The Effectiveness of Total Worker Health Interventions: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop

Feltner, Cynthia; Peterson, Kristina; Weber, Rachel Palmieri; Cluff, Laurie; Coker-Schwimmer, Emmanuel; Viswanathan, Meera; Lohr, Kathleen N

doi:10.7326/m16-0626

Cited by 88 publications

(108 citation statements)

References 31 publications

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“…Finally, additional exploration of TWH research methodological issues is necessary for not only intervention research but also basic/etiologic, translational, and surveillance research, and concrete examples are needed of how challenges can be overcome to drive research practices in the field of TWH. 8,10 …”

Section: Resultsmentioning

confidence: 99%

“…A number of intervention research studies have relied on worker participation and emphasize that participation is vital at all stages of program design, development, and evaluation. 10,29 …”

Section: Discussionmentioning

confidence: 99%

“…6,8,9 Although a diversity of applicable measures and outcomes can be beneficial for new learning, it is challenging to assess and compare findings across studies that include different measures and outcomes. Indeed, Feltner et al 10 reviewed 15 studies on the effectiveness of TWH interventions and were unable to determine the strength of evidence across the studies because of the diversity of measures as well as methodological differences and limitations.…”

Section: Discussionmentioning

confidence: 99%

“…That said, studies based on the earlier definition of TWH were pivotal in building the evidence base and foundational in shaping the eventual refining and refocusing of the TWH paradigm. 2,5,6,8,10,55–57 …”

Section: Discussionmentioning

confidence: 99%

“…8 Promisingly, most of these studies showed an improvement and demonstrated that the gain achieved was greater than when either the safety and/or health or wellness intervention was evaluated alone; this has also been noted in previous literature. 9,10 The review further highlighted current gaps in the TWH field, including a need to focus on methodological and measurement issues.…”

Section: Introductionmentioning

confidence: 99%

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Research Methodologies for Total Worker Health ®

Tamers

Goetzel

Kelly

et al. 2018

Journal of Occupational &Amp; Environmental Medicine

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Objective:There is growing interest in the NIOSH Total Worker Health® program, specifically in the process of designing and implementing safer, health-promoting work and workplaces. A Total Worker Health (TWH) Research Methodology Workshop was convened to discuss research methods and future needs.Methods:Twenty-six experts in occupational safety and health and related fields reviewed and discussed current methodological and measurement issues and those showing promise.Results:TWH intervention studies face the same challenges as other workplace intervention studies and some unique ones. Examples are provided of different approaches and their applications to TWH intervention studies, and desired developments in the TWH literature.Conclusions:This report discusses and outlines principles important to building the TWH intervention research base. Rigorous, valid methodologic, and measurement approaches are needed for TWH intervention as well as for basic/etiologic, translational, and surveillance research.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Research Methodologies for Total Worker Health ®

Tamers

Goetzel

Kelly

et al. 2018

Journal of Occupational &Amp; Environmental Medicine

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Occupational health and safety regulatory interventions to improve the work environment: An evidence and gap map of effectiveness studies

Bondebjerg,

Filges,

Pejtersen

et al. 2023

Campbell Systematic Reviews

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BackgroundUnsafe and unhealthy working conditions lead to injuries and financial losses across the globe, resulting in a need for research into effective work environment interventions.ObjectivesThe objective of this evidence and gap map (EGM) is to provide an overview of existing systematic reviews and primary studies examining the effects of occupational health and safety regulatory interventions.Search MethodsRelevant studies are identified through searches in published and unpublished literature performed up to January 2023.Selection CriteriaThe population for this EGM is workers above the age of 15 and their workplaces within the OECD. We include randomised controlled trials, non‐randomised studies with a comparison of two or more groups of participants, and systematic reviews of effects.Data Collection and AnalysisThe map has been populated based on information about interventions and outcomes, study design, OECD country, and publication status. We have performed critical appraisal of included systematic reviews using an adjusted version of the AMSTAR‐2 tool.Main ResultsThe included studies for this report consist of six systematic reviews, 28 primary effect studies, and three on‐going studies. The interactive map shows that the largest cluster of studies is located in the inspection activity domain, while the sickness absence outcome domain and the intervention categories for training initiatives and formulation of regulatory standards are only scarcely populated. Additionally, the AMSTAR‐appraisal suggests a lack of rigorous systematic reviews and meta‐analyses.Authors’ ConclusionsMore research in the form of primary studies and rigorous systematic reviews is needed to provide stakeholders with better guidance as to what constitutes the most efficient regulatory approaches to improve the work environment.

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