Hazelzet Emmelie, Bosma Hans, de Rijk Angelique, Houkes Inge
Department of Social Medicine, CAPHRI Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Work. 2024;79(4):1851-1866. doi: 10.3233/WOR-230507.
To improve the sustainable employability (SE) of employees in low-skilled jobs, there is an urgent need to implement more effective approaches for this group.
This evaluation study aimed to get insight into the effect and implementation process of an organisational intervention called 'Healthy HR' (HHR), which promoted the job control and SE of employees in low-skilled jobs in two Dutch organisations.
An effect evaluation with a pretest-posttest design and a mixed-methods process evaluation were conducted. Quantitative data were collected at baseline (N = 120) and at 12 months' follow-up (N = 71). Paired t-tests and dose-response analyses were performed (N = 50). Mixed-methods process data were collected on the implementation process using questionnaires, individual interviews with employees and employer representatives (N = 26), focus groups (N = 4) and logbooks.
A positive effect was found for job control at 12 months' follow-up. An effect on the distal outcome SE was not significant. The dose-response analysis showed that a higher dose of HHR resulted in better job control. This positive effect was supported by the qualitative process analysis. HHR had a positive impact on the awareness level about health and healthy workplaces among all stakeholders.
This study showed a promising participatory approach to improve job control for employees in low-skilled jobs by actively involving them in a genuine dialogue and giving them an active voice. Effects on SE might require a longer follow-up.
为提高低技能工作员工的可持续就业能力（SE），迫切需要为该群体实施更有效的方法。
本评估研究旨在深入了解一种名为“健康人力资源”（HHR）的组织干预措施的效果和实施过程，该措施在荷兰的两个组织中促进了低技能工作员工的工作控制和SE。
进行了一项采用前测-后测设计的效果评估和一项混合方法的过程评估。在基线时（N = 120）和随访12个月时（N = 71）收集定量数据。进行配对t检验和剂量反应分析（N = 50）。使用问卷、对员工和雇主代表的个人访谈（N = 26）、焦点小组（N = 4）和日志收集关于实施过程的混合方法过程数据。
在随访12个月时发现工作控制有积极效果。对远端结果SE的影响不显著。剂量反应分析表明，更高剂量的HHR导致更好的工作控制。定性过程分析支持了这一积极效果。HHR对所有利益相关者的健康和健康工作场所意识水平有积极影响。
本研究显示了一种有前景的参与式方法，通过让低技能工作员工积极参与真正的对话并给予他们积极的发言权来改善其工作控制。对SE的影响可能需要更长时间的随访。
