Health Links™ Assessment of Total Worker Health® Practices as Indicators of Organizational Behavior in Small Business

Tenney, Liliana; Wu, Fan; Dally, Miranda; Scott, Joshua G.; Haan, Michelle; Rivera, Kaylee; Newman, Madeline; Newman, Lee S.

doi:10.1097/jom.0000000000001623

Cited by 23 publications

(52 citation statements)

References 17 publications

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“…Small businesses often struggle to create and implement programs to protect and promote worker health due to lack of knowledge, resources, and competing priorities [4]. For example, in our research with 382 small businesses, we found that smaller businesses consistently scored lower on an organizational assessment of TWH policies and programs than larger businesses [5]. There is a paucity of literature regarding the factors that contribute to small business safety and health environments, including safety and health climates [6] and how they relate to TWH strategies and leadership practices.…”

Section: Introductionmentioning

confidence: 64%

“…There are several systematic TWH strategies that employers can use to protect and promote employee health, all of which share common elements or benchmarks. For example, Tenney et al developed the Health Links™ Healthy Workplace Assessment, which is a six-benchmark organizational-level assessment instrument that has been successfully utilized by small businesses [5] and that we used in the current study.…”

Section: Twh Strategiesmentioning

confidence: 99%

“…There is also a paucity of research on TWH strategies, leadership, and climate in small organizations [6,11]. Our research amongst small businesses suggests that there is a significant amount of variability in the implementation of TWH strategies amongst small businesses [5]. Our next step is to evaluate whether these strategies are related to leadership and climate in a cohort of small businesses.…”

Section: Study Purposementioning

confidence: 99%

“…For the purpose of this study, we utilized cross-sectional data collected at the business and employee level. First, one person from each business completed the online Healthy Workplace Assessment™ through the Health Links website-www.healthlinkscertified.org-with consensus from team members including the health and safety team [5]. The respondents represent individuals in senior leadership, management, human resources, health and safety, and administration.…”

Section: Data Collection and Measuresmentioning

confidence: 99%

“…The respondents represent individuals in senior leadership, management, human resources, health and safety, and administration. The assessment contains 35 [5]. A full discussion of the Healthy Workplace Assessment can be found in Tenney et al [5].…”

Section: Data Collection and Measuresmentioning

confidence: 99%

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Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business

Schwatka

Dally

Tenney

et al. 2020

IJERPH

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The purpose of this study was to investigate the relationship between Total Worker Health® (TWH) business strategies and employee perceptions of leadership commitment and safety and health climates. Using data from 53 small enterprises and 1271 of their workers collected as part of the Small + Safe + Well (SSWell) Study, we confirm the primacy of the relationship between leadership commitment to safety and workplace safety climate. After accounting for leadership commitment to safety, business-reported policies and practices that promote the health, safety, and well-being of workers (i.e., TWH strategies) were no longer related to safety climate. In contrast, the relationship between TWH strategies and health climate were significantly associated with the level of small business leadership commitment to worksite wellness. Relatedly, our results demonstrate that leadership is a common correlate to both safety climate and health climate. Future research should investigate integrated TWH leadership development strategies as a means of simultaneously improving safety and health climates.

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Section: Introductionmentioning

confidence: 64%

Section: Twh Strategiesmentioning

confidence: 99%

Section: Study Purposementioning

confidence: 99%

Section: Data Collection and Measuresmentioning

confidence: 99%

Section: Data Collection and Measuresmentioning

confidence: 99%

See 3 more Smart Citations

Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business

Schwatka

Dally

Tenney

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

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A pilot study of changes in Total Worker Health® policies and programs and associated changes in safety and health climates in small business

Shore

Tenney

Schwatka

et al. 2021

American J Industrial Med

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Background There is little longitudinal research on whether changes to Total Worker Health® (TWH) policies and programs are associated with changes in health climate and safety climate. We hypothesize that as TWH policies and programs change, employees will report changes in safety climate and health climate from baseline to 1 year. Methods Twenty‐five diverse small businesses and their employees participated in assessments completed approximately 1 year apart. The exposures of interest, TWH policies and programs, were measured using the business‐level Healthy Workplace Assessment™ which collects information on six benchmarks. The outcomes of interest, employee perceptions of safety climate and health climate, were measured via an employee survey. We employed paired t‐tests and simple linear regression to assess change over a 1‐year period. Results The mean Healthy Workplace Assessment overall score changed by 11.3 points (SD = 11.8) from baseline to Year 1. From baseline to Year 1, the mean scores of each benchmark changed in a positive direction within this sample. The mean safety climate score and health climate score changed by +0.1 points (SD = 0.2) and +0.1 points (SD = 6.4) from baseline to Year 1, respectively. The associations between changes in the overall Healthy Workplace Assessment score and health climate and safety climate scores were negligible [β = 0.01 (95% confidence interval [CI]: 0.002, 0.02), and β = 0.01 (95% CI: 0.002, 0.02), respectively]. Conclusion Our study suggests that when small businesses improve upon their TWH policies and programs they experience marginal measurable improvements in employee perceptions of their workplace safety climate and health climate.

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Evaluation of a Total Worker Health® Leadership Development Program for Small Business

et al. 2021

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Health Links™ Assessment of Total Worker Health® Practices as Indicators of Organizational Behavior in Small Business

Cited by 23 publications

References 17 publications

Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business

Total Worker Health Leadership and Business Strategies Are Related to Safety and Health Climates in Small Business

A pilot study of changes in Total Worker Health® policies and programs and associated changes in safety and health climates in small business

Evaluation of a Total Worker Health® Leadership Development Program for Small Business

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