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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.).
Objectives:
This study evaluated training transfer after a Total Worker Health (TWH) training with Mexican safety engineers and occupational medicine physicians and residents.
Methods:
We used a mixed-methods analysis to assess responses before and after training and 3 months after.
Results:
Nearly three quarters (73%) of the participants applied a TWH concept from the course into their work. Over half (52%) of the participants worked to change the way they applied the TWH approach, and examples included broadened awareness of what health means at work and the need for workforce engagement. While changes in TWH practices occurred, gaps remained.
Conclusions:
The TWH training facilitated behavior changes, particularly in leadership for TWH practices. Factors supporting skill transfer included a national-level TWH-type program, positive mindsets, and willingness to implement change. Additional training is needed to address specific skills in TWH risk assessment and controls.
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