Evaluating cardiometabolic and sleep health benefits of a workplace intervention

评估工作场所干预对心脏代谢和睡眠健康的益处

• 批准号: 8434909
• 负责人: ORFEU M BUXTON
• 金额: $ 41.53万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-02-01 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8434909
• 关键词: Address; Ancillary Study; Behavioral; Businesses; Cardiovascular system; Centers for Disease Control and Prevention (U.S.); Chronic; Clinical Trials; Clinical Trials Design; Conflict (Psychology); Controlled Study; Data; Data Collection; Employee; Employee Health; Enrollment; Evaluation; Experimental Designs; Family; Family Policy; Family health status; Family member; Funding; Goals; Health; Health Benefit; Healthcare Industry; Intervention; Intervention Studies; Life; Longitudinal Studies; Measures; Methodology; New England; Occupations; Outcome; Parents; Personal Satisfaction; Policies; Prevalence; Process; Productivity; Randomized; Randomized Controlled Trials; Research; Research Design; Risk; Site; Sleep; Social Change; Social Environment; Stress; Supervision; Testing; Time; Training; Translating; United States National Institutes of Health; Work; Workplace; abstracting; cardiovascular disorder risk; design; direct patient care; disorder prevention; disorder risk; empowerment; experience; falls; flexibility; follow-up; high standard; improved; innovation; intervention effect; knowledge base; member; novel; parent project; physical conditioning; post intervention; research study; skills; therapy design; working group

DESCRIPTION (provided by applicant): Managing work and family responsibilities in the U.S. is often difficult and impacts the health and well-being of employees, their families, and the workplace. Although the prevalence of work-life policies in U.S. workplaces has increased dramatically in recent years, there are few longitudinal studies using experimental designs to evaluate the effects of specific work-family interventions on work-family conflict and worker health outcomes. To address this critical gap in the knowledge base supporting work-family policies, the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) formed the Work, Family, and Health Network (WFHN). After 3 years of NIH- and CDC-funded pilot and formative research, the Work, Family and Health Network has embarked on a major ($31M) study of the effects of a specific behavioral workplace intervention evaluated in a multi-level framework at the workplace (30 sites), work group (~ 7 per worksite), employee (n=1500), and employee family levels. This parent project evaluates an innovative workplace intervention designed to reduce work-family conflict on the health, particularly cardiometabolic and sleep health, of direct patient-care employees in the long-term health care industry. This intervention is designed to decrease work-family conflict for employees, but has the potential of increasing the organizational support for the work-family needs of mid-level managers-those supervisors in the trenches who deal with the day to day work life and supervision of employees-leading to improved health of these managers. In this ancillary study proposal, we propose to study managers (n=163) at 28 worksites in parallel with the parent study data collection from 2010 through 2013. We propose to assess mid-level managers' cardiometabolic and sleep health using measures identical to the parent study assessments in employees. Specifically, we hypothesize that 1) an effective workplace intervention focused on manager practices and employee empowerment will ultimately reduce manager stress, which we operationalize as decreased cardiometabolic disease risk and increased manager sleep duration (at 6-, 12-, 18-month follow-ups post-intervention); and 2) that the effects of the workplace intervention on directly-measured managers health (cardiometabolic disease risk and sleep) will be associated with employees' directly-measured health (cardiometabolic disease risk and sleep) at the 6-, 12, 18-month follow-ups. To test these hypotheses we will also develop novel and broadly applicable statistical methodologies for variable selection to identify predictors of the outcomes in longitudinal studies in the presence of missing data, using a penalized likelihood approach. We extend the conceptual framework of the parent study by including manager-level objective health measures that enable the evaluation of the effects of the workplace intervention, versus continued usual practice, on manager health outcomes. This proposal represents a unique and time-sensitive opportunity to study the multi-level factors influencing health and chronic cardiometabolic disease risk in the workplace.

描述（由申请人提供）：美国管理工作和家庭责任通常很困难，会影响员工，家庭和工作场所的健康和福祉。尽管近年来，美国工作场所的工作与生活政策的普遍性急剧增加，但使用实验设计的纵向研究很少，以评估特定工作家庭干预措施对工作家庭冲突和工人健康结果的影响。为了解决支持工作家庭政策的知识库中的这一关键差距，美国国立卫生研究院（NIH）和疾病控制与预防中心（CDC）构成了工作，家庭和健康网络（WFHN）。经过3年的NIH和CDC资助的飞行员和形成性研究，工作，家庭和健康网络已经开始了一项重大（3100万美元）的研究（3100万美元），研究了在工作场所（30个地点）的多层框架中评估特定行为工作场所干预措施的影响（30个地点），工作组，工作组（〜7个工作人员），雇员（n = 1500），雇员家庭级别，以及员工家庭一级。该家长项目评估了一种创新的工作场所干预措施，旨在减少长期卫生保健行业直接患者护理员工的健康家庭，尤其是心脏代谢和睡眠健康的冲突。该干预措施旨在减少员工的工作家庭冲突，但有可能增加组织对中级管理人员的工作家庭需求的支持，这些管理人员与the those的主管在处理日常工作的情况下，并处理了日常工作的生活以及对员工领导的监督，以改善这些经理的健康状况。在这项辅助研究建议中，我们建议与2010年至2013年的父母研究数据收集28个工作人员一起研究经理（n = 163）。我们建议使用与员工的父母研究评估相同的措施来评估中级管理人员的心脏代谢和睡眠健康。具体而言，我们假设1）专注于经理实践和授权员工权能的有效工作场所干预措施将最终减轻经理压力，这是我们在减少心脏代谢疾病风险和经理睡眠时间增加的情况下（在干预后的6个，12岁，12个月，18个月的随访）中进行操作； 2）工作场所干预对直接测量的管理者健康（心脏代谢疾病风险和睡眠）的影响将与6、12、12、18个月的随访有关员工的直接测量健康（心脏代谢疾病风险和睡眠）有关。为了检验这些假设，我们还将使用惩罚的可能性方法来开发可变选择的新颖且广泛的统计方法，以识别纵向研究中纵向研究中结果的预测指标。我们通过包括经理级的客观健康指标来扩展父母研究的概念框架，从而可以评估工作场所干预的影响，而不是继续进行的对经理健康成果的持续实践。该提案代表了一个独特且敏感的机会，可以研究影响工作场所健康和慢性心脏代谢疾病风险的多层次因素。