition (<italic toggle="yes">p</italic> = .53). Finally, we compared baseline participants on whether they complied with the baseline daily survey using the <xref rid="R40" ref-type="bibr">Goodman and Blum (1996)</xref> procedures (i.e., 0 = non-compliant at 1&#x02013;4 surveys vs. 1 = compliant); none of the variables we considered in logistic regression analysis were significant predictors of poor study compliance, including basic demographics such as gender, race, or employer type, PTSD symptoms and other individual difference items (e.g., personality), and military characteristics (length of deployment; <italic toggle="yes">p</italic>s range = .16 to .97).</p><p id="P28">The present study sample comprised 144 veterans (91% men) at baseline who were on average 38.4 years old (<italic toggle="yes">SD</italic> = 9.2) and mostly white (86%). The typical daily study male was married (89%) and in the relationship for on average 12 years (<italic toggle="yes">SD</italic> = 8.7); 7% completed high school, 26% completed some college, 47% graduated with a college degree, and 20% had started or completed graduate school. The majority were parents (77%), with 67% having at least one dependent child living in the home 3+ days per week. The majority were separated service members (84%), on average 5.9 years (<italic toggle="yes">SD</italic> = 3.4) post-separation, with 16% currently serving in active reserves. The typical DIS veteran was deployed at least once (89%), and 83% reported 1 + combat-related experience. Veterans worked on average 42.4 hr (<italic toggle="yes">SD</italic> = 6.4) per week, mostly in public sector organizations (66%). Mean job tenure was 5.9 years (<italic toggle="yes">SD</italic> = 5.8). Those veterans who consented to participate in the baseline DIS were not significantly different from married/partnered veterans who did not participate in the DIS in terms of PTSD symptoms (<italic toggle="yes">M</italic> = 1.88 vs. 1.90, respectively), <italic toggle="yes">p</italic> = .813. They were comparable on all other baseline individual difference indicators of well-being (e.g., loneliness, satisfaction with life, perceived stress). For more information about the veteran employee sample, please consult (<xref rid="R49" ref-type="bibr">Hammer et al., 2017</xref>; <xref rid="R47" ref-type="bibr">2019</xref>).</p></sec><sec id="S9"><title>Supportive supervisor (SST) intervention</title><p id="P29">The intervention comprised three components (<xref rid="R47" ref-type="bibr">Hammer et al., 2019</xref>): (1) 1-hr computer-based intervention to teach supportive behaviours in three modules: creating a culture of support for military (and non-military) employees, defining and identifying supportive supervisor behaviours in the areas of veteran and family support as well as performance support, and putting the supportive supervisor behaviours into practice; (2) 2-week behaviour-tracking exercise to practice enacting the supportive behaviours learned in the computer-based intervention. Supervisors set goals for the total number of behaviours they would enact in the 2-week tracking period and were reminded daily via email to track their behaviours. The tracking activity required about 5 min/day throughout the 2-week tracking period; and (3) the intervention included supplementary activities called &#x02018;Above and Beyond&#x02019;, providing additional information through three short intervention modules, as well as the opportunity for supervisors to engage in online discussion of the intervention and its material. Supervisors who participated in Above and Beyond activities received a higher level of certification than those who completed the core computer-based training intervention. Supervisors received the intervention through email links to the secure intervention page 1&#x02013;2 months following the baseline survey and were given approximately 1 month to complete the intervention.</p></sec><sec id="S10"><title>Measures and assessment procedures</title><sec id="S11"><title>Baseline surveys</title><p id="P30">Prior to the intervention, veteran participants were given approximately 2 weeks to complete an online survey of work-, family-, and health-related characteristics hosted through Qualtrics<sup>&#x000a9;</sup>2013. Informed consent was obtained from all participants prior to the start of data collection. Each participant received $25 in exchange for the baseline survey completion. In addition to demographic information of relevance to the present study, participants completed the following:</p></sec><sec id="S12"><title>Post-traumatic stress disorder (PTSD)</title><p id="P31">We employed a four-item abbreviated version of the PTSD Checklist-Military Version (PCL-M; <xref rid="R12" ref-type="bibr">Bliese et al., 2008</xref>). Participants indicate how bothered they were over the previous 30 days by each symptom on a 5-point Likert-type scale. The instrument is designed to assess symptoms related to experiences while serving in the military and has been used in studies of service members (<xref rid="R18" ref-type="bibr">Cacioppo et al., 2016</xref>). Based on <xref rid="R12" ref-type="bibr">Bliese et al. (2008)</xref>, the values for the four items are summed to create a symptom score; those indicating scores of 12 or higher were coded as having a positive screen for PTSD (scored as 1). All other participants received a negative for the screening (0). Note that positive scores from this measure should not be interpreted as a diagnosis but rather a greater likelihood that the individual is experiencing PTSD symptoms &#x02013; and as a means for identifying those who may need early intervention (<xref rid="R12" ref-type="bibr">Bliese et al., 2008</xref>) and consequently derive the most benefit in terms of emotions from a supervisor intervention.</p></sec></sec><sec id="S13"><title>Daily internet study (DIS)</title><p id="P32">Each day for 32 (calendar) days veteran participants received an automatically generated email reminder including a unique link to the Internet survey at both baseline and 6 months later(<xref rid="F1" ref-type="fig">Figure 1</xref>).The link was activated between the hours of 5 p.m. and 11 p.m.; participants were blocked from accessing the survey at other times. They were provided up to three missed surveys they could complete. This reporting window was selected to capture the transition from daytime activities (typically work) and beginning of evening activities; participants were encouraged to complete the survey at the end of the work-day. The approximately 10-min daily survey recorded a range of experiences including work, family, and child interactions, activities and stressors, daily emotions, and health behaviours.</p><p id="P33">Because the study comprised a broad range of work organizations, work schedules were highly varied with some employees working non-regular shifts (e.g., night shift, swing shift; 18%). In order to facilitate participation among all employed veterans, we created an alternate-shift survey timeframe, in which employees who chose this option responded to questions between 5 a.m. and 11 a.m. (consistently throughout the study).