Fundamentals of Total Worker Health Approaches From Reach to Exposure to Engagement
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- Gillian Hawkins
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1 The findings and conclusions in this presentation have not been formally disseminated by the National Institute for Occupational Safety and Health, and should not be construed to represent any agency determination or policy. Total Worker Health is a registered trademark of the U.S. Department of Health and Human Services (HHS). Fundamentals of Total Worker Health Approaches From Reach to Exposure to Engagement CDR Heidi Hudson, MPH, NIOSH Sarah Mitchell, MPH, NIOSH Reid Richards, NIOSH
2 Outline Background Dissemination Strategy Understanding Potential Impact Channel Limitations and Next Steps Shannon and Weaver, 1963
3 Background: Practice-based Guidance 2008: Essential Elements of Effective Workplace Programs and Policies for Improving Worker Health and Wellbeing 2014: NIOSH TWH Let s Get Started: A Practitioner s Guide to Integrating Workplace Safety and Health 2016: Fundamentals of TWH Approaches: Essential Elements for Advancing Worker Safety, Health and Well-being
4 What is Fundamentals of Total Worker Health Approaches? The workbook, developed with peer and stakeholder input, focuses on five Defining Elements of TWH. Published by NIOSH in December 2016 Guidance that can be used to: 1) Provide a baseline snapshot of where your organization is on the path to TWH 2) Identify initial steps to improve your workforce safety, health, and well-being aligned with the TWH approach 3) Help you measure progress as you implement interventions relevant to your organization.
5 Dissemination Principles and Elements Principles Diffusion of Innovations Theory (Rogers, 2003) Social Marketing (Kotler and Lee, 2008) Transtheoretical Model of Change (Prochaska & DiClemente, 1983) Multi-channel, digital communication Social Media, , Web, In-person, Partners Emphasis on Twitter Messaging included Visual Interest and Brand Identity (Engagement) Dissemination Science Constructs Message Reach and Exposure Communication Channels Promotion, Partners who and how Engagement and Interaction Relative Advantage
6 Logic Model: Research Translation and Communication Team Inputs Outputs Activities Products Outcomes Short-term Intermediate Long-term NIOSH and non-niosh resources and capacity, including personnel and expenditures Research and expertise from NIOSH, NIOSH-funded Centers of Excellence, partners, industry, labor, academia, and the public Surveillance, policies, evaluation, other knowledge and data sources and external factors Develop tools that support the implementation and adoption of TWH research findings and best practices Coordinate targeted population and outcome-specific activities around TWH research translation Convene Communities of Practice to 1) facilitate knowledge transfer and networking and 2) develop understanding on decision to adopt TWH Targeted messaging and dissemination Brand management and stakeholder relations Tools and resources for implementation and adoption of TWH Increased internal and external capacity & connections in TWH Channels and Networks for Exchanging Knowledge; findings on decision to adopt TWH Effective messaging Traditional and new media coverage NIOSH TWH branding Increase awareness among stakeholders of NIOSH TWH research, interventions and tools Increase the reach and access of TWH tools and resources to various stakeholders Increase growth of the TWH research and practice community and professionals Increase engagement among communities of practice Increase use and adoption of TWH tools and resources for implementation Occupational safety and health and nontraditional partners promote the use of TWH research findings, tools and resources Stakeholders actively seek TWH training, collaboration and partnership with NIOSH and others implementing TWH TWH intervention tools and resources are tailored by various TWH communities of practice to fit their implementation needs Employers and NIOSH Affiliates and Partners advocate for evidence-based TWH research and best practices Adoption and implementation of TWH policies, programs, practices across various workplaces Sustained supply of qualified TWH professionals to meet changing demands in the field Workplaces that support and improve the overall safety, health, and well-being of their workers Reduction in workplace injuries, illnesses, and fatalities
