This paper addresses a significant gap in the literature by describing study that tests feasibility and efficacy of an organizational intervention to improve working conditions, safety, wellbeing for low-wage food service workers. The Workplace Organizational Health Study hypothesis targeting work organization environment will result improvements workers' musculoskeletal disorders wellbeing. ongoing is being conducted collaboration with large company. Formative evaluation was used prioritize...

We assessed a school-based intervention designed to promote tobacco control among teachers in the Indian state of Bihar.

Objective: This study reports findings from a proof-of-concept trial designed to examine the feasibility and estimates efficacy of "Be Well, Work Well" workplace intervention. Methods: The intervention included consultation for nurse managers implement changes on patient-care units educational programming staff facilitate improvements in safety health behaviors. We used mixed-methods approach evaluate efficacy. Results: Using process tracking qualitative research, we observed challenges...

Objectives To describe the process of adapting an intervention integrating occupational safety and health (OSH) promotion for manufacturing worksites in India challenges faced implementing it; explore how globalization trends may influence implementation these integrated approaches other low- middle-income countries (LMICs). Methods This study—conducted 22 Mumbai, India—adapted implemented evidence-based tested U.S. that OSH tobacco control. The systematic adaptation included formative...

Food-service workers' health and wellbeing is impacted by their jobs work environments. Formative research methods were used to explore working conditions impacting inform intervention planning implementation enhance the intervention's "fit" organization.Four qualitative (worker focus groups; manager interviews; worksite observations; multi-stakeholder workshop) explored in-depth then prioritized as targets for an intervention.Prioritized included: ergonomics; intensity; career development;...

Background In response to India's growing tobacco epidemic, strategies are needed decrease use among Indian youth, particularly those who economically disadvantaged. The objective of this study was assess the effectiveness a school-based life-skills control program for youth low socio-economic status in Mumbai and surrounding state Maharashtra. We hypothesized that compared schools, exposed would have greater knowledge effects use; be more likely take action prevent others from using...

This article provides a theory-based, step-by-step approach to intervention development and illustrates its application in India design an promote tobacco-use cessation among school personnel Bihar. We employed five-step develop the using Social Contextual Model of Health Behavior Change (SCM) Bihar, which involved conducting formative research, classifying factors social environment as mediating mechanisms modifying conditions, developing creative brief, designing refining based on pilot...

Abstract Background Many organizational interventions aim to improve working conditions promote and protect worker safety, health, well-being. The Workplace Organizational Health Study used process evaluation examine factors influencing implementation of an intervention. This paper examines the extent which intervention was implemented as planned, dose implemented, ways context hindered or facilitated Methods proof-of-concept trial conducted with a large, multinational company that provides...

We assessed a worksite intervention designed to promote tobacco control among workers in the manufacturing sector Greater Mumbai, India.We used cluster-randomised design test an integrated health promotion/health protection intervention, Healthy, Safe, and Tobacco-free Worksites programme. Between July 2012 2013, we recruited 20 worksites on rolling basis randomly assigned them or delayed-intervention conditions. The follow-up survey was conducted between December 2013 November 2014.The...

Total Worker Health® (TWH) interventions that utilize integrated approaches to advance worker safety, health, and well-being can be challenging design implement in practice. This may especially true for the food service industry, characterized by high levels of injury turnover. paper illustrates how we used TWH Implementation Guidelines develop an organizational intervention improve pain, injury, among low-wage workers. We two main ways: first, six key characteristics approach (leadership...

Objectives: To describe the process used to build capacity for wider dissemination of a Total Worker Health ® (TWH) model using infrastructure health and well-being vendor organization. Methods: A multiple-case study mixed-methods design was learn from year-long investigation experiences by participating organizations. Results: Increased TWH solutions observed as evidenced participation, plans action, experience ratings The planning feasible acceptable, although challenges dealing with...