</p><p id="P34">Regarding study compliance, at baseline, the mean number of completed surveys was 25.2 (<italic toggle="yes">SD</italic> = 7.7), or 3634 out of a possible 4608 (32 surveys &#x000d7; 144 people) surveys was completed for a compliance rate of 78.9%. The follow-up analysis sample comprised 92 individuals who completed a mean of 27 (<italic toggle="yes">SD</italic> = 5.5) surveys, or 84.6% (2492/2944) of surveys.</p><sec id="S14"><title>Positive and negative emotion measures</title><p id="P35">Discrete emotion items were taken from the PANAS-X(extended Positive and Negative Affect Schedule; <xref rid="R91" ref-type="bibr">Watson, Clark, &#x00026; Tellegen, 1988</xref>) and <xref rid="R59" ref-type="bibr">Larsen and Diener&#x02019;s (1992)</xref> emotion circumplex model, classifying emotions as pleasant or unpleasant, high or low activation, or as a combination of these dimensions. Negative emotions included sad, angry, lonely, ashamed, and guilty. Positive emotion items included happy, active, quiet, and relaxed. For each emotion, participants rated the extent to which they felt this way <italic toggle="yes">right now</italic> on a scale of 1 (<italic toggle="yes">Not at all</italic>) to 5 (<italic toggle="yes">Extremely</italic>). Research has demonstrated that emotions can be reliability assessed with single items (e.g., <xref rid="R17" ref-type="bibr">Burisch, 1984</xref>; <xref rid="R72" ref-type="bibr">Myers &#x00026; Diener, 1995</xref>), while offering advantages in terms of face validity and brevity, there by reducing participant fatigue (<xref rid="R60" ref-type="bibr">Larsen &#x00026; Fredrickson, 1999</xref>). For the negative emotion composite score, we took the mean of negative emotion items for each day the participant completed at least 4 of 5 items. Similarly, for positive emotion items, we took the mean for days with at least three of the four emotion items completed.Day-level internal consistencies for the negative emotion summary scores ranged from &#x003b1; = .69 on day 3 to &#x003b1; = .81 on day 26; alphas for positive emotion summary scores ranged from &#x003b1; = .61 on day 3 to &#x003b1; = .76 on day 26. As a basis of comparison, reliability estimates averaged across days were of a similar magnitude (i.e., &#x003b1; = .79 and .82 for positive and &#x003b1; = .78 and .81 for negative emotions at baseline and 6 months, respectively).<sup><xref rid="FN3" ref-type="fn">1</xref></sup></p></sec></sec><sec id="S15"><title>Data analysis</title><p id="P36">The study was designed as a two-condition cluster-randomized controlled trial (cRCT), in which workplace organizations were randomized to the SST intervention condition or wait-list control group. The intervention effects were evaluated using an intent-to-treat (ITT) approach whereby follow-up emotion reports from the DIS are compared for those in the supervisor intervention condition (Condition = 1) versus those in the control condition (Condition = 0). Although this approach is conservative, because it does not adjust for whether the supervisors actually received the intervention, it is considered the &#x02018;gold standard&#x02019; as it affords the benefit of reducing biases, such as selection effects, that would potentially undermine or negate the benefit of the randomized controlled trial in terms of ruling out alternative explanations for findings (<xref rid="R65" ref-type="bibr">Little, Long, &#x00026; Lin, 2009</xref>; see also <xref rid="R68" ref-type="bibr">McCoy, 2017</xref> for further detail).</p><p id="P37">We employed a linear mixed model statistical approach using MPlus 8.4 (<xref rid="R71" ref-type="bibr">Muth&#x000e9;n &#x00026; Muthen, 1998&#x02013;2017</xref>) to test for intervention effects with group randomized designs (e.g., <xref rid="R70" ref-type="bibr">Murray, 1998</xref>), which accounted for the nesting of employees within randomized workplace organizations by specifying that participants were clustered by employer. Baseline values for a given outcome measure were modelled as grand-mean centred covariates, based on <xref rid="R13" ref-type="bibr">Bodner and Bliese (2018)</xref> who advise analysis of covariance as the appropriate analysis method for testing intervention effects with power. We specified organization level as the between-cluster level and employee level as the within-cluster level to account for the nesting of employees within organizations. This approach adjusts the model parameters and their standard errors accounting for the degree of nonindependence of employee observations within organizations.</p><p id="P38">There were no significant differences between control and treatment condition participants at baseline as a function of condition, according to a series of one-way ANOVAs. The observed number of positive PTSD screens was not significantly different from expected as a function of condition, <italic toggle="yes">&#x003a7;</italic><sup><italic toggle="yes">2</italic></sup> (1) = 2.97, <italic toggle="yes">p</italic> = .085, with 8.3% positive screens in the control and 18.1% in the intervention condition. Likewise, the number of PTSD symptoms upon which the screen is scored were not significantly different (<italic toggle="yes">M</italic> = 7.17 vs. 8.00, for control vs. intervention) at <italic toggle="yes">F</italic> (1, 142) = 1.53, <italic toggle="yes">p</italic> = .213. Given this lack of findings, and <xref rid="R86" ref-type="bibr">Spector and Brannick&#x02019;s (2011)</xref> caution against overinclusion of control variables, and when strong theoretical justification is absent (<xref rid="R8" ref-type="bibr">Bernerth &#x00026; Aguinis, 2016</xref>), we did not include additional covariates in our models.<sup><xref rid="FN4" ref-type="fn">2</xref></sup> The analysis sample size for the linear mixed models was 92 (44 Intervention/48 Control). Descriptive statistics for study variables at baseline and follow-up are presented in <xref rid="T1" ref-type="table">Table 1</xref>.</p></sec></sec><sec id="S16"><title>Results</title><sec id="S17"><title>Tests of intervention effects</title><p id="P39">There were no significant intervention effects observed in composite positive emotions (<xref rid="T2" ref-type="table">Table 2</xref>), nor for activated positive emotions (happy, active). However, for unactivated positive emotions, the intervention effect on relaxed at 6 months was significantly positive (<italic toggle="yes">b</italic> = .05, <italic toggle="yes">SE</italic> = .01, 95% CI [0.03, 0.08], <italic toggle="yes">p</italic> &#x0003c; .001, pseudo &#x00394;<italic toggle="yes">R</italic><sup>2</sup> &#x0003c; .01). Similarly, the intervention effect on quiet at 6 months was significantly positive (<italic toggle="yes">b</italic> = .11, <italic toggle="yes">SE</italic> = .01, 95% CI [0.09, 0.14], <italic toggle="yes">p</italic> &#x0003c; .001, pseudo &#x00394;<italic toggle="yes">R</italic><sup>2</sup> = .015).</p><p id="P40">Next, analyses revealed no significant effects for negative emotion items (<xref rid="T3" ref-type="table">Table 3</xref>). Thus, Hypothesis 1 was partially supported, wherein the SST intervention had a significant effect on improving veteran employees&#x02019; unactivated positive emotions 6 months post-intervention.