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. 2021 Jul 21;14(4):409-425.
doi: 10.1108/ijwhm-01-2021-0004. Epub 2021 Jun 11.

A mixed-method approach to tailor the implementation of a participatory Total Worker Health® program

Suzanne Nobrega  1 , Cesar Morocho  1 , Michelle M Robertson  2   3 , Alicia Kurowski  1 , Serena Rice  1 , Robert A Henning  2 , Laura Punnett  1
Affiliations

A mixed-method approach to tailor the implementation of a participatory Total Worker Health® program

Suzanne Nobrega et al. Int J Workplace Health Manag. .

Abstract

Purpose –: Total Worker Health® (TWH) programs, which represent a holistic approach for advancing worker safety, health and well-being, require an employer to adapt programmatic coordination and employee involvement in program design and delivery. Organizational readiness for such measures requires competencies in leadership, communication, subject expertise and worker participation. In the absence of documented methods for TWH readiness assessment, the authors developed a process to prospectively identify implementation facilitators and barriers that may be used to strengthen organizational competencies and optimize the organizational "fit" in advance.

Design/methodology/approach –: The mixed-method baseline assessment instruments comprised an online organizational readiness survey and a key leader interview; these were administered with key organizational and labor leaders in five US healthcare facilities. Findings about organizational resources, skills available and potential implementation barriers were summarized in a stakeholder feedback report and used to strengthen readiness and tailor implementation to the organizational context.

Findings –: The research team was able to leverage organizational strengths such as leaders' commitment and willingness to address nontraditional safety topics to establish new worker-led design teams. Information about program barriers (staff time and communication) enabled the research team to respond with proactive tailoring strategies such as training on participant roles, extending team recruitment time and providing program communication tools and coaching.

Originality/value –: A new method has been developed for prospective organizational readiness assessment to implement a participatory TWH program. The authors illustrate its ability to identify relevant organizational features to guide institutional preparation and tailor program implementation.

Keywords: Occupational health; Organizational interventions; Organizational readiness; Tailoring implementation; Total Worker Health; Worker participation.

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Figures

Figure 1.
Figure 1.
Implementation timeline of the Healthy Workplace Participatory Program
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References

    1. Abildgaard JS, Hasson H, von Thiele Schwarz U, Løvseth LT, Ala-Laurinaho A and Nielsen K (2018), “Forms of participation: the development and application of a conceptual model of participation in work environment interventions”, Economic and Industrial Democracy, Vol. 41 No. 3, pp. 746–769, doi: 10.1177/0143831X17743576. - DOI
    1. Farewell CV, Powers J and Puma J (2020), “Safety and health innovation in preschools: a Total Worker Health pilot project”, Journal of Occupational and Environmental Medicine, Vol. 62 No. 5, pp. e192–e199, doi: 10.1097/JOM.0000000000001848. - DOI - PubMed
    1. Green CA, Duan N, Gibbons RD, Hoagwood KE, Palinkas LA and Wisdom JP (2015), “Approaches to mixed methods dissemination and implementation research: methods, strengths, caveats, and opportunities”, Administration and Policy in Mental Health and Mental Health Services Research, Vol. 42 No. 5, pp. 508–523. - PMC - PubMed
    1. Hasle P, Kvorning LV, Rasmussen CDN, Smith LH and Flyvholm M-A (2012), “A model for design of tailored working environment intervention programmes for small enterprises ”, Safety and Health at Work, Vol. 3 No. 3, pp. 181–191. - PMC - PubMed
    1. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour V, Macdonald H, Johnston M, Lamb SE, Dixon-Woods M, McCulloch P, Wyatt JC, Chan AW and Michie S (2014), “Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide”, BMJ, Vol. 348 No. g1687, doi: 10.1136/bmj.g1687. - DOI - PubMed

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