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. 2021 Oct 21;18(21):11050.
doi: 10.3390/ijerph182111050.

Dissemination and Implementation Science Approaches for Occupational Safety and Health Research: Implications for Advancing Total Worker Health

Affiliations

Dissemination and Implementation Science Approaches for Occupational Safety and Health Research: Implications for Advancing Total Worker Health

Rebecca J Guerin et al. Int J Environ Res Public Health. .

Abstract

Total Worker Health® (TWH), an initiative of the U.S. National Institute for Occupational Safety and Health, is defined as policies, programs, and practices that integrate protection from work-related health and safety hazards by promoting efforts that advance worker well-being. Interventions that apply the TWH paradigm improve workplace health more rapidly than wellness programs alone. Evidence of the barriers and facilitators to the adoption, implementation, and long-term maintenance of TWH programs is limited. Dissemination and implementation (D&I) science, the study of methods and strategies for bridging the gap between public health research and practice, can help address these system-, setting-, and worker-level factors to increase the uptake, impact, and sustainment of TWH activities. The purpose of this paper is to draw upon a synthesis of existing D&I science literature to provide TWH researchers and practitioners with: (1) an overview of D&I science; (2) a plain language explanation of key concepts in D&I science; (3) a case study example of moving a TWH intervention down the research-to-practice pipeline; and (4) a discussion of future opportunities for conducting D&I science in complex and dynamic workplace settings to increase worker safety, health, and well-being.

Keywords: Total Worker Health; dissemination and implementation science; evidence-based interventions; health equity; occupational safety and health; translational science.

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Conflict of interest statement

D.S.R. has a significant financial interest in Northwest Education Training and Assessment, LLC, a company that may have a commercial interest in the results of this research and technology. This potential conflict of interest was reviewed, and a management plan approved by the OHSU and the University of Iowa Conflict of Interest in Research Committees was implemented.

Figures

Figure 1
Figure 1
Logic model of a D&I study for TWH. Source: adapted from [91].

References

    1. NIOSH What Is Total Worker Health? [(accessed on 17 April 2021)]; Available online: https://www.cdc.gov/niosh/twh/totalhealth.html.
    1. Tamers S.L., Chosewood L.C., Childress A., Hudson H., Nigam J., Chang C.C. Total Worker Health® 2014–2018: The novel approach to worker safety, health, and well-being evolves. Int. J. Environ. Res. Public Health. 2019;16:321. doi: 10.3390/ijerph16030321. - DOI - PMC - PubMed
    1. Anger W.K., Elliot D.L., Bodner T., Olson R., Rohlman D.S., Truxillo D.M., Kuehl K.S., Hammer L.B., Montgomery D. Effectiveness of Total Worker Health interventions. J. Occup. Health Psychol. 2015;20:226–247. doi: 10.1037/a0038340. - DOI - PubMed
    1. Carr L.J., Leonhard C., Tucker S., Fethke N., Benzo R., Gerr F. Total Worker Health intervention increases activity of sedentary workers. Am. J. Prev. Med. 2016;50:9–17. doi: 10.1016/j.amepre.2015.06.022. - DOI - PubMed
    1. Sorensen G., Stoddard A.M., LaMontagne A.D., Emmons K., Hunt M.K., Youngstrom R., McLellan D., Christiani D.C. A comprehensive worksite cancer prevention intervention: Behavior change results from a randomized controlled trial (United States) J. Public Health Policy. 2003;24:5–25. doi: 10.2307/3343174. - DOI - PubMed

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