</p><sec id="S18"><title>Moderated intervention effects</title><p id="P41">Consistent with Hypothesis 2, our analyses revealed a significant moderation effect (PTSD x Intervention) predicting composite 6-month negative emotion (<italic toggle="yes">b</italic> = &#x02212;.43, <italic toggle="yes">SE</italic> = .08, <italic toggle="yes">p</italic> &#x0003c; .001, pseudo &#x00394;<italic toggle="yes">R</italic><sup>2</sup> = .10), as shown in <xref rid="T4" ref-type="table">Table 4</xref>. The specific form of the interaction is depicted in <xref rid="F2" ref-type="fig">Figure 2</xref>. Simple slope tests revealed a significant effect of the intervention on negative emotion for those above the positive screening cutoff for PTSD (<italic toggle="yes">b</italic> = &#x02212;.17, <italic toggle="yes">SE</italic> = .07, <italic toggle="yes">p</italic> = .016). There was no significant influence of the intervention on negative emotions for those below the PTSD cutoff (<italic toggle="yes">b</italic> = .13, <italic toggle="yes">SE</italic> = .19, <italic toggle="yes">p</italic> = .49).<sup><xref rid="FN5" ref-type="fn">3</xref></sup></p><p id="P42">To address Research Question 1, we tested the moderation effect of PTSD screening on 6-month positive emotions (<xref rid="T4" ref-type="table">Table 4</xref>), revealing a significant effect (<italic toggle="yes">b</italic> = &#x02212;.42, <italic toggle="yes">SE</italic> = .15, <italic toggle="yes">p</italic> = .006, pseudo &#x00394;<italic toggle="yes">R</italic><sup>2</sup>= .038), as depicted in <xref rid="F3" ref-type="fig">Figure 3</xref>. Simple slope tests revealed that for those with a positive PTSD screen, there was no significant effect of the intervention on positive emotion (<italic toggle="yes">b</italic> = &#x02212;.27, <italic toggle="yes">SE</italic> = .18, <italic toggle="yes">p</italic> = .128). For those who did not screen positive for PTSD, the intervention significantly increased positive emotion (<italic toggle="yes">b</italic> = .15, <italic toggle="yes">SE</italic> = .06, <italic toggle="yes">p</italic> = .010).</p></sec></sec></sec><sec id="S19"><title>Discussion</title><p id="P43">This study affirms the importance of workplace supervisor support provision to boost veteran affective experiences. The study contributes to workplace positive psychology intervention research by considering the effect of an SST on employees&#x02019; well-being in the form of daily emotions, which can shed light on positive shifts in one&#x02019;s emotions in the immediate periods pre- to post-supervisor support intervention. Such information is qualitatively different from the information gleaned from global assessments of well-being (e.g., <xref rid="R73" ref-type="bibr">Newman et al., 2020</xref>). This study extends evidence on the effectiveness of SST to the domain of veteran emotional well-being as they transition into and thrive in the civilian workplace.</p><p id="P44">The SST intervention was demonstrated to have a significant effect on facets of emotional well-being. Although there were no direct effects of the intervention on composite positive and negative emotion averages across the 32-day diaries, pre- and post-intervention, the intervention improved relaxed and quiet emotions, whereby veterans in the intervention condition reported significantly higher 6-month relaxed and quiet emotions than those in the control condition, which represents greater calmness or &#x02018;serenity&#x02019; (<xref rid="R91" ref-type="bibr">Watson et al., 1988</xref>) or lower arousal (e.g., <xref rid="R37" ref-type="bibr">Feldman, 1995</xref>). An inspection of condition means suggests the intervention may have stabilized or increased those emotions for intervention condition veterans (relative to the control condition which appeared to show decrements over time). The significant moderating effect of positive PTSD screening suggests that the intervention improved composite positive emotion at 6 months among those who were screened as PTSD negative (i.e., most participants). For those screened positive for PTSD, results suggest the intervention was effective at reducing composite negative emotion at 6-month follow-up. Because of the small sample of PTSD-positive participants, these results should be interpreted with caution.</p><p id="P45">Our results revealed the insight gleaned from studying discrete emotions, whereby the supervisor intervention was effective for all veterans in promoting calm and quiet emotions, but not necessarily the more activated positive emotions such as happy emotion. Such findings may have important health outcomes, given meta-analysis reports showing that unactivated positive emotion induction (e.g., calm, relaxed) was related to improved immune and neuroendocrine functioning (<xref rid="R77" ref-type="bibr">Pressman &#x00026; Cohen, 2005</xref>). There is also evidence of work performance-related outcomes, whereby <xref rid="R9" ref-type="bibr">Bissing-Olson, Iyer, Fielding, and Zacher (2013)</xref> found that unactivated emotions (i.e., calm, relaxed and content) were uniquely linked to a greater likelihood that employees engaged in work tasks in an environmentally friendly way.</p><p id="P46">Composite positive emotion, which includes activated positive emotions like happy, was increased among veterans who did not screen positive for PTSD (i.e., most veterans). According to <xref rid="R82" ref-type="bibr">Seo, Barrett, and Bartunek (2004)</xref>, positive affect is associated with greater focus on goal attainment, generativity, and intensity and persistence towards goal attainment. Seo et al. also argue that activated, but not deactivated (unactivated) affect enhances effort, though they do not differentiate deactivated positive (e.g., relaxed) from negative (e.g., lonely, bored), which our results indicate would be important. We encourage future work on the influence of employee emotional well-being, in terms of activated and unactivated positive and negative emotions and work-related outcomes. Researchers may also consider differentiating emotions at work from emotions at home (e.g., <xref rid="R85" ref-type="bibr">Sonnentag &#x00026; Grant, 2012</xref>) to better capture affective experiences in work and non-work (family) domains.</p><p id="P47">For veterans who screened positive for PTSD, SST was associated with a reduction in negative emotions, but activated positive emotions like happiness did not increase. These results need to be replicated with a larger sample of veterans with positive PTSD screens before conclusions can be drawn. A preliminary interpretation could suggest a particular challenge for them in fully enjoying the benefits of the supervisor intervention &#x02013; potentially due to consequences of PTSD, which impairs the ability to enjoy positive experiences (<xref rid="R4" ref-type="bibr">APA, 2013</xref>). Conversely, our intervention did not reduce negative emotions, except for among the PTSD-positive-screening veterans. Given that individuals who experience PTSD are more likely to have stronger associations with negative affect (e.g., downward spirals of emotions; for overview see <xref rid="R39" ref-type="bibr">Garland et al., 2010</xref>), this finding may indicate that those downward spirals were weakened by the SST. This outcome is consistent with the negativity buffering model of social support (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>), in which veterans with positive PTSD screens may benefit from enhanced supervisor support resulting in a reduction of negative emotions. Veterans without PTSD experienced lower rates of negative emotions in our study (e.g., mean negative emotion ranged from 1.39 to 1.43 depending on condition, on a 1-to-5 scale), as with other non-clinical populations (e.g., <xref rid="R25" ref-type="bibr">Crawford &#x00026; Henry, 2004</xref>), wherein negative emotion may be too low to necessitate intervention.