Abstract
Many OHP interventions depend on some form of active participation from an employee and trends of low participation in interventions could jeopardize validity and impact. Intervention involvement can vary based on demographic, job-related, and health-related factors, with some research finding that those who would benefit the most from an intervention may be the least likely to participate. To examine factors that may influence attitudes toward and intentions to participate in OHP interventions, I apply the Sociocultural Self Model, or a framework that suggests that individual characteristics, structural conditions, and sociocultural context will influence an employee’s sense of self and thoughts, feelings, and behaviors relevant to health. Based on cross-sectional data from 315 employed adults recruited using a Qualtrics Panel, the Sociocultural Self Model generally conformed to model predictions. Individual characteristics, some structural conditions, and some sociocultural contexts were significantly related to attitudes towards and intentions to participate in OHP interventions. Results also suggest the presence of some industry-related differences in model components. Together, these results provide a preliminary look into the utility of a model that integrates individual and environmental determinants of health and safety to inform OHP interventions.
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Anger, W. K., Elliot, D. L., Bodner, T., Olson, R., Rohlman, D. S., Truxillo, D. M., et al. (2015). Effectiveness of total worker health interventions. Journal of Occupational Health Psychology, 20(2), 226. https://doi.org/10.1037/a0038340.
Baer, J. T. (1993). Improved plasma cholesterol levels in men after a nutrition education program at the worksite. Journal of the American Dietetic Association, 6, 658–663. https://doi.org/10.1016/0002-8223(93)91672-D.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191. https://doi.org/10.1037/0033-295X.84.2.191.
Bandura, A. (2006). Guide for constructing self-efficacy scales. In T. Urdan & F. Pajares (Eds.), Self-efficacy beliefs of adolescents (pp. 307–337). Information Age Publishing.
Beehr, T. A. (2019). Interventions in occupational health psychology. Journal of Occupational Health Psychology, 24(1), 1. https://doi.org/10.1037/ocp0000140.
Belhassen, Y., & Shani, A. (2012). Hotel workers’ substance use and abuse. International Journal of Hospitality Management, 31(4), 1292–1302. https://doi.org/10.1016/j.ijhm.2012.03.011.
Bond, F. W., & Bunce, D. (2001). Job control mediates change in a work reorganization intervention for stress reduction. Journal of Occupational Health Psychology, 6(4), 290. https://doi.org/10.1037/1076-8998.6.4.290.
Bureau of Labor Statistics [BLS]. 2018. National Census of Fatal Occupational Injuries in 2017. Retrieved from https://www.bls.gov/news.release/pdf/cfoi.pdf.
Bureau of Labor Statistics [BLS]. 2019a. 2018 Survey of Occupational Injuries and Illnesses. Retrieved from https://www.bls.gov/iif/soii-charts-2018.pdf.
Bureau of Labor Statistics [BLS]. 2019b. Labor Force Statistics from Current Population Survey. Retrieved from https://www.bls.gov/cps/cpsaat18.htm.
Bureau of Labor Statistics [BLS]. 2019c. May 2019 National Occupational Employment and Wage Estimates – United States. Retrieved from https://www.bls.gov/oes/current/oes_nat.htm.
Bureau of Labor Statistics [BLS]. 2019d. Educational attainment for workers 25 years and older by detailed occupation. Retrieved from https://www.bls.gov/emp/tables/educational-attainment.htm.
Chasteen, A. L., Bhattacharyya, S., Horhota, M., Tam, R., & Hasher, L. (2005). How feelings of stereotype threat influence older adults' memory performance. Experimental Aging Research, 31(3), 235–260. https://doi.org/10.1080/03610730590948177.
Christian, M. S., Bradley, J. C., Wallace, J. C., & Burke, M. J. (2009). Workplace safety: A meta-analysis of the roles of person and situation factors. Journal of Applied Psychology, 94(5), 1103. https://doi.org/10.1037/a0016172.
