Schwatka Natalie V, Tenney Liliana, Dally Miranda J, Scott Joshua, Brown Carol E, Weitzenkamp David, Shore Erin, Newman Lee S
13001 E. 17 Pl., 3 Floor, Mail Stop B119 HSC, Aurora, CO 80045.
Corresponding author.
Occup Health Sci. 2018 Mar;2(1):25-41. doi: 10.1007/s41542-018-0013-9.
Nearly half of Americans are employed by small businesses, and future projections suggest that the number of those employed by small businesses will rise. Despite this, there is relatively little small business intervention research on the integration of health protection and health promotion, known as Total Worker Health® (TWH). We first discuss the importance of studying small businesses in TWH research and practice. Second, we describe an example of a small business TWH intervention, Health Links™ plus TWH owner/senior manager leadership training, that we are evaluating via the Small+Safe+Well (SSWell) study. Key features of the intervention and the SSWell study include attention to multi-level influences on worker health, safety and well-being; organizational change; and dissemination and implementation science strategies via the RE-AIM model. We offer several considerations for future small business TWH research and practice both in terms of the small business context as well as intervention development and evaluation. Our goal is to provide TWH researchers and practitioners with a framework and an example of how to approach small business TWH interventions. Ultimately, through the SSWell study, we aim to provide small businesses with strong evidence to support the use of TWH strategies that are practical, effective and sustainable.
近一半的美国人受雇于小企业，未来预测表明受雇于小企业的人数将会增加。尽管如此，关于将健康保护与健康促进相结合（即全员工健康®，简称TWH）的小企业干预研究相对较少。我们首先讨论在TWH研究与实践中研究小企业的重要性。其次，我们描述了一个小企业TWH干预的例子，即健康链接™加上TWH所有者/高级经理领导力培训，我们正在通过“小而安全且健康”（SSWell）研究对其进行评估。该干预措施和SSWell研究的关键特征包括关注对员工健康、安全和福祉的多层次影响；组织变革；以及通过RE-AIM模型的传播与实施科学策略。我们从小企业背景以及干预措施的开发与评估方面为未来的小企业TWH研究与实践提供了几点思考。我们的目标是为TWH研究人员和从业者提供一个框架以及一个如何开展小企业TWH干预措施的例子。最终，通过SSWell研究，我们旨在为小企业提供有力证据，以支持使用切实可行、有效且可持续的TWH策略。