</p><p id="P48">Observed increases in positive emotions resulting from the SST are consistent with the positivity catalyst role of social support (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>), in which support leads to generation of resources. Theoretically, the positive emotions engendered by the intervention may reflect improved relationships with the supervisor, which should lead to positive employee behaviour (e.g., employee engagement) via reciprocity (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>). Accordingly, positive emotions as a component of employee well-being are fundamental to employee engagement (<xref rid="R80" ref-type="bibr">Robertson &#x00026; Cooper, 2010</xref>). The intervention was also designed to alleviate or buffer employee stress, described as a negativity buffer (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>). To probe further, future work should examine how supervisor social support influences responses to employee stress in daily work interactions, for example as described in the JD-R model (<xref rid="R29" ref-type="bibr">Demerouti et al., 2001</xref>). As employees perceive stressor demands exceeding capacity or resources, supervisor support should enhance resources or offset demands to alleviate stress. Future work should also consider the potential for supervisor support to alter the appraisal of a potential stressor, intervening early in the stress response, which would also be consistent with stress and negativity buffering models. This study presents a methodological contribution to the literature by demonstrating the value of daily diary methods to capture ecological momentary emotion assessments before and after the intervention to facilitate the assessment of intervention effectiveness. The combination of multi-wave daily assessment and RCTs is rare. Although the length of time between daily diary intervals (6 months) might seem too long to detect intervention effects, other non-daily intervention analyses emerging from our larger study reveal that effects not present at a 3-month interval were significant at 9-month follow-up (<xref rid="R47" ref-type="bibr">Hammer et al., 2019</xref>). As static surveys, the 3- and 9-month surveys were not designed to measure the everyday emotions captured in the 6-month daily diaries. The 6-month daily diary, then, may have captured an emerging effect on emotions of the SST that was building over time. One potential explanation for the delayed treatment effect is that supervisors need time to practice in order to provide effective support.</p><p id="P49">Our study was robust in the length of the daily surveys, spanning up to 32 days of reports in each wave for a total of 64 possible reports. Daily diaries are particularly useful in measuring the ebb and flow of emotions as they occur while minimizing concerns about retrospective bias (e.g., <xref rid="R73" ref-type="bibr">Newman et al., 2020</xref>; <xref rid="R78" ref-type="bibr">Reis &#x00026; Gable, 2000</xref>). Our approach provides a solid foundation for launching more complex and sophisticated inquiries into employee emotional experiences. We look forward to future work examining more complex within-person changes over time as a function of the intervention, modelling processes specified by positivity catalyst and negativity buffer models (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>).</p><sec id="S20"><title>Limitations</title><p id="P50">Despite study strengths, there are limitations that warrant discussion. First, the DIS recruited married/cohabiting veterans, but not single veterans. As such, our results may not generalize to single veterans or reservists. Most of our larger veteran study participants were married (70.6%), as are the majority of service members more generally. We also note that our sample of veteran employees may not generalize to the larger employee population, but may extend to other underserved populations of employees. The SST was based on general social support theory; similar workplace social support interventions have shown positive benefits to employee well-being (e.g., <xref rid="R58" ref-type="bibr">Kossek et al., 2019</xref>). Support provisions are especially important to employees from disadvantaged groups, who face unique demands and stressors (<xref rid="R6" ref-type="bibr">Bavik et al., 2020</xref>) &#x02013; our findings may be particularly relevant to those employee groups. Intervention effectiveness may also be dependent on existing programmes in place; organizations that are familiar with supporting veterans in the workplace may achieve higher SST benefits.</p><p id="P51">Despite efforts to recruit as many supervisors as possible, not all supervisors participated in the intervention, and supervisors and employees were recruited separately, limiting the ability to match supervisors and employees. If all supervisors received the intervention, the potential for detecting intervention effects would be magnified. Yet, examining whether the intervention is effective when followed as prescribed (i.e., <italic toggle="yes">treatment efficacy</italic>; <xref rid="R65" ref-type="bibr">Little et al., 2009</xref>; or <italic toggle="yes">treatment on the treated</italic>; <xref rid="R83" ref-type="bibr">Shadish &#x00026; Cook, 2009</xref>) comes with a distinct downside in that the estimates can contain selection bias. The intent-to-treat (ITT) approach we employed is considered the gold standard in preserving the benefits of randomization and is also the preferred approach in many cases, because it facilitates policy-making or dissemination effort (<xref rid="R83" ref-type="bibr">Shadish &#x00026; Cook, 2009</xref>). Namely, when informing policy, those implementing the recommended training frequently cannot guarantee adherence or require people to complete the training, and thus, ITT provides the most realistic assessment of effectiveness.</p></sec><sec id="S21"><title>Practical implications</title><p id="P52">Our results provide compelling evidence that supervisors&#x02019; supportive behaviours and interactions with veteran employees can make a significant difference in improving employee emotional well-being, which in turn can have significant positive effects on their workplace behaviour and attitudes (<xref rid="R26" ref-type="bibr">Cropanzano, Dasborough, &#x00026; Weiss, 2017</xref>; <xref rid="R92" ref-type="bibr">Weiss &#x00026; Cropanzano, 1996</xref>). These intervention benefits potentially generalize beyond veteran employees to the broader workforce because the intervention was worksite-based in that all supervisors were encouraged to participate and it included more general aspects of FSSB training in addition to veteran-specific support. The SST represents an evidence-based programme that improves employee calm emotions by enhancing supervisor support for veterans. We see significant value in providing this vehicle for enhancing support for veterans in the civilian workforce and believe this should go hand-in-hand with veteran hiring initiatives.