Coday, M., Boutin-Foster, C., Sher, T. G., Tennant, J., Greaney, M. L., Saunders, S. D., & Somes, G. W. (2005). Strategies for retaining study participants in behavioral intervention trials: Retention experiences of the NIH behavior change consortium. Annals of Behavioral Medicine, 29(2), 55–65. https://doi.org/10.1207/s15324796abm2902s_9.
Conrad, P. (1987). Wellness in the work place: Potentials and pitfalls of work-site health promotion. The Milbank Quarterly, 255–275. https://doi.org/10.2307/3350022.
DeJoy, D. M. (1996). Theoretical models of health behavior and workplace self-protective behavior. Journal of Safety Research, 27(2), 61–72. https://doi.org/10.1016/0022-4375(96)00007-2.
DeJoy, D. M., Searcy, C. A., Murphy, L. R., & Gershon, R. R. (2000). Behavior–diagnostic analysis of compliance with universal precautions among nurses. Journal of Occupational Health Psychology, 5(1), 127.
Dittmann, A. G., & Stephens, N. M. (2017). Interventions aimed at closing the social class achievement gap: Changing individuals, structures, and construals. Current Opinion in Psychology, 18, 111–116. https://doi.org/10.1016/j.copsyc.2017.07.044.
Emile, M., Chalabaev, A., Stephan, Y., Corrion, K., & d'Arripe-Longueville, F. (2014). Aging stereotypes and active lifestyle: Personal correlates of stereotype internalization and relationships with level of physical activity among older adults. Psychology of Sport and Exercise, 15(2), 198–204. https://doi.org/10.1016/j.psychsport.2013.11.002.
Franklin, P. D., Rosenbaum, P. F., Carey, M. P., & Roizen, M. F. (2006). Using sequential e-mail messages to promote health behaviors: Evidence of feasibility and reach in a worksite sample. Journal of Medical Internet Research, 8(1), e3. https://doi.org/10.2196/jmir.8.1.e3.
Freedman, D. A., & Bell, B. A. (2009). Access to healthful foods among an urban food insecure population: Perceptions versus reality. Journal of Urban Health, 86(6), 825–838. https://doi.org/10.1007/s11524-009-9408-x.
Frone, M. R., & Brown, A. L. (2010). Workplace substance-use norms as predictors of employee substance use and impairment: A survey of US workers. Journal of Studies on Alcohol and Drugs, 71(4), 526–534. https://doi.org/10.15288/jsad.2010.71.526.
George, A. S., Mehra, V., Scott, K., & Sriram, V. (2015). Community participation in health systems research: A systematic review assessing the state of research, the nature of interventions involved and the features of engagement with communities. PLoS One, 10(10), e0141091. https://doi.org/10.1371/journal.pone.0141091.
Giles-Corti, B., & Donovan, R. J. (2002). Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. Preventive Medicine, 35(6), 601–611. https://doi.org/10.1006/pmed.2002.1115.
Glasgow, R. E., McCaul, K. D., & Fisher, K. J. (1993). Participation in worksite health promotion: A critique of the literature and recommendations for future practice. Health Education Quarterly, 20(3), 391–408. https://doi.org/10.1177/109019819302000309.
Glick, P., Wilk, K., & Perreault, M. (1995). Images of occupations: Components of gender and status in occupational stereotypes. Sex Roles, 32(9–10), 565–582. https://doi.org/10.1007/BF01544212.
Goetzel, R. Z. (2005). Examining the value of integrating occupational health and safety and health promotion programs in the workplace. Rockville, Md: US Department of Health and Human Services, Public Health Services, Centers for Disease Control, National Institute of Occupational Health and Safety.
Gold, D. B., Anderson, D. R., & Serxner, S. A. (2000). Impact of a telephone-based intervention on the reduction of health risks. American Journal of Health Promotion, 15(2), 97–106. https://doi.org/10.4278/0890-1171-15.2.97.