Background Tobacco-Free Teachers, Society (TFT-TFS) is an evidence-based intervention that promotes tobacco use cessation among teachers and control policies schools in India. This study tested implementation model to build Bihar Department of Education (DOE) capacity support deliver TFT-TFS within schools, leveraging DOE training infrastructure. Method We used a training-of-trainers (TOT) “cascade” strategy embed the program into trained 46 Cluster Coordinators train Headmasters implement...

In health education and behavior change interventions, process tracking monitors the delivery of an intervention its receipt to intended audience. A randomized controlled trial in state Bihar, India was conducted help school teachers become tobacco free through appropriately designed program system. We describe results from this delivery. The centred on six topics delivered each 12 sessions over 6 successive months. deliverers recorded measures as total number program-components implemented...

Research on processes of bringing effective tobacco control interventions to scale increase quit rates among users is uncommon. This study examines bring one such intervention for school teachers, i.e. Tobacco Free Teacher-Tobacco Society (TFT-TFS). provides a foundation an and low cost approach promote cessation through schools. The present was conducted in the states Bihar Maharashtra 2014 using quantitative qualitative methods. Focus group discussions (FGDs) were analysed immersion...

Despite the rapidly increasing burden of tobacco-related morbidity and mortality in low- middle-income countries, tobacco control initiatives – especially cessation receive little emphasis. This is true despite low-cost methods that have potential for widespread dissemination. The purpose this paper to provide a case study example how lay interventionists may be trained supported facilitate use cessation, based on successful Tobacco-Free Teachers–Tobacco-Free Society program (TFT–TFS)...

Focus groups were conducted at one veterans affairs (VA) medical center to understand (1) how the work environment and conditions of influence employee safety, health, well-being; (2) what programs, policies, practices promote protect safety health in VA; (3) well-being impact organizational mission.Nine focus with leadership, supervisor, frontline employees. audio recorded, transcribed, content analysis was performed.Fifty-five employees participated groups. Six common themes...

Background: Adolescence is an influential stage in students' lives when lifelong behaviours such as tobacco use are formed. During these years, school teachers important role models for control among students. A study was conducted personnel and administrators to understand the key drivers implementing evidence-based program. Methodology: cross-sectional, mixed-method five districts of Assam, India. The quantitative 565 across 40 Government-aided schools. Data collected by means anonymous,...

This article provides an overview of the recruitment strategies utilized in Mumbai Worksites Tobacco Control Study, a cluster randomized trial testing effectiveness integrated tobacco control and occupational safety health program Indian manufacturing worksites. From June 2012 to 2013, 20 companies were recruited. Companies identified using association lists, referrals, internet searches visits industrial areas. Four hundred eighty contacted validate information, introduce study seek...

Objective: Low socioeconomic status young people in low- and middle-income countries use tobacco at higher rates than their wealthier peers. School-based prevention interventions that employ a life skills approach are effective preventing use. In India, the Salaam Bombay Foundation (SBF) has implemented multiyear, multicomponent education programme Mumbai schools to prevent A quantitative evaluation found SBF exposure was associated with not only reduced but also improved skills, self-esteem...

Objective We examined relationships between organizational policies and practices (OPPs) (safety practices, ergonomic people‐oriented culture) work limitations in a sample of hospital workers. Methods used the 6‐item Work Limitations Questionnaire (WLQ) to assess workers’ perceptions health‐related limitations. Self‐reported OPPs WLQ were collected from workers Boston, Massachusetts ( n = 1277). conducted random‐intercept multi‐level logistic regression models for each OPP using stepwise...

The tobacco crisis confronting low- and middle-income countries (LMICs) requires scale-up of effective control programs, such as Tobacco Free Teachers-Tobacco Society (TFT-TFS). We previously demonstrated the efficacy TFT-TFS in increasing use cessation among teachers schools’ adoption policies Bihar, India. To scale TFT-TFS, we are now pioneering a smartphone-based mobile learning strategy to train principals (or their designees) Madhya Pradesh implement monitor schools. Research...