</p><p id="P53">Our findings regarding employees who screen positive for PTSD point to potential benefits of supervisor support for individuals who may have clinically significant mental health challenges. <xref rid="R34" ref-type="bibr">Dimoff and Kelloway (2019)</xref> recently demonstrated the effectiveness of a supervisor training focused on mental health awareness, which improved employees&#x02019; willingness to seek out and use mental health resources. Thus, training supervisors to support veterans may also improve psychological resources, leading to improved veteran emotional well-being, especially for those in need. Veterans who screened PTSD-positive may have uniquely benefitted from the intervention in terms of reduction of negative emotions, though the small sample size in our study necessitates additional replication. This finding is comparable to other moderation results that have been documented with a similar supportive supervisor intervention focused on family support to reduce work&#x02013;family conflict, whereby the intervention was effective for those who particularly needed it &#x02013; those with higher work&#x02013;family conflict (<xref rid="R45" ref-type="bibr">Hammer et al., 2011</xref>). These results complement our findings from the broader study that included all of the veterans who completed the baseline survey (<xref rid="R47" ref-type="bibr">Hammer et al., 2019</xref>). Using ITT analyses the intervention was found to improve work and health outcomes for those employees who reported higher levels of supervisor and coworker support at baseline. Thus, while the daily diary study provided us with a more accurate assessment of positive and negative emotions before and after the supervisor intervention, with less retrospective bias than is present in global affect assessments, the larger study demonstrated the workplace contextual factors that were important for examining the broader stress&#x02013; and strain&#x02013;outcome relationship.</p></sec><sec id="S22"><title>Conclusion</title><p id="P54">In combining the benefits of an RCT testing supervisor effectiveness with multi-wave daily diary reports, this study forged new methodological contributions to the testing of supervisor support training, while also providing substantive contributions to the literature in demonstrating the importance of workplace supervisor support to employee well-being. Our work highlighted the benefit of workplace supervisor support interventions in improving veteran employee emotions, including among those who screen positive for an affect-related disorder (i.e., PTSD). Our results underscore the importance of considering momentary emotion averages taken from daily emotion reports, in order to detect intervention effects, providing a practical method for improving the well-being of veteran employees, who are usually underserved.</p></sec></sec></body><back><ack id="S24"><title>Acknowledgements</title><p id="P56">The U.S. Army Medical Research Acquisition Activity, 820 Chandler Street, Fort Detrick MD 21702-5014 is the awarding and administering acquisition office. This work was supported by the Office of the Assistant Secretary of Defense for Health Affairs, through the USAMRMC Broad Agency Announcement under Award No. W81XWH-13-2-0020. Portions of this research were supported by the Grant # T03OH008435. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense. Special thanks to Luke Mahoney, Sheila Umemoto, Philip Bouleh, and AnnaMarie O&#x02019;Neill for their assistance with the paper.</p></ack><fn-group><fn fn-type="COI-statement" id="FN2"><p id="P57">Conflicts of interest</p><p id="P58">All authors declare no conflict of interest.</p></fn><fn id="FN3"><label>1</label><p id="P59">Multilevel reliabilities were also estimated using the multilevel reliability analysis function in the psych package created for R (<xref rid="R79" ref-type="bibr">Revelle, 2020</xref>), in which the average of emotion measures (by valence) is taken over K fixed days (<xref rid="R24" ref-type="bibr">Cranford et al., 2006</xref>; see Equation 4, p. 925), with resulting values of R<sub>KF</sub> = .99 (both baseline &#x00026; follow-up) for positive emotion and R<sub>KF</sub> = .98 and .99 (baseline &#x00026; follow-up, respectively) for negative emotion.</p></fn><fn id="FN4"><label>2</label><p id="P60">We examined General Supervisor Support (GSS; <xref rid="R93" ref-type="bibr">Yoon &#x00026; Lim, 1999</xref>) as a control variable in hypothesized models. GSS was not a significant predictor of emotion outcomes in our models; including GSS did not change study findings.</p></fn><fn id="FN5"><label>3</label><p id="P61">Test of moderation effects was re-estimated using the continuous PTSD symptom measure. Interaction effects were statistically significant for both positive and negative emotions. 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DIS = Daily Internet Study.</p></caption><graphic xlink:href="nihms-1951651-f0001" position="float"/></fig><fig position="float" id="F2"><label>Figure 2.</label><caption><p id="P63">Interaction between condition and PTSD screening on composite negative emotions at 6 months. Intervention = Intervention condition; Control = wait-list control condition.</p></caption><graphic xlink:href="nihms-1951651-f0002" position="float"/></fig><fig position="float" id="F3"><label>Figure 3.</label><caption><p id="P64">Interaction between condition and PTSD screening on composite positive emotions at 6 months. Intervention = Intervention condition; Control = wait-list control condition.</p></caption><graphic xlink:href="nihms-1951651-f0003" position="float"/></fig><table-wrap position="float" id="T1"><label>Table 1.</label><caption><p id="P65">Descriptive statistics for variables at DIS baseline and follow-up by condition</p></caption><table frame="hsides" rules="groups"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th rowspan="2" align="left" valign="bottom" colspan="1">Variable</th><th colspan="2" align="left" valign="middle" style="border-bottom: solid 1px" rowspan="1">Control condition</th><th colspan="2" align="left" valign="middle" style="border-bottom: solid 1px" rowspan="1">Training condition</th></tr><tr><th align="left" valign="bottom" rowspan="1" colspan="1">Baseline <italic toggle="yes">n</italic> = 72<break/><italic toggle="yes">M</italic> (<italic toggle="yes">SD</italic>)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Follow-up <italic toggle="yes">n</italic> = 48<break/><italic toggle="yes">M</italic> (<italic toggle="yes">SD</italic>)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Baseline <italic toggle="yes">n</italic> = 72<break/><italic toggle="yes">M</italic> (<italic toggle="yes">SD</italic>)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Follow-up <italic toggle="yes">n</italic> = 44<break/><italic toggle="yes">M</italic> (<italic toggle="yes">SD</italic>)</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">PTSD screening</td><td align="left" valign="top" rowspan="1" colspan="1">0.08 (0.28)</td><td align="left" valign="top" rowspan="1" colspan="1">&#x02013;</td><td align="left" valign="top" rowspan="1" colspan="1">0.18 (0.39)</td><td align="left" valign="top" rowspan="1" colspan="1">&#x02013;</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Negative emotion composite</td><td align="left" valign="top" rowspan="1" colspan="1">1.40 (0.22)</td><td align="left" valign="top" rowspan="1" colspan="1">1.39 (0.28)</td><td align="left" valign="top" rowspan="1" colspan="1">1.43 (0.22)</td><td align="left" valign="top" rowspan="1" colspan="1">1.40 (0.26)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Positive emotion composite</td><td align="left" valign="top" rowspan="1" colspan="1">2.52 (0.67)</td><td align="left" valign="top" rowspan="1" colspan="1">2.38 (0.52)</td><td align="left" valign="top" rowspan="1" colspan="1">2.48 (0.72)</td><td align="left" valign="top" rowspan="1" colspan="1">2.47 (0.71)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Happy</td><td align="left" valign="top" rowspan="1" colspan="1">2.95 (0.80)</td><td align="left" valign="top" rowspan="1" colspan="1">2.88 (0.83)</td><td align="left" valign="top" rowspan="1" colspan="1">2.82 (0.79)</td><td align="left" valign="top" rowspan="1" colspan="1">2.85 (0.93)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Active</td><td align="left" valign="top" rowspan="1" colspan="1">1.57 (0.55)</td><td align="left" valign="top" rowspan="1" colspan="1">1.60 (0.55)</td><td align="left" valign="top" rowspan="1" colspan="1">1.68 (0.73)</td><td align="left" valign="top" rowspan="1" colspan="1">1.71 (0.82)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Relaxed</td><td align="left" valign="top" rowspan="1" colspan="1">2.78 (0.68)</td><td align="left" valign="top" rowspan="1" colspan="1">2.68 (0.75)</td><td align="left" valign="top" rowspan="1" colspan="1">2.72 (0.73)</td><td align="left" valign="top" rowspan="1" colspan="1">2.78 (0.82)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Quiet</td><td align="left" valign="top" rowspan="1" colspan="1">2.58 (0.74)</td><td align="left" valign="top" rowspan="1" colspan="1">2.35 (0.64)</td><td align="left" valign="top" rowspan="1" colspan="1">2.59 (0.65)</td><td align="left" valign="top" rowspan="1" colspan="1">2.55 (0.79)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Sad</td><td align="left" valign="top" rowspan="1" colspan="1">1.21 (0.28)</td><td align="left" valign="top" rowspan="1" colspan="1">1.23 (0.38)</td><td align="left" valign="top" rowspan="1" colspan="1">1.28 (0.46)</td><td align="left" valign="top" rowspan="1" colspan="1">1.22 (0.40)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Lonely</td><td align="left" valign="top" rowspan="1" colspan="1">1.22 (0.41)</td><td align="left" valign="top" rowspan="1" colspan="1">1.26 (0.52)</td><td align="left" valign="top" rowspan="1" colspan="1">1.26 (0.39)</td><td align="left" valign="top" rowspan="1" colspan="1">1.25 (0.46)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Angry</td><td align="left" valign="top" rowspan="1" colspan="1">1.24 (0.35)</td><td align="left" valign="top" rowspan="1" colspan="1">1.30 (0.56)</td><td align="left" valign="top" rowspan="1" colspan="1">1.25 (0.50)</td><td align="left" valign="top" rowspan="1" colspan="1">1.23 (0.47)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Guilty</td><td align="left" valign="top" rowspan="1" colspan="1">1.11 (0.22)</td><td align="left" valign="top" rowspan="1" colspan="1">1.13 (0.27)</td><td align="left" valign="top" rowspan="1" colspan="1">1.10 (0.21)</td><td align="left" valign="top" rowspan="1" colspan="1">1.09 (0.22)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Ashamed</td><td align="left" valign="top" rowspan="1" colspan="1">1.06 (0.12)</td><td align="left" valign="top" rowspan="1" colspan="1">1.08 (0.22)</td><td align="left" valign="top" rowspan="1" colspan="1">1.09 (0.19)</td><td align="left" valign="top" rowspan="1" colspan="1">1.08 (0.22)</td></tr></tbody></table><table-wrap-foot><fn id="TFN1"><p id="P66">Note. Follow-up data were collected 6 months after baseline. For the PTSD screening variable, 0 = negative and 1 = positive PTSD screen.</p></fn></table-wrap-foot></table-wrap><table-wrap position="float" id="T2" orientation="landscape"><label>Table 2.</label><caption><p id="P67">Model results of intervention effects on positive emotions at 6-month follow-up</p></caption><table frame="hsides" rules="groups"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th rowspan="2" align="left" valign="bottom" colspan="1"/><th rowspan="2" align="left" valign="bottom" colspan="1">DV: Composite Positive<break/>Est. (95% CI)</th><th colspan="2" align="left" valign="bottom" style="border-bottom: solid 1px" rowspan="1">DV: Activated</th><th colspan="2" align="left" valign="bottom" style="border-bottom: solid 1px" rowspan="1">DV: Unactivated</th></tr><tr><th align="left" valign="bottom" rowspan="1" colspan="1">Happy<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Active<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Relaxed<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Quiet<break/>Est. (95% CI)</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Intercept</td><td align="center" valign="top" rowspan="1" colspan="1">2.34<xref rid="TFN5" ref-type="table-fn">***</xref> (2.27, 2.42)</td><td align="center" valign="top" rowspan="1" colspan="1">2.80<xref rid="TFN5" ref-type="table-fn">***</xref> (2.73, 2.86)</td><td align="center" valign="top" rowspan="1" colspan="1">1.65<xref rid="TFN5" ref-type="table-fn">***</xref> (1.50, 1.80)</td><td align="center" valign="top" rowspan="1" colspan="1">2.66<xref rid="TFN5" ref-type="table-fn">***</xref> (2.59, 2.73)</td><td align="center" valign="top" rowspan="1" colspan="1">2.44<xref rid="TFN5" ref-type="table-fn">***</xref> (2.30, 2.58)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Intervention</td><td align="center" valign="top" rowspan="1" colspan="1">.09 (&#x02212;0.02, 0.20)</td><td align="center" valign="top" rowspan="1" colspan="1">.04 (&#x02212;0.08, 0.16)</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.10 (&#x02212;0.37, 0.17)</td><td align="center" valign="top" rowspan="1" colspan="1">.<bold>05</bold><xref rid="TFN5" ref-type="table-fn">***</xref> (0.03, 0.08)</td><td align="left" valign="top" rowspan="1" colspan="1"><bold>.11</bold><xref rid="TFN5" ref-type="table-fn">***</xref> (0.09, 0.14)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Baseline of DV</td><td align="center" valign="top" rowspan="1" colspan="1">.68<xref rid="TFN5" ref-type="table-fn">***</xref> (0.57, 0.79)</td><td align="center" valign="top" rowspan="1" colspan="1">.95<xref rid="TFN5" ref-type="table-fn">***</xref> (0.85, 1.04)</td><td align="center" valign="top" rowspan="1" colspan="1">.81<xref rid="TFN5" ref-type="table-fn">***</xref> (0.67, 0.96)</td><td align="center" valign="top" rowspan="1" colspan="1">.94<xref rid="TFN5" ref-type="table-fn">***</xref> (0.84, 1.04)</td><td align="center" valign="top" rowspan="1" colspan="1">.79<xref rid="TFN5" ref-type="table-fn">***</xref> (0.60, 0.97)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Residual variance</td><td align="center" valign="top" rowspan="1" colspan="1">.13<xref rid="TFN5" ref-type="table-fn">***</xref> (0.11,0.16)</td><td align="center" valign="top" rowspan="1" colspan="1">.17<xref rid="TFN5" ref-type="table-fn">***</xref> (0.13, 0.21)</td><td align="center" valign="top" rowspan="1" colspan="1">.14<xref rid="TFN4" ref-type="table-fn">**</xref> (0.05,0.22)</td><td align="center" valign="top" rowspan="1" colspan="1">.12<xref rid="TFN5" ref-type="table-fn">***</xref> (0.09, 0.14)</td><td align="center" valign="top" rowspan="1" colspan="1">.20<xref rid="TFN5" ref-type="table-fn">***</xref> (0.14, 0.26)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Intercept variance</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.003, 0.003)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.003, 0.003)</td><td align="center" valign="top" rowspan="1" colspan="1">.01 (&#x02212;0.05,0.08)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.06, 0.06)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.06, 0.06)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Model R<sup>2</sup> (within cluster/org.)