Goldenhar, L. M., LaMontagne, A. D., Katz, T., Heaney, C., & Landsbergis, P. (2001). The intervention research process in occupational safety and health: An overview from the National Occupational Research Agenda Intervention Effectiveness Research team. Journal of Occupational and Environmental Medicine, 43(7), 616–622. https://doi.org/10.1097/00043764-200107000-00008.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (1998). Multivariate data analysis (Vol. 5, No. 3, pp. 207–219). Upper Saddle River, NJ: Prentice hall.
James, L. R., Choi, C. C., Ko, C. H. E., McNeil, P. K., Minton, M. K., Wright, M. A., & Kim, K. I. (2008). Organizational and psychological climate: A review of theory and research. European Journal of Work and Organizational Psychology, 17(1), 5–32.
Karasek, R. A. (1985). Job Content Questionnaire and User's Guide. https://doi.org/10.1037/t03609-000.
Katz-Navon, T., Naveh, E., & Stern, Z. (2007). Safety self-efficacy and safety performance. International Journal of Health Care Quality Assurance, 20(7), 572–584. https://doi.org/10.1108/09526860710822716.
Kilpatrick, M., Blizzard, L., Sanderson, K., Teale, B., Jose, K., & Venn, A. (2017). Barriers and facilitators to participation in workplace health promotion (WHP) activities: Results from a cross-sectional survey of public-sector employees in Tasmania, Australia. Health Promotion Journal of Australia, 28(3), 225–232. https://doi.org/10.1071/HE16052.
Koh, H. K., Oppenheimer, S. C., Massin-Short, S. B., Emmons, K. M., Geller, A. C., & Viswanath, K. (2010). Translating research evidence into practice to reduce health disparities: A social determinants approach. American Journal of Public Health, 100(S1), S72–S80. https://doi.org/10.2105/AJPH.2009.167353.
Lassen, A., Bruselius-Jensen, M., Sommer, H. M., Thorsen, A. V., & Trolle, E. (2006). Factors influencing participation rates and employees' attitudes toward promoting healthy eating at blue-collar worksites. Health Education Research, 22(5), 727–736. https://doi.org/10.1093/her/cyl153.
Loignon, A. C., & Woehr, D. J. (2018). Social class in the organizational sciences: A conceptual integration and meta-analytic review. Journal of Management, 44(1), 61–88. https://doi.org/10.1177/0149206317728106.
Mattke, S., Schnyer, C., & Van Busum, K. R. (2013). A review of the US workplace wellness market. Rand Health Quarterly, 2(4).
National Institute for Occupational Safety and Health [NIOSH]. (2018). National Occupational Research Agenda (NORA): About NORA. Retrieved from https://www.cdc.gov/nora/about.html.
National Institute for Occupational Safety and Health [NIOSH]. (n.d.). NIOSH Worker Health Charts. Retrieved from https://wwwn.cdc.gov/NIOSH-WHC/chart/brfss-chronic.
Neal, A., & Griffin, M. A. (2006). A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of Applied Psychology, 91(4), 946. https://doi.org/10.1037/0021-9010.91.4.946.
Neves, H. C. C., Medeiros, M., Munari, D. B., Ribeiro, L. C. M., & Tipple, A. F. V. (2011). Safety of nursing staff and determinants of adherence to personal protective equipment. Revista Latino-Americana de Enfermagem, 19(2), 354–361. https://doi.org/10.1590/S0104-11692011000200018.
Nielsen, K., & Abildgaard, J. S. (2013). Organizational interventions: A research-based framework for the evaluation of both process and effects. Work & Stress, 27(3), 278–297. https://doi.org/10.1080/02678373.2013.812358.
Nielsen, K., & Randall, R. (2013). Opening the black box: Presenting a model for evaluating organizational-level interventions. European Journal of Work and Organizational Psychology, 22(5), 601–617. https://doi.org/10.1080/1359432X.2012.690556.
