Scale-out of a Total Worker Health® approach for designing interventions to reduce teacher stress: pilot implementation evaluation.

Details

• Personal Author:
  Cavallari JM ; Dugan AG ; Gammie L ; Pierce AM ; Sanetti LMH
• Description:
  Background: Teachers have high rates of daily stress and the majority of available interventions are focused at the teacher-level. Yet, best practices in Total Worker Health® approaches indicate organization-level interventions identifed using a participatory approach are most effective. We conducted an exploratory scale-out pilot study to examine the adoption of the Healthy Workplace Participatory Program (HWPP), an evidence-based, Total Worker Health approach to engage employees (e.g., teachers) and supervisory personnel (e.g., administrators) in the design and implementation of workplace well-being interventions within two elementary schools. Methods: We evaluated the program both quantitatively and qualitatively collecting implementation outcome data (i.e., fdelity, acceptability, understanding, feasibility, system alignment) as well as data-driven adaptations using the Framework for Reporting Adaptations and Modifcations-Expanded. Data from the frst school informed scale-out adaptation of the HWPP intervention, HWPP-Education, within the second school. We compared implementation outcomes between Pilot Schools 1 and 2 to evaluate improvements in the adapted HWPP. Results: Adaptations to HWPP program content and process were suggested to increase feasibility and contextual fit. Acceptability, understanding, and feasibility ratings showed statistically signifcant improvements comparing School 1 to School 2 which implemented the improved HWPP-Education. Furthermore, users reported adaptations including shorter meeting design and faster process were feasible within their work context. Conclusion: This pilot study is the frst attempt to scale out the HWPP to educators, and while not intended to confirm efficacy, it showed promising results for scale-out. Results from Pilot Schools 1 and 2 suggest systematic use of quantitative and qualitative implementation data can efectively inform scale-out eforts that increase critical out-comes such as fdelity, acceptability, understanding, feasibility, system alignment, and leader engagement as well as decrease the extent of system resources needed. As such, this scale-out process may be a feasible approach on which to base large-scale implementation efforts of the HWPP among educators. [Description provided by NIOSH]
• Subjects:
  Education Health Promotion Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Teacher Well-being; Fidelity; Scale-out; Total Worker Health Total Worker Health; TWH; Education; Supervisory Personnel; Administration; Teaching; Job Stress; Intervention Effectiveness; Health Promotion; Work Organization;
• ISSN:
  1471-2458
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  22
• NIOSHTIC Number:
  nn:20065070
• Citation:
  BMC Public Health 2022 Apr; 22:814
• Contact Point Address:
  Lisa M. H. Sanetti, Neag School of Education, Department of Educational Psychology, University of Connecticut, Storrs, CT 06269, USA
• Email:
  lisa.sanetti@uconn.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of Connecticut School of Medicine, Farmington
• Peer Reviewed:
  True
• Start Date:
  20210901
• Source Full Name:
  BMC Public Health
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:69f870121f6734da5bdbf73cd33f283f2f3e63941a8499551ff9ee88721d5e39b3152c9f0cfd8f40e751fe5993372bd9281b8e24f7daa0aab74714ed7d3e74d1
• Download URL:
  https://stacks.cdc.gov/view/cdc/249317/cdc_249317_DS1.pdf
• File Type:
  [PDF - 1.27 MB ]