</td><td align="center" valign="top" rowspan="1" colspan="1">.65<xref rid="TFN5" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.78<xref rid="TFN5" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.70<xref rid="TFN5" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.81<xref rid="TFN5" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.61<xref rid="TFN5" ref-type="table-fn">***</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Model R<sup>2</sup> (between clusters/orgs.)</td><td align="center" valign="top" rowspan="1" colspan="1">.94</td><td align="center" valign="top" rowspan="1" colspan="1">.67</td><td align="center" valign="top" rowspan="1" colspan="1">.16</td><td align="center" valign="top" rowspan="1" colspan="1">.84</td><td align="center" valign="top" rowspan="1" colspan="1">.88</td></tr></tbody></table><table-wrap-foot><fn id="TFN2"><p id="P68">Note.DV = Dependent variable. Models controlled for baseline levels of outcome variable. All estimates listed represent unstandardized values. For the intervention variable, 1 = intervention condition and 0 = control condition. Intercept variances represent variability in the outcome variables due to the clustering of employees in the randomized organizations. All continuous predictors and the PTSD predictor are grand-mean centred. For the centred PTSD screening variable, &#x02212;.13 = negative and .87 = positive PTSD screen. <italic toggle="yes">Ns</italic> = 92.</p></fn><fn id="TFN3"><label>*</label><p id="P69"><italic toggle="yes">p</italic> &#x0003c; .05;</p></fn><fn id="TFN4"><label>**</label><p id="P70"><italic toggle="yes">p</italic> &#x0003c; .01;</p></fn><fn id="TFN5"><label>***</label><p id="P71"><italic toggle="yes">p</italic> &#x0003c; .001.</p></fn></table-wrap-foot></table-wrap><table-wrap position="float" id="T3" orientation="landscape"><label>Table 3.</label><caption><p id="P72">Model results of intervention effects on negative emotions at 6-month follow-up</p></caption><table frame="hsides" rules="groups"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th rowspan="2" align="left" valign="bottom" colspan="1"/><th rowspan="2" align="left" valign="bottom" colspan="1">DV: Composite Negative<break/>Est. (95% CI)</th><th colspan="3" align="left" valign="bottom" style="border-bottom: solid 1px" rowspan="1">DV: Activated</th><th colspan="2" align="left" valign="bottom" style="border-bottom: solid 1px" rowspan="1">DV: Unactivated</th></tr><tr><th align="left" valign="bottom" rowspan="1" colspan="1">Angry<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Ashamed<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Guilty<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Sad<break/>Est. (95% CI)</th><th align="left" valign="bottom" rowspan="1" colspan="1">Lonely<break/>Est. (95% CI)</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Intercept</td><td align="center" valign="top" rowspan="1" colspan="1">1.41<xref rid="TFN9" ref-type="table-fn">***</xref> (1.35, 1.47)</td><td align="center" valign="top" rowspan="1" colspan="1">1.30<xref rid="TFN9" ref-type="table-fn">***</xref> (1.13, 1.46)</td><td align="center" valign="top" rowspan="1" colspan="1">1.09<xref rid="TFN9" ref-type="table-fn">***</xref> (1.05, 1.13)</td><td align="center" valign="top" rowspan="1" colspan="1">l.l 1<xref rid="TFN9" ref-type="table-fn">***</xref> (1.06, 1.17)</td><td align="center" valign="top" rowspan="1" colspan="1">1.24<xref rid="TFN9" ref-type="table-fn">***</xref> (1.17, 1.30)</td><td align="center" valign="top" rowspan="1" colspan="1">1.29<xref rid="TFN9" ref-type="table-fn">***</xref> (1.01, 1.57)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Intervention</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.01 (&#x02212;0.09,0.07)</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.09 (&#x02212;0.25, 0.08)</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.01 (&#x02212;0.08,0.06)</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.01 (&#x02212;0.002,0.003)</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.02 (&#x02212;0.15,0.10)</td><td align="center" valign="top" rowspan="1" colspan="1">&#x02212;.04 (&#x02212;0.51, 0.43)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Baseline of DV</td><td align="center" valign="top" rowspan="1" colspan="1">.77<xref rid="TFN9" ref-type="table-fn">***</xref> (0.51, 1.04)</td><td align="center" valign="top" rowspan="1" colspan="1">.84<xref rid="TFN9" ref-type="table-fn">***</xref> (0.55, 1.13)</td><td align="center" valign="top" rowspan="1" colspan="1">.57<xref rid="TFN8" ref-type="table-fn">**</xref> (0.19, 0.95)</td><td align="center" valign="top" rowspan="1" colspan="1">.59<xref rid="TFN9" ref-type="table-fn">***</xref> (0.38, 0.80)</td><td align="center" valign="top" rowspan="1" colspan="1">.67<xref rid="TFN9" ref-type="table-fn">***</xref> (0.50, 0.85)</td><td align="center" valign="top" rowspan="1" colspan="1">.80<xref rid="TFN9" ref-type="table-fn">***</xref> (0.56, 1.04)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Residual variance</td><td align="center" valign="top" rowspan="1" colspan="1">.04<xref rid="TFN8" ref-type="table-fn">**</xref> (0.02,0.07)</td><td align="center" valign="top" rowspan="1" colspan="1">.11<xref rid="TFN9" ref-type="table-fn">***</xref> (0.06,0.16)</td><td align="center" valign="top" rowspan="1" colspan="1">.04<xref rid="TFN8" ref-type="table-fn">**</xref> (0.01,0.06)</td><td align="center" valign="top" rowspan="1" colspan="1">.04<xref rid="TFN8" ref-type="table-fn">**</xref> (0.01,0.07)</td><td align="center" valign="top" rowspan="1" colspan="1">.09<xref rid="TFN8" ref-type="table-fn">**</xref> (0.03, 0.14)</td><td align="center" valign="top" rowspan="1" colspan="1">.14<xref rid="TFN7" ref-type="table-fn">*</xref> (0.010, 0.28)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Intercept variance</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.01, 0.01)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.14, 0.14)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.02, 0.02)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.002, 0.003)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.01,0.01)</td><td align="center" valign="top" rowspan="1" colspan="1">.00 (&#x02212;0.19,0.19)</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Model <italic toggle="yes">R</italic><sup>2</sup> (within cluster/org.)</td><td align="center" valign="top" rowspan="1" colspan="1">.43<xref rid="TFN9" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.59<xref rid="TFN9" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.18<xref rid="TFN7" ref-type="table-fn">*</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.31<xref rid="TFN8" ref-type="table-fn">**</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.43<xref rid="TFN9" ref-type="table-fn">***</xref></td><td align="center" valign="top" rowspan="1" colspan="1">.39<xref rid="TFN8" ref-type="table-fn">**</xref></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Model <italic toggle="yes">R</italic><sup>2</sup> (between clusters/orgs.)