Nielsen, K., Fredslund, H., Christensen, K. B., & Albertsen, K. (2006). Success or failure? Interpreting and understanding the impact of interventions in four similar worksites. Work & Stress, 20(3), 272–287. https://doi.org/10.1080/02678370601022688.
Nöhammer, E., Stummer, H., & Schusterschitz, C. (2014). Employee perceived barriers to participation in worksite health promotion. Journal of Public Health, 22(1), 23–31. https://doi.org/10.1007/s10389-013-0586-3.
Nykänen, M., Salmela-Aro, K., Tolvanen, A., & Vuori, J. (2019). Safety self-efficacy and internal locus of control as mediators of safety motivation–randomized controlled trial (RCT) study. Safety Science, 117, 330–338. https://doi.org/10.1016/j.ssci.2019.04.037.
Peterson, C., & Stunkard, A. J. (1989). Personal control and health promotion. Social Science & Medicine, 28(8), 819–828. https://doi.org/10.1016/0277-9536(89)90111-1.
Quick, J. C. (1999). Occupational health psychology: The convergence of health and clinical psychology with public health and preventive medicine in an organizational context. Professional Psychology: Research and Practice, 30(2), 123. https://doi.org/10.1037/0735-7028.30.2.123.
Reid, A. E., Cialdini, R. B., & Aiken, L. S. (2010). Social norms and health behavior. In Handbook of behavioral medicine (pp. 263–274). New York: Springer. https://doi.org/10.1007/978-0-387-09488-5_19.
Richardson, K. M., & Rothstein, H. R. (2008). Effects of occupational stress management intervention programs: A meta-analysis. Journal of Occupational Health Psychology, 13(1), 69. https://doi.org/10.1037/1076-8998.13.1.69.
Roberson, L., & Kulik, C. T. (2007). Stereotype threat at work. Academy of Management Perspectives, 21(2), 24–40. https://doi.org/10.5465/amp.2007.25356510.
Robroek, S. J., Van Lenthe, F. J., Van Empelen, P., & Burdorf, A. (2009). Determinants of participation in worksite health promotion programmes: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 6(1), 26. https://doi.org/10.1186/1479-5868-6-26.
Robroek, S. J., Lindeboom, D. E., & Burdorf, A. (2012). Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. Journal of Medical Internet Research, 14(2), e43. https://doi.org/10.2196/jmir.1788.
Rose, M. (2005). The mind at work: Valuing the intelligence of the American worker. Penguin.
Ross, C. E., & Mirowsky, J. (2002). Age and the gender gap in the sense of personal control. Social Psychology Quarterly, 125–145. https://doi.org/10.2307/3090097.
Rush, K. L., Kee, C. C., & Rice, M. (2005). Nurses as imperfect role models for health promotion. Western Journal of Nursing Research, 27(2), 166–183. https://doi.org/10.1177/0193945904270082.
Schneider, B. (1975). Organizational climates: An essay. Personnel Psychology, 28(4), 447–479. https://doi.org/10.1111/j.1744-6570.1975.tb01386.x.
Schneider, B., Ehrhart, M. G., & Macey, W. H. (2013). Organizational climate and culture. Annual Review of Psychology, 64, 361–388. https://doi.org/10.1146/annurev-psych-113011-143809.
Schopp, L. H., Bike, D. H., Clark, M. J., & Minor, M. A. (2015). Act healthy: Promoting health behaviors and self-efficacy in the workplace. Health Education Research, 30(4), 542–553. https://doi.org/10.1093/her/cyv024.
Sheeran, P., Maki, A., Montanaro, E., Avishai-Yitshak, A., Bryan, A., Klein, W. M., et al. (2016). The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis. Health Psychology, 35(11), 1178. https://doi.org/10.1037/hea0000387.
Siegel, M., Barbeau, E. M., & Osinubi, O. Y. (2006). The impact of tobacco use and secondhand smoke on hospitality workers. Clinics in Occupational and Environmental Medicine, 5(1), 31–42.
