Evidence map›Paper›PMID 30740514›Full record

ArticleOccupational health science2018

Small business Total Worker Health: A conceptual and methodological approach to facilitating organizational change.

Natalie V Schwatka, Liliana Tenney, Miranda J Dally, Joshua Scott, Carol E Brown, David Weitzenkamp, Erin Shore, Lee S Newman

Registry-linked trialAbstract read
In one paragraph

Article in Occupational health science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04965415 (Small+Safe+Well), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT04965415 nacompletednot on this map

Small+Safe+Well: A Longitudinal Study of TWH in Small Business

TypeinterventionalSponsorColorado School of Public HealthRan2017 to 2020Enrolled2,175ConditionsLife StyleArmsHealth Links + Leadership Training, Health Links
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Evaluation of a Total worker HealthBMC public health · 2025
    Article
  5. Article
  6. Article
  7. Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out aInternational journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Total Worker HealthInternational journal of environmental research and public health · 2021
    Article
  12. Cardiovascular Health Research in the Workplace: A Workshop Report.Journal of the American Heart Association · 2021
    Article
  13. Impact of Advising on Total Worker Health Implementation.Journal of occupational and environmental medicine · 2021
    Article
  14. Article
  15. Article
  16. Evaluation of a Total Worker HealthOccupational health science · 2021
    Article
  17. International Total Worker Health: Applicability to Agribusiness in Latin America.International journal of environmental research and public health · 2021
    Article
  18. The Importance of Small Business Safety and Health Climates During COVID-19.Journal of occupational and environmental medicine · 2021
    Article
  19. Article
  20. Models for Developing Community Organizations to Reinforce Health Management in Small Businesses.International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Natalie V Schwatka13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Liliana Tenney13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Miranda J Dally13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Joshua Scott13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Carol E Brown13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
David Weitzenkamp13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Erin Shore13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Lee S Newman13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.

Funding

Rocky Mountain Center for Total Worker HealthU19OH011227 · OH · UNIVERSITY OF COLORADO DENVER · PI NEWMAN, LEE S · 2016 to 2025
$11.3M
NIOSH CDC HHS U19 OH011227
6 · The paper itself

Abstract

Nearly half of Americans are employed by small businesses, and future projections suggest that the number of those employed by small businesses will rise. Despite this, there is relatively little small business intervention research on the integration of health protection and health promotion, known as Total Worker Health® (TWH). We first discuss the importance of studying small businesses in TWH research and practice. Second, we describe an example of a small business TWH intervention, Health Links™ plus TWH owner/senior manager leadership training, that we are evaluating via the Small+Safe+Well (SSWell) study. Key features of the intervention and the SSWell study include attention to multi-level influences on worker health, safety and well-being; organizational change; and dissemination and implementation science strategies via the RE-AIM model. We offer several considerations for future small business TWH research and practice both in terms of the small business context as well as intervention development and evaluation. Our goal is to provide TWH researchers and practitioners with a framework and an example of how to approach small business TWH interventions. Ultimately, through the SSWell study, we aim to provide small businesses with strong evidence to support the use of TWH strategies that are practical, effective and sustainable.

Indexed as

Dissemination and implementation scienceHealth promotionOccupational health and safetyOccupational health interventionOrganizational climateWorker safety

Identifiers

PMID30740514
PMCPMC6363124

What OpenQuestion holds

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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.