</td><td align="center" valign="top" rowspan="1" colspan="1">.23</td><td align="center" valign="top" rowspan="1" colspan="1">.95</td><td align="center" valign="top" rowspan="1" colspan="1">.49</td><td align="center" valign="top" rowspan="1" colspan="1">.13</td><td align="center" valign="top" rowspan="1" colspan="1">.52</td><td align="center" valign="top" rowspan="1" colspan="1">.60</td></tr></tbody></table><table-wrap-foot><fn id="TFN6"><p id="P73">Note.DV = Dependent variable. Models controlled for baseline levels of outcome variable. All estimates listed represent unstandardized values. For the intervention variable, 1 = intervention condition and 0 = control condition. Intercept variances represent variability in the outcome variables due to the clustering of employees in the randomized organizations. All continuous predictors and the PTSD predictor are grand-mean centred. For the centred PTSD screening variable, &#x02212;.13 = negative and .87 = positive PTSD screen. <italic toggle="yes">Ns</italic> = 92.</p></fn><fn id="TFN7"><label>*</label><p id="P74"><italic toggle="yes">p</italic> &#x0003c; .05;</p></fn><fn id="TFN8"><label>**</label><p id="P75"><italic toggle="yes">p</italic> &#x0003c; .01;</p></fn><fn id="TFN9"><label>***</label><p id="P76"><italic toggle="yes">p</italic> &#x0003c; .001.</p></fn></table-wrap-foot></table-wrap><table-wrap position="float" id="T4"><label>Table 4.</label><caption><p id="P77">Model results of intervention effects on mean emotions</p></caption><table frame="hsides" rules="groups"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th align="left" valign="middle" rowspan="1" colspan="1"/><th colspan="2" align="left" valign="middle" style="border-bottom: solid 1px" rowspan="1">DV: Negative emotion (6-month) w/ Moderator</th><th colspan="2" align="left" valign="middle" style="border-bottom: solid 1px" rowspan="1">DV: Positive Emotion (6-month) w/ Moderator</th></tr><tr><th align="left" valign="middle" rowspan="1" colspan="1"/><th align="left" valign="middle" rowspan="1" colspan="1">Est.</th><th align="left" valign="middle" rowspan="1" colspan="1">95% CI</th><th align="left" valign="middle" rowspan="1" colspan="1">Est.</th><th align="left" valign="middle" rowspan="1" colspan="1">95% CI</th></tr></thead><tbody><tr><td align="left" valign="middle" rowspan="1" colspan="1">Intercept</td><td align="center" valign="middle" rowspan="1" colspan="1">1.42<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(1.36, 1.49)</td><td align="center" valign="middle" rowspan="1" colspan="1">2.35<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(2.28, 2.42)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Intervention</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x02212;.02</td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.17, 0.12)</td><td align="center" valign="middle" rowspan="1" colspan="1">.08</td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.01,0.17)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Baseline of DV</td><td align="center" valign="middle" rowspan="1" colspan="1">72<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(0.56, 0.89)</td><td align="center" valign="middle" rowspan="1" colspan="1">.68<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(0.57, 0.78)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">PTSD</td><td align="center" valign="middle" rowspan="1" colspan="1">.33<xref rid="TFN11" ref-type="table-fn">*</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(0.02, 0.64)</td><td align="center" valign="middle" rowspan="1" colspan="1">.12</td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.05, 0.29)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Intervention &#x000d7; PTSD</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x02212;.<bold>43</bold><xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.59, &#x02212;0.27)</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x02212;.<bold>42</bold><xref rid="TFN12" ref-type="table-fn">**</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.72, &#x02212;0.12)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Residual variance</td><td align="center" valign="middle" rowspan="1" colspan="1">.04<xref rid="TFN12" ref-type="table-fn">**</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(0.02, 0.06)</td><td align="center" valign="middle" rowspan="1" colspan="1">.13<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1">(0.11,0.15)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Intercept variance</td><td align="center" valign="middle" rowspan="1" colspan="1">.00</td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.04, 0.04)</td><td align="center" valign="middle" rowspan="1" colspan="1">.00</td><td align="center" valign="middle" rowspan="1" colspan="1">(&#x02212;0.002, 0.003)</td></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Model R<sup>2</sup> (within cluster or organization)</td><td align="center" valign="middle" rowspan="1" colspan="1">.49<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1">.67<xref rid="TFN13" ref-type="table-fn">***</xref></td><td align="center" valign="middle" rowspan="1" colspan="1"/></tr><tr><td align="left" valign="middle" rowspan="1" colspan="1">Model R<sup>2</sup> (between clusters or organizations)</td><td align="center" valign="middle" rowspan="1" colspan="1">.76</td><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1">.95</td><td align="center" valign="middle" rowspan="1" colspan="1"/></tr></tbody></table><table-wrap-foot><fn id="TFN10"><p id="P78">Note. DV = Dependent variable. Models controlled for baseline levels of outcome variable. All estimates listed represent unstandardized values. For the intervention variable, 1 = intervention condition and 0 = control condition. Intercept variances represent variability in the outcome variables due to the clustering of employees in the randomized organizations. All continuous predictors and the PTSD predictor are grand-mean centred. For the centred PTSD screening variable, &#x02212;.13 = negative and .87 = positive PTSD screen. <italic toggle="yes">Ns</italic> = 92.</p></fn><fn id="TFN11"><label>*</label><p id="P79"><italic toggle="yes">p</italic> &#x0003c; .05;</p></fn><fn id="TFN12"><label>**</label><p id="P80"><italic toggle="yes">p</italic> &#x0003c; .01;</p></fn><fn id="TFN13"><label>***</label><p id="P81"><italic toggle="yes">p</italic> &#x0003c; .001.</p></fn></table-wrap-foot></table-wrap><boxed-text id="BX1" position="float"><caption><title>Practitioner points</title></caption><list list-type="bullet" id="L2"><list-item><p id="P82">Our supervisor support training represents an evidence-based programme that improves employee positive emotions.</p></list-item><list-item><p id="P83">Positive emotions were increased among veterans who did not screen positive for PTSD (i.e., most veterans).</p></list-item><list-item><p id="P84">Veterans with positive PTSD screens may benefit from enhanced supervisor support resulting in a reduction of negative emotions, providing supportive evidence for supervisor mental health awareness training.</p></list-item></list></boxed-text></floats-group></article>