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Oregon Healthy WorkForce Center
Kent Anger (Director)Leslie Hammer (Associate Director)
Diane Elliot (Chair, ISC)
OHSU‐Oregon Institute
of Occupational Health Sciences OHSU-Health
Promotion & Sports Medicine
Portland State University
University of Oregon
Oregon State University
Kaiser Center for
Health Research
OHSU and Drs. Anger and Rohlman have a significant financial interest in Northwest Education Training and Assessment, LLC, a company that may have a commercial interest in the results of this research and technology. This potential individual and institutional conflict of interest has been reviewed and managed by OHSU. NIOSH U19 OH010154
Overarching Conceptual Model• Interventions will lead to changes in
knowledge and psychosocial factors that mediate or moderate:hazard reductions & behavior change– We focus particularly on improved social support
and reduced job stress, that will in turn produce:• hazard reductions• safer work behaviors• improved lifestyle choices• better psychological and physical health
TWH Interventions aimed at HP + OSH risk factors & outcomes
Oregon Healthy Workforce CenterTheme: Intervention Effectiveness (RCTs)• Team-based TWH intervention in home care workers
• Team-based TWH intervention in corrections officers
• “ work-life balance+safety in city construction wkrs
• commercial construction wkrs
• Talking Safety + social media in young workers –City parks & recreation department
Kaiser Center for Health Research
Intervention MethodsIntervention Impact point
– Organization– Supervisor– Employee
Methods• Education/training
– Computer-based– In person (facillitated)– Scripted, Team-based
• Team processes• Incentives for participation• Practice & goal setting
Hammer - city construction
Anger – private construction
Kuehl –corrections workers
Olson – home care workers
Critical Results/Interventions• Team Effectiveness training + safety and
emotional support training + practice:– improved HP variables (diastolic BP)– improved safety outcomes
• Team processes using scripted trainingin Home Care Workers:– reduced sugary drinks– increased good cholesterol– increased safety behaviors
(tool use vs. lifting)
Critical Results/Interventions• Corrections: Highest WC claims and
absenteeism rates of state employees– Improved diastolic BP– increased eating fruits and vegetables– reduced total cholesterol and percent fat
• Young worker project: Over 220 P&R have taken NIOSH’s Talking Safety converted to computer-based training – they liked it, learned from it, and recommendedthat others take it
Effectiveness of Total Worker Health Interventions
• HP & OSH intervention + HP & OSH measures• 17 published studies met criteria• 16 improved risk factors for injuries/chronic
illnesses; 4 improved 10 or more risk factors• Several reported sustained improvements
> 1 year• 1 available for dissemination• While some described integrated programs, in
their methods sections, none reportedmetrics or evidence of integrationof HP & OSH interventions
(in press)
Education• Summer Institute on
Occupational Health Psychology• National Corrections Conference (1st)• Summer Intern program• Chalk Talks
Outreach• Resource Directory and Call-in line• Exhibits at Oregon OSHA conferences• Partnerships with WC Insurance companies,
societies to teach about TWH• Sponsorship of large TWH meetings• Partner’s Luncheons• Blog and Social Media
Challenges• Defining TWH• Keeping up with private industry as they
implement HP and sometimes TWH• Identifying the right populations to study – how
do you do controls• Safety is about rules and HP is about doing
fun things• An effective model for broad dissemination
Gaps• Evidence that integration is important• Toolkits available for dissemination• An effective model for broad dissemination of
evidence-based programs• D&T research
Conclusions• Team processes are effective at producing
workplace change - attend
• Promise of simultaneous improvements in safety, health and well-being leads to call for TWH research to identify / disseminate best practices – see our OHWC exhibit
(in press)
Oregon Healthy Workforce Centeranger@oshu.edu
www.ohsu.edu/ohwc
Facebook & Twitter
Blog > > > > > >
Resource Directory:www.occhealthsci.org
See OHWC exhibit: Center Manager position open
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