The aim of this study was to conduct a cross-sectional assessment of the adoption of Total Worker Health (TWH) policies and practices by business size and evaluate extent and alignment of their safety and health.
We conducted an analysis of 382 businesses that completed the Health Links™ Assessment. We measured organizational adoption of TWH across six benchmarks: organizational supports, workplace assessments, health policies and programs, safety, engagement, and evaluation.
Benchmark scores were significantly associated with business size. Larger businesses were more likely to score higher across each benchmark.
Small businesses are implementing TWH in a variety of ways and the level of implementation differs by business size. Practical interventions as well as dissemination and implementation research should take business size into account to ensure that TWH is both effective and sustainable in meeting the needs of employees.
Center for Health, Work & Environment, Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Aurora, Colorado (Ms Tenney, Ms Fan, Ms Dally, Dr Scott, Mr Haan, Ms Rivera, Drs Newman, Newman), Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Aurora, Colorado (Ms Tenney, Ms Dally, Drs Scott, Newman), Department of Medicine, School of Medicine, University of Colorado Anschutz, Aurora, Colorado (Dr Newman).
Address correspondence to: Liliana Tenney, MPH, 13001 E. 17th Place, Mail Stop B119 HSC, Aurora, CO 80045. (firstname.lastname@example.org)
Ms Tenney is the lead author. All coauthors contributed equally to the conduct of this research and manuscript.
Institution at which the work was performed: Colorado School of Public Health, University of Colorado Denver, Anschutz Medical Campus.
Funding for this study was provided in part by the Grant or Cooperative Agreement Number, U19OH011227, funded by the Centers for Disease Control and Prevention.
Additional funding for this study was provided in part by NIOSH T42 OH009229 Mountain and Plains Education and Research Center.
Ethics review and exemption for our evaluation of these data was received from the Colorado Multiple Institution Review Board (COMIRB).
The authors declare no conflicts of interest.
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