7 Fundamentals of TWH Dissemination Strategy Phase 1: Active Dissemination Through TWH and NIOSH channels Digital, Multi-channel Communication (enews, Social Media, Web) Launch Point: NIOSH Update and TWH in Action! enewsletter reach of over 70k Update TWH Let s Get Started Website Repeated Messages via NIOSH channels Defining Elements featured quarterly in TWH in Action! enewsletter Social Media-Emphasis on Twitter 2017 Phase 2: Expand Reach through Partners Dear Colleague Letters to Partners invite to share, use, provide feedback Provided Media Kit to NIOSH Centers for TWH, NIOSH TWH Affiliates Collaborate with partners to infuse messages in other professional networks (i.e. ANA and CDC) Phase 3: Develop Tools to Support Adoption Develop web-based, fillable, worksheets, update business case webpage; develop NIOSH workplace solutions Expand relevant resources within document on website Conduct training, workshops, and consultations Carry out a pilot program Develop tailored applications of Fundamentals (i.e. small business)
8 UNDERSTANDING POTENTIAL IMPACT
9 Timeline: Reach, Engagement, and Interaction Dec 2016 Launch of Fundamentals 3 Channels, Overall Reach: 200,000+ Results enewsletter: 65,000 subscribers, 10% open rate (highest) NIOSH Update & Social media First 2 Web Headlines Jan 2017 Further results EHS Daily Advisor: Guidance from NIOSH on Worker Health, Safety, and Well-Being (January 2017) Nebraska Safety Council: NIOSH offers guidance for worker health, safety, & well-being (January 2017) Top Tweet with 2% engagement (considered high) March- May 2017 Sent Media Kit to Partners IEHA Workshop First Scientific Citation- Workplace Health Saf (9+ to date) St Louis Business Health Coalition- Spring Forum; NIOSH Center of Excellence Director Speaking on Fundamentals at outside Conference
10 Timeline: Reach, Engagement, and Interaction June- Sept 2017 Commence Social Media Strategy highlighting Fundamentals enewsletter Spotlight on Defining Element 1 & 2 Oct Jan 2018 Understanding Small Enterprises Conference 2017 Poster Presentation enewsletter Spotlight on Defining Element 3 Feb- April 2018 Results 4 major scientific citations (Occup Health Sci, Jour Transport & Health, JOEM & AJPH) PDF: 2,200 downloads 4,000 page views 646 search results for Fundamentals of Total Worker Health on Google (April 2018) enewsletter Spotlight on Defining Element 4
11 Results & Related Comparisons 16 months post-release Results (16 months post-release) Exposure and Reach: 600,000+ enewsletter Subscribers, Followers on NIOSH Twitter and Facebook, NIOSH_TWH, Page Views, Downloads Engagement Web headlines, citations: 18+ Social media engagement Influence Average engagement rate: 1.46% (considered very high) Workshops & Consultations: 8 Related Comparisons Essential Elements (1 year post release) Fundamentals Webpage: 4,007 Page Views Essential Elements Webpage: 6,320 Page Views Fundamentals PDF: 1,932 downloads Essential Elements PDF: 1,497 downloads NIOSH downloads 61 st most downloaded document since Dec # NIOSH List of Antineoplastics: 31k downloads
12 Lessons Learned and Limitations Lessons Learned Begin to understand the diffusion process and impact of NIOSH TWH channels and messaging Engaging with OSH research and practice community through digital communication Human resource or workplace wellness/health promotion professionals are difficult to reach through NIOSH TWH channels Consider alternatives for framing message to these audiences Limitations No formal dissemination framework Time/personnel/organizational/ resources restrictions Unable to conduct audience research Tough to compare to like documents or dissemination efforts Difficult to receive dissemination metrics from partners
13 Next Steps Emphasis on Phase 3 Develop promotional videos and other digital tools Conduct formative/audience research Pilot among business Develop implementation plans Communicate through channels and networks (Phase 1 and 2) considering other targets Consider more formal evaluation NIOSH to add DOI number
14 Thank you! Questions? Please contact us. Heidi Hudson: Sarah Mitchell: Reid Richards:
15 References 1. Brownson, Ross C. PhD; Eyler, Amy A. PhD; Harris, Jenine K. PhD; Moore, Justin B. PhD, MS; Tabak, Rachel G. PhD, RD. Getting the Word Out: New Approaches for Disseminating Public Health Science. Journal of Public Health Management and Practice: March/April Volume 24 - Issue 2 - p doi: /PHH Kotler, P. & Lee, N. (2008). Social marketing: Influencing behaviors for good (3rd Ed.). Thousand Oaks, CA: Sage Publications. 3. NIOSH [2016]. Fundamentals of total worker health approaches: essential elements for advancing worker safety, health, and well-being. By Lee MP, Hudson H, Richards R, Chang CC, Chosewood LC, Schill AL, on behalf of the NIOSH Office for Total Worker Health. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. DHHS (NIOSH) Publication No Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, Rogers, Everett M. (2003) [1962]. Diffusion of innovations (5th ed.). New York, NY: Free Press. 6. Shannon, Claude E. and Weaver, Warren. (1963). The Mathematical Theory of Communication. Urbana, IL: University of Illinois Press
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