Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jan 26;19(3):1372.
doi: 10.3390/ijerph19031372.

Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out a Total Worker Health® Intervention to Employers

Liliana Tenney  1   2 , Amy G Huebschmann  3   4 , Carol E Brown  1 , Natalie V Schwatka  1   2 , Lee S Newman  1   2   5   6
Affiliations

Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out a Total Worker Health® Intervention to Employers

Liliana Tenney et al. Int J Environ Res Public Health. .

Abstract

The role of dissemination and implementation (D&I) science is critical to the translation of Total Worker Health® into practice and to the success of interventions in addressing current and future implications for worker safety, health, and well-being. D&I frameworks can guide researchers to design Total Worker Health ("TWH") delivery approaches that use flexible implementation strategies to implement the core components of programs for employers with varying contextual factors, including small/mid/large-sized businesses and different industry types. To date, there have been very few examples of applying implementation frameworks for the translation and delivery of interventions into organizational settings that require adoption and implementation at the business level to benefit the working individuals. We present a TWH case study, Health Links™, to illustrate an approach to applying an existing implementation framework, RE-AIM, to plan, design, build, and then evaluate TWH implementation strategies. Our case study also highlights key concepts for scaling-out TWH evidence-based interventions where they are implemented in new workplace settings, new delivery systems, or both. Our example provides strong support of key implementation planning constructs including early and consistent stakeholder engagement, tailored messaging and marketing, flexibility, and adaptations in implementation strategies to maximize adoption, implementation, and maintenance among participating businesses.

Keywords: RE-AIM; Total Worker Health; consulting; dissemination and implementation; safety and health; small business.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Timeline of Health Links implementation steps.
Figure 2
Figure 2
Primary sources of dissemination indicated by Health Links enrolled users. “How did you hear about Health Links?”.
Figure 3
Figure 3
Logic model for Health Links’ intervention implementation design.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Chari R., Chang C.-C., Sauter S.L., Sayers E.L.P., Cerully J.L., Schulte P., Schill A.L., Uscher-Pines L. Expanding the Paradigm of Occupational Safety and Health. J. Occup. Environ. Med. 2018;60:589–593. doi: 10.1097/JOM.0000000000001330. - DOI - PMC - PubMed
    1. NIOSH r2p. [(accessed on 1 September 2021)]; Available online: https://www.cdc.gov/niosh/r2p/default.html.
    1. Guerin R.J., Harden S.M., Rabin B.A., Rohlman D.S., Cunningham T.R., TePoel M.R., Parish M., Glasgow R.E. Dissemination and Implementation Science Approaches for Occupational Safety and Health Research: Implications for Advancing Total Worker Health. Int. J. Environ. Res. Public Health. 2021;18:11050. doi: 10.3390/ijerph182111050. - 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. Bradley C.J., Grossman D.C., Hubbard R.A., Ortega A.N., Curry S.J. Integrated interventions for improving Total Worker Health: A panel report from the National Institutes of Health Pathways to Prevention Workshop: Total Worker Health—What’s Work Got to Do with It? Ann. Intern. Med. 2016;165:279–283. doi: 10.7326/M16-0740. - DOI - PubMed

Publication types

LinkOut - more resources