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: 8217279
• 负责人: ORFEU M BUXTON
• 金额: $ 44.42万
• 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/8217279
• 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. PUBLIC HEALTH RELEVANCE: Narrative Although the prevalence of "family-friendly" or "work-life" policies in U.S. workplaces has increased dramatically in recent years, few longitudinal experiments have evaluated the effects of work-family interventions on employee health outcomes. The Work, Family and Health Study is an ongoing, randomized, controlled trial of an innovative workplace intervention to improve employee health. This time-sensitive Ancillary Study proposal adds objective health outcomes in mid-level managers, a focus of the intervention, to evaluate the effects of this workplace intervention on managers' cardiometabolic and sleep health, and represents a unique opportunity to study the multi-level factors influencing health in the workplace. (End of Abstract)

描述（由申请人提供）：在美国管理工作和家庭责任通常很困难，并且会影响员工及其家庭和工作场所的健康和福祉。尽管近年来工作-生活政策在美国工作场所的普及率急剧上升，但很少有纵向研究使用实验设计来评估特定工作-家庭干预措施对工作-家庭冲突和工人健康结果的影响。为了弥补支持工作与家庭政策的知识库中的这一重大差距，美国国立卫生研究院 (NIH) 和疾病控制与预防中心 (CDC) 成立了工作、家庭和健康网络 (WFHN)。经过 3 年 NIH 和 CDC 资助的试点和形成性研究，工作、家庭和健康网络已开始开展一项重大（3100 万美元）研究，研究在多层次框架中评估特定工作场所行为干预措施的影响。工作场所（30 个地点）、工作组（每个工作地点约 7 个）、员工（n=1500）和员工家庭级别。该父项目评估了一种创新的工作场所干预措施，旨在减少工作与家庭冲突对长期医疗保健行业中直接护理病人的员工的健康，特别是心脏代谢和睡眠健康的影响。这种干预旨在减少员工的工作与家庭冲突，但有可能增加对中层管理人员工作与家庭需求的组织支持——那些在一线处理日常工作生活和监督的主管员工的健康状况——从而改善这些管理人员的健康状况。在这项辅助研究提案中，我们建议在收集 2010 年至 2013 年家长研究数据的同时，对 28 个工作场所的管理人员 (n=163) 进行研究。我们建议使用与家长对员工的研究评估。具体来说，我们假设 1) 专注于经理实践和员工赋权的有效工作场所干预将最终减轻经理压力，我们将其运作为降低心脏代谢疾病风险和增加经理睡眠时间（在 6、12、18 个月的后续时间中）干预后UPS）； 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）的影响将与员工在 6、12、18 个月时直接测量的健康（心脏代谢疾病风险和睡眠）相关后续行动。为了检验这些假设，我们还将开发新颖且广泛适用的变量选择统计方法，以使用惩罚似然法在存在缺失数据的情况下识别纵向研究结果的预测因子。我们通过纳入经理级客观健康指标来扩展母研究的概念框架，这些指标能够评估工作场所干预与持续的常规做法对经理健康结果的影响。该提案为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提供了一个独特且时间敏感的机会。公共卫生相关性：叙述尽管近年来“家庭友好”或“工作生活”政策在美国工作场所的盛行率急剧上升，但很少有纵向实验评估工作家庭干预措施对员工健康结果的影响。工作、家庭和健康研究是一项持续的、随机的、对照试验，旨在通过创新的工作场所干预措施来改善员工健康。这项时间敏感的辅助研究提案增加了中层管理人员的客观健康结果（干预的重点），以评估这种工作场所干预对管理人员心脏代谢和睡眠健康的影响，并提供了研究多层次管理人员的独特机会。影响工作场所健康的因素。 （摘要完）