Secondary Logo

Institutional members access full text with Ovid®

Total Worker Health® Intervention for Construction Workers Alters Safety, Health, Well-Being Measures

Anger, W. Kent, PhD; Kyler-Yano, Jason, MA; Vaughn, Katie, BA; Wipfli, Bradley, PhD; Olson, Ryan, PhD; Blanco, Magali, BS

Journal of Occupational and Environmental Medicine: August 2018 - Volume 60 - Issue 8 - p 700–709
doi: 10.1097/JOM.0000000000001290

Objective: The aim of this study was to evaluate the effectiveness of a 14-week Total Worker Health® (TWH) intervention designed for construction crews.

Methods: Supervisors (n = 22) completed computer-based training and self-monitoring activities on team building, work-life balance, and reinforcing targeted behaviors. Supervisors and workers (n = 13) also completed scripted safety and health education in small groups with practice activities.

Results: The intervention led to significant (P < 0.05) improvements in family-supportive supervisory behaviors (d = 0.72). Additional significant improvements included reported frequency of exercising 30 minutes/day and muscle toning exercise (d = 0.50 and 0.59), family and coworker healthy diet support (d = 0.53 and 0.59), team cohesion (d = 0.38), reduced sugary snacks and drinks (d = 0.46 and d = 0.46), sleep duration (d = 0.38), and objectively-measured systolic blood pressure (d = 0.27).

Conclusion: A TWH intervention tailored for construction crews can simultaneously improve safety, health, and well-being.

Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon (Dr Anger, Mr Kyler-Yano, Ms Vaughn, Dr Wipfli, Dr Olson, Ms Blanco), Department of Psychology, Portland State University, Portland, Oregon (Mr Kyler-Yano), and School of Community Health, Portland State University, Portland, Oregon (Dr Wipfli).

Address correspondence to: W. Kent Anger, PhD, Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd. L606, Portland, OR 97239 (

Funding for this study was provided by (CDC) NIOSH U19 OH010154.

OHSU and Dr. Anger have a significant financial interest in Northwest Education Training and Assessment [or NwETA], 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. No other conflicts declared.

Copyright © 2018 by the American College of Occupational and Environmental Medicine