Impact of Advising on Total Worker Health Implementation.

Liliana Tenney Lynn Dexter David C Shapiro Miranda Dally Carol E Brown Natalie V Schwatka Amy G Huebschmann Jim McMillen Lee S Newman

J Occup Environ Med

Center for Health, Work and Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (Dr Tenney, Dr Dexter, Mr Shapiro, Dr Dally, Dr Brown, Dr Schwatka, and Dr Newman); Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (Dr Tenney, Dr Dally, Dr Schwatka, and Dr Newman); University of Colorado School of Medicine, Adult and Child Consortium for Outcomes Research and Delivery Science (ACCORDS) Dissemination and Implementation Program, Division of General Internal Medicine and Center for Women's Health Research, Aurora, Colorado (Dr Huebschmann); Workers Comp Advising LLC (McMillen), Department of Epidemiology, Colorado School of Public Health, and Division of Pulmonary Sciences and Critical Care Medicine, Aurora, Colorado (Dr Newman); Department of Medicine, School of Medicine, University of Colorado, Aurora, Colorado (Dr Newman); Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado (Dr Newman).

Published: August 2021

The study aimed to understand how Total Worker Health® (TWH) can be effectively adopted in small-to-medium sized businesses through advising sessions.
Organizations that participated in TWH consultations showed positive changes in their health assessments, particularly those who received advising compared to those who didn't.
The findings suggest that TWH consultation can lead to improved practices that promote worker health and safety over time.

Objective: Little is understood about the mechanisms for improving the adoption and implementation of Total Worker Health® (TWH) in workplace settings. The primary objective of this study was to identify whether the delivery of TWH advising is associated with subsequent changes in TWH in small-to-medium sized businesses.

Methods: We conducted a longitudinal study of a TWH intervention in 200 organizations completing Health Links Healthy Workplace Assessments™ between October 2016 and December 2019. Organizations were offered consultation via telephonic and live web-based advising sessions.

Results: Organizations exhibited non-significant albeit positive change in assessment scores from baseline to assessment 2. Businesses receiving advising showed significant score improvements from assessment 2 to 3, versus those without advising.

Conclusions: TWH consultation may enhance adoption of organizational behaviors that promote worker health, safety, and well-being over time.

Download full-text PDF	Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8729231	PMC
http://dx.doi.org/10.1097/JOM.0000000000002212	DOI Listing

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