Evidence map›Paper›PMID 34462934›Full record

ArticleAmerican journal of industrial medicine2021

A pilot study of changes in Total Worker Health® policies and programs and associated changes in safety and health climates in small business.

Erin Shore, Liliana Tenney, Natalie V Schwatka, Miranda Dally, Lynn Dexter, Carol E Brown, Lee S Newman

Abstract read
In one paragraph

Article in American journal of industrial medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. 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

7 authors.

Erin ShoreCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0001-5754-8323
Liliana TenneyCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Natalie V SchwatkaCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Miranda DallyCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Lynn DexterCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Carol E BrownCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Lee S NewmanCenter for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.

Funding

Rocky Mountain Center for Total Worker HealthU19OH011227 · OH · UNIVERSITY OF COLORADO DENVER · PI NEWMAN, LEE S · 2016 to 2025
$11.3M
Longitudinal Study of Total Worker Health in Small EnterprisesK01OH011726 · OH · UNIVERSITY OF COLORADO DENVER · PI SCHWATKA, NATALIE VIRGINIA · 2019 to 2021
$321k
ACL HHS K01OH011726ACL HHS U19OH011227NIOSH CDC HHS K01 OH011726NIOSH CDC HHS K01OH011726NIOSH CDC HHS U19 OH011227NIOSH CDC HHS U19OH011227
6 · The paper itself

Abstract

backgroundThere is little longitudinal research on whether changes to Total Worker Health® (TWH) policies and programs are associated with changes in health climate and safety climate. We hypothesize that as TWH policies and programs change, employees will report changes in safety climate and health climate from baseline to 1 year.

methodsTwenty-five diverse small businesses and their employees participated in assessments completed approximately 1 year apart. The exposures of interest, TWH policies and programs, were measured using the business-level Healthy Workplace Assessment™ which collects information on six benchmarks. The outcomes of interest, employee perceptions of safety climate and health climate, were measured via an employee survey. We employed paired t-tests and simple linear regression to assess change over a 1-year period.

resultsThe mean Healthy Workplace Assessment overall score changed by 11.3 points (SD = 11.8) from baseline to Year 1. From baseline to Year 1, the mean scores of each benchmark changed in a positive direction within this sample. The mean safety climate score and health climate score changed by +0.1 points (SD = 0.2) and +0.1 points (SD = 6.4) from baseline to Year 1, respectively. The associations between changes in the overall Healthy Workplace Assessment score and health climate and safety climate scores were negligible [β = 0.01 (95% confidence interval [CI]: 0.002, 0.02), and β = 0.01 (95% CI: 0.002, 0.02), respectively].

conclusionOur study suggests that when small businesses improve upon their TWH policies and programs they experience marginal measurable improvements in employee perceptions of their workplace safety climate and health climate.

Indexed as

Occupational HealthSmall BusinessHumansPilot ProjectsPolicyWorkplaceemployee engagementhealth climatehealth leadershiplongitudinal studyoccupational safety and healthsafety climatesafety leadership

Identifiers

PMID34462934
PMCPMC8989365

What OpenQuestion holds

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Registered trials

None linked

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.