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A Mixed-Methods Evaluation of Total Worker Health® Training Transfer in México
Natalie V Schwatka1, Madison Goering, Carol Brown
1From the Centers for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (N.V.S., M.G., C.B., D.J., L.T., K.V.H., D.C.S., L.S.N.); Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (N.V.S., M.G., C.B., D.J., L.T., K.V.H., D.C.S., L.S.N.); Center for Promotion of Health in the New England Workplace, University of Massachusetts, Lowell, Massachusetts (S.R.); Universidad Rafael Landivar, Guatemala City, Guatemala (J.B.); Instituto Mexicano del Seguro Social, Mexico City, Mexico (M.H.A., R.V.R., R.A.R.B., G.A.R.O., C.G.M.); Department of Epidemiology, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (L.S.N.); and Department of Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (L.S.N.).
Total Worker Health (TWH) training improved workplace health practices among Mexican professionals. Participants applied TWH concepts, though further training is needed for specific risk assessment skills.
Area of Science:
- Occupational Health
- Workplace Safety
- Public Health Training
Background:
- Total Worker Health (TWH) integrates occupational safety and health with broader well-being.
- Effective TWH implementation requires tailored training for diverse professional groups.
Purpose of the Study:
- To evaluate the training transfer of Total Worker Health (TWH) concepts among Mexican safety engineers and occupational medicine professionals.
- To assess the impact of TWH training on professional practices and identify factors influencing skill transfer.
Main Methods:
- A mixed-methods approach was employed to analyze participant responses.
- Data collection occurred at three time points: pre-training, post-training, and three months after training.
Main Results:
- 73% of participants successfully integrated at least one TWH concept into their work.
- 52% of participants modified their TWH approach, showing increased awareness of workplace health and workforce engagement.
- Despite positive changes, skill gaps in TWH risk assessment and control measures were identified.
Conclusions:
- The TWH training successfully promoted behavior change, especially in leadership roles for TWH practices.
- Factors facilitating skill transfer included a supportive national program, positive attitudes, and a willingness to implement changes.
- Targeted training is recommended to address identified gaps in TWH risk assessment and control strategies.
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