Impact of Advising on Total Worker Health Implementation

J Occup Environ Med. 2021 Aug 1;63(8):657-664. doi: 10.1097/JOM.0000000000002212.


Objective: Little is understood about the mechanisms for improving the adoption and implementation of Total Worker Health® (TWH) in workplace settings. The primary objective of this study was to identify whether the delivery of TWH advising is associated with subsequent changes in TWH in small-to-medium sized businesses.

Methods: We conducted a longitudinal study of a TWH intervention in 200 organizations completing Health Links Healthy Workplace Assessments™ between October 2016 and December 2019. Organizations were offered consultation via telephonic and live web-based advising sessions.

Results: Organizations exhibited non-significant albeit positive change in assessment scores from baseline to assessment 2. Businesses receiving advising showed significant score improvements from assessment 2 to 3, versus those without advising.

Conclusions: TWH consultation may enhance adoption of organizational behaviors that promote worker health, safety, and well-being over time.

MeSH terms

  • Health Promotion
  • Health Status
  • Humans
  • Longitudinal Studies
  • Occupational Health*
  • Small Business
  • Workplace