ArticleJournal of occupational and environmental medicine2019
Health Links™ Assessment of Total Worker Health® Practices as Indicators of Organizational Behavior in Small Business.
Article in Journal of occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Total Worker Health® (TWH) approach: a systematic review of its application in different occupational settings.BMC public health · 2024Pooled it
- Effects of occupational health promotion interventions on health-related outcomes among employees of small businesses and self-employed individuals: A systematic review.Work (Reading, Mass.) · 2024Pooled it
- Small + Safe + Well: lessons learned from a Total Worker Health® randomized intervention to promote organizational change in small business.BMC public health · 2022Trial
- Opportunities to Improve Health Equity for Employees in Low-Wage Industries in the United States.Annual review of public health · 2025Review
- Evaluation of a Total worker HealthBMC public health · 2025Article
- Methods to improve the translation of evidence-based interventions: A primer on dissemination and implementation science for occupational safety and health researchers and practitioners.Safety science · 2022Article
- Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out aInternational journal of environmental research and public health · 2022Article
- A pilot study of changes in Total Worker Health® policies and programs and associated changes in safety and health climates in small business.American journal of industrial medicine · 2021Article
- Attitudes of Company Executives toward a Comprehensive Workplace Health Management-Results of an Exploratory Cross-Sectional Study in Germany.International journal of environmental research and public health · 2021Article
- Intermediary Perspectives on Total Worker Health in Small Businesses.International journal of environmental research and public health · 2021Article
- Impact of Advising on Total Worker Health Implementation.Journal of occupational and environmental medicine · 2021Article
- Profiles of total worker health® in United States small businesses.BMC public health · 2021Article
- Evaluation of a Total Worker HealthOccupational health science · 2021Article
- International Total Worker Health: Applicability to Agribusiness in Latin America.International journal of environmental research and public health · 2021Article
- The Importance of Small Business Safety and Health Climates During COVID-19.Journal of occupational and environmental medicine · 2021Article
- Change in frontline supervisors' safety leadership practices after participating in a leadership training program: Does company size matter?Journal of safety research · 2020Article
- Education and Training to Build Capacity in Total Worker Health®: Proposed Competencies for an Emerging Field.Journal of occupational and environmental medicine · 2020Article
- How does Organizational Climate Motivate Employee Safe and Healthy Behavior in Small Business?: A Self-Determination Theory Perspective.Journal of occupational and environmental medicine · 2020Article
- Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business.International journal of environmental research and public health · 2020Article
- Small Business Employees' Perceptions of Leadership Are Associated With Safety and Health Climates and Their Own Behaviors.Journal of occupational and environmental medicine · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveThe aim of this study was to conduct a cross-sectional assessment of the adoption of Total Worker Health (TWH) policies and practices by business size and evaluate extent and alignment of their safety and health.
methodsWe conducted an analysis of 382 businesses that completed the Health Links Assessment. We measured organizational adoption of TWH across six benchmarks: organizational supports, workplace assessments, health policies and programs, safety, engagement, and evaluation.
resultsBenchmark scores were significantly associated with business size. Larger businesses were more likely to score higher across each benchmark.
conclusionSmall businesses are implementing TWH in a variety of ways and the level of implementation differs by business size. Practical interventions as well as dissemination and implementation research should take business size into account to ensure that TWH is both effective and sustainable in meeting the needs of employees.
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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.