Total Worker Health [2019]: Chapter 05: A Conceptual Model for Guiding Integrated Interventions and Research: Pathways Through the Conditions of Work

Details

• Personal Author:
  Dennerlein, Jack T. ; McLellan, Deborah L. ; Nagler, Eve M. ; Pron, Nicolaas P. ; Sabbath, Erika L. ; Sorensen, Glorian ; Wagner, Gregory R.
• Description:
  There is a paradigm shift underway in protection and promotion of worker safety and health, as is evident in this volume. The National Institute for Occupational Safety and Health (NIOSH; n.d.) has led this shift through its Total Worker Health(R) program, which defines an integrated approach to worker safety and health as "policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being" (para. 1). This approach builds on NIOSH's long-standing efforts to ensure that workers are protected from harm at work by acknowledging the broad impact that working conditions have on worker health and well-being. For example, wages, work hours, workload, relationships with coworkers and supervisors, and stress levels at work may contribute not only to health, safety, and well-being but also to health behaviors that increase or decrease risk of chronic diseases (LaMontagne et al., 2014; Montano, Hoven, & Siegrist, 2014). The recent trend toward adoption of this approach underscores the need for defining best practices and processes to ensure optimal results (Hammer & Sauter, 2013; Sorensen, Landsbergis, et al., 2011). This trend builds on growing evidence about the potential benefits of integrated approaches for improvements in health behaviors (Okechukwu, Krieger, Sorensen, Li, & Barbeau, 2009; Olson, Anger, Elliot, Wipfli, & Gray, 2009; Sorensen et al., 2002, 2005); enhanced rates of employee participation in programs (Hunt et al., 2005); potential reductions in pain, occupational injury, and disability rates (Pronk, Katz, Lowry, & Payfer, 2012; Shaw, Robertson, Mclellan, Verma, & Pransky, 2006); strengthened health and safety programs (LaMontagne et al., 2004); potentially reduced costs (Goetze!, Guindon, Turshen, & Ozminkowski, 2001); and support for market performance of companies (Fabius et al., 2016). These findings are supported by multiple reviews of integrated interventions (Anger et al., 2015; Cherniack, 2013; Cooklin, Joss, Husser, & Oldenburg, 2017; Institute of Medicine [IOM], 2005; NIOSH, 2012; Pronk, 2013; Sorensen, Landsbergis, et al., 2011 ), although a recent systematic review concluded that although integrated interventions may improve health behaviors, there remains a need for further evidence on their impact on injuries and overall quality of life (Feltner et al., 2016). Despite growing evidence, this field of inquiry is still in its infancy, needing further evaluation of the effectiveness of this approach. A common conceptual model can structure intervention research to elucidate the pathways through which occupational factors influence safety and chronic disease risk. Thus, a conceptual model is useful in making explicit the underlying assumptions of integrated interventions. The purpose of this chapter is to present a conceptual model that will guide research on determinants of worker safety and health and inform the design, implementation, and evaluation of integrated approaches to protecting and promoting worker safety and health. This model embeds worker health within the work environment, placing a focus on the conditions of work. The chapter also illustrates the application of this model to both social epidemiological and intervention research. [Description provided by NIOSH]
• Subjects:
  Occupational Health Safety Workplace
• Keywords:
  Intervention Effectiveness Total Worker Health TWH Work Environment Worker Health Workers
• ISBN:
  9781433830259
• Publisher:
  American Psychological Association
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Name as Subject:
  Total Worker Health
• Genre:
  Book Chapter
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  19 pdf pages
• NIOSHTIC Number:
  nn:20057118
• Citation:
  Total worker health. Hudson HL, Nigam JAS, Sauter SL, Chosewood LC, Schill AL, Howard J, eds. Washington, DC: American Psychological Association, 2019 Jul; :91-106
• Editor(s):
  Hudson, Heidi L. ; Nigam, Jeannie A.S. ; Sauter, Steven L. ; Chosewood, L. Casey ; Schill, Anita L. ; Howard, John
• Federal Fiscal Year:
  2019
• NORA Priority Area:
  Construction ; Healthcare and Social Assistance
• Performing Organization:
  Harvard University, Boston, Massachusetts
• Peer Reviewed:
  False
• Start Date:
  20070901
• Source Full Name:
  Total Worker Health [2019]
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3f5f46b6f030cecf9a2d124d52c2a67c4aa3f85f05882307491770b0ab7db15133ef08e4acf59ca3b1cfeeea0de15b4465456266bb9e7a42aea1ff4fd5e6445b
• Download URL:
  https://stacks.cdc.gov/view/cdc/182931/cdc_182931_DS1.pdf
• File Type:
  [PDF - 1.96 MB ]