Trial reportJournal of occupational health psychology2019
Caring for the elderly at work and home: Can a randomized organizational intervention improve psychological health?
Trial report in Journal of occupational health psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05199415 (Fulfillment Center Intervention Study as Part of The Harvard T.H. Chan School of Public Health Center for Work, Health and Wellbeing), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Fulfillment Center Intervention Study as Part of The Harvard T.H. Chan School of Public Health Center for Work, Health and Wellbeing
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Differential attrition and engagement in randomized controlled trials of occupational mental health interventions in person and online: A systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2024Pooled it
- The effects of different types of organisational workplace mental health interventions on mental health and wellbeing in healthcare workers: a systematic review.International archives of occupational and environmental health · 2024Pooled it
- Effectiveness of Team and Organisational Level Workplace Interventions Aimed at Improving Sustainable Employability of Aged Care Staff: A Systematic Review.Journal of occupational rehabilitation · 2023Pooled it
- Effectiveness of a Participatory Voice Intervention on Psychological Well-Being Among Warehouse Workers: Results From the Fulfillment Center Intervention Study, United States, 2021‒2023.American journal of public health · 2026Trial
- Effects of a workplace participatory approach to support working caregivers in balancing work, private life and informal care: a randomized controlled trial.Scandinavian journal of work, environment & health · 2025Trial
- Supportive-leadership training to improve social connection: A cluster-randomized trial demonstrating efficacy in a high-risk occupational context.Journal of occupational health psychology · 2024Trial
- Employee Cardiometabolic Risk Following a Cluster-Randomized Workplace Intervention From the Work, Family and Health Network, 2009-2013.American journal of public health · 2023Trial
- Effects of a Total Worker Health® leadership intervention on employee well-being and functional impairment.Journal of occupational health psychology · 2021Trial
- Sustaining sleep: Results from the randomized controlled work, family, and health study.Journal of occupational health psychology · 2019Trial
- Offering paid sick and family leave is not enough: Leave supportive supervisor behavior training improves policy use, health, and work outcomes.The Journal of applied psychology · 2026Article
- Exploring Certified Nursing Assistants' Perceived Needs and Technology Access in Mental Health Self-Care Training: Findings From a Cross-Sectional Survey.Journal of the American Medical Directors Association · 2026Article
- Supporting the mental wellbeing of aged care workers: A systematic review of factors and interventions.AIMS public health · 2025Review
- A Framework for Protecting and Promoting Employee Mental Health through Supervisor Supportive Behaviors.Occupational health science · 2024Article
- Article
- Double-duty caregivers enduring COVID-19 pandemic to endemic: "It's just wearing me down".PloS one · 2024Article
- The Fulfillment Center Intervention Study: Protocol for a group-randomized control trial of a participatory workplace intervention.PloS one · 2024Article
- Family-Supportive Supervisor Behaviors and Psychological Distress: A Secondary Analysis across Four Occupational Populations.International journal of environmental research and public health · 2022Article
- Effects of a workplace intervention on daily stressor reactivity.Journal of occupational health psychology · 2022Article
- Work Redesign for the 21st Century: Promising Strategies for Enhancing Worker Well-Being.American journal of public health · 2021Article
- Work Schedule Patching in Health Care: Exploring Implementation Approaches.Work and occupations · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 9 institutions in 2 countries.
Funding
Abstract
Although job stress models suggest that changing the work social environment to increase job resources improves psychological health, many intervention studies have weak designs and overlook influences of family caregiving demands. We tested the effects of an organizational intervention designed to increase supervisor social support for work and nonwork roles, and job control in a results-oriented work environment on the stress and psychological distress of health care employees who care for the elderly, while simultaneously considering their own family caregiving responsibilities. Using a group-randomized organizational field trial with an intent-to-treat design, 420 caregivers in 15 intervention extended-care nursing facilities were compared with 511 caregivers in 15 control facilities at 4 measurement times: preintervention and 6, 12, and 18 months. There were no main intervention effects showing improvements in stress and psychological distress when comparing intervention with control sites. Moderation analyses indicate that the intervention was more effective in reducing stress and psychological distress for caregivers who were also caring for other family members off the job (those with elders and those "sandwiched" with both child and elder caregiving responsibilities) compared with employees without caregiving demands. These findings extend previous studies by showing that the effect of organizational interventions designed to increase job resources to improve psychological health varies according to differences in nonwork caregiving demands. This research suggests that caregivers, especially those with "double-duty" elder caregiving at home and work and "triple-duty" responsibilities, including child care, may benefit from interventions designed to increase work-nonwork social support and job control. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.