Smith, J. R., & Louis, W. R. (2008). Do as we say and as we do: The interplay of descriptive and injunctive group norms in the attitude–behaviour relationship. British Journal of Social Psychology, 47(4), 647–666. https://doi.org/10.1348/014466607X269748.
Sorensen, G., Stoddard, A., Ockene, J. K., Hunt, M. K., & Youngstrom, R. (1996). Worker participation in an integrated health promotion/health protection program: Results from the WellWorks project. Health Education Quarterly, 23(2), 191–203. https://doi.org/10.1177/109019819602300205.
Souza, K., Steege, A. L., & Baron, S. L. (2010). Surveillance of occupational health disparities: Challenges and opportunities. American Journal of Industrial Medicine, 53(2), 84–94. https://doi.org/10.1002/ajim.20777.
Spector, P. E. (2002). Employee control and occupational stress. Current Directions in Psychological Science, 11(4), 133–136. https://doi.org/10.1111/1467-8721.00185.
Spencer, S. J., Logel, C., & Davies, P. G. (2016). Stereotype threat. Annual Review of Psychology, 67, 415–437.
Stephens, N. M., Markus, H. R., & Fryberg, S. A. (2012). Social class disparities in health and education: Reducing inequality by applying a sociocultural self model of behavior. Psychological Review, 119(4), 723. https://doi.org/10.1037/a0029028.
Stiehl, E., Shivaprakash, N., Thatcher, E., Ornelas, I. J., Kneipp, S., Baron, S. L., & Muramatsu, N. (2018). Worksite health promotion for low-wage workers: A scoping literature review. American Journal of Health Promotion, 32(2), 359–373. https://doi.org/10.1177/0890117117728607.
Stretcher, V., DeVellis, M., Becker, M., & Rosenstock, I. (1986). Self-efficacy and the health belief model. Health Education Quarterly, 13, 73–92. https://doi.org/10.1177/109019818601300108.
TenHave, T. R., Coyne, J., Salzer, M., & Katz, I. (2003). Research to improve the quality of care for depression: Alternatives to the simple randomized clinical trial. General Hospital Psychiatry, 25(2), 115–123. https://doi.org/10.1016/S0163-8343(02)00275-X.
Thomas, L., & Williams, M. (2006). Promoting physical activity in the workplace: Using pedometers to increase daily activity levels. Health Promotion Journal of Australia, 17(2), 97–102. https://doi.org/10.1071/HE06097.
United States Fire Administration. (n.d.). Fire service grants and funding. Retrieved from https://www.usfa.fema.gov/grants/
Vatcheva, K. P., Lee, M., McCormick, J. B., & Rahbar, M. H. (2016). Multicollinearity in regression analyses conducted in epidemiologic studies. Epidemiology (Sunnyvale, Calif.), 6(2).
Walker, R. E., Keane, C. R., & Burke, J. G. (2010). Disparities and access to healthy food in the United States: A review of food deserts literature. Health & Place, 16(5), 876–884. https://doi.org/10.1016/j.healthplace.2010.04.013.
Walton, G. M., & Wilson, T. D. (2018). Wise interventions: Psychological remedies for social and personal problems. Psychological Review, 125(5), 617. https://doi.org/10.1037/rev0000115.
Zohar, D. (1980). Safety climate in industrial organizations: Theoretical and applied implications. Journal of Applied Psychology, 65(1), 96. https://doi.org/10.1037/0021-9010.65.1.96.
Zweber, Z. M., Henning, R. A., & Magley, V. J. (2016). A practical scale for multi-faceted organizational health climate assessment. Journal of Occupational Health Psychology, 21(2), 250. https://doi.org/10.1037/a0039895.
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Horan, K.A. You, me, and OHP: Applying the Sociocultural Self Model to OHP Interventions. Occup Health Sci 5, 25–53 (2021). https://doi.org/10.1007/s41542-020-00079-w
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DOI: https://doi.org/10.1007/s41542-020-00079-w