| 11. |
- de Lange, Annet H., et al.
(författare)
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Opportunities and challenges in designing and evaluating complex multilevel, multi-stakeholder occupational health interventions in practice
- 2024
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Ingår i: Work & Stress. - : Routledge. - 0267-8373 .- 1464-5335.
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Tidskriftsartikel (refereegranskat)abstract
- Extant research suggests the effectiveness of Occupational Health Psychology (OHP) interventions depends on their design in the broader organisational context. While the field recognises that pre- and posttest evaluation do not sufficiently capture the complex dynamics around OHP interventions, complex multi-level OHP interventions are still scarce in the literature. As established intervention implementation frameworks suggest, it remains difficult to address this complexity in practice. The present position paper re-evaluates lessons learned from two complex European OHP intervention projects, by applying the Integrated Process Evaluation Framework (IPEF) and related theories to bridge the gap between the theoretically recognised complexity and practical challenges. The re-evaluations emphasise that programme-multilevel theories rooted in OHP-perspectives contribute to adequately hypothesising around systemic factors and mechanisms relevant to OHP interventions. Concretely, middle range theories that outline how an intervention’s mechanisms work within a specific context to produce certain outcomes are crucial. Additionally, strategically and actively involving key stakeholders at all levels of the system and across the different intervention phases improves the embedding of OHP interventions in organisations. We elaborate on these insights with seven concrete recommendations for complex OHP intervention research.
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| 12. |
- Fahlén, Göran, et al.
(författare)
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The effort-reward imbalance model of psychosocial stress at the workplace : a comparison of ERI exposure assessment using two estimation methods
- 2004
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Ingår i: Work & Stress. - Abingdon : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 18:1, s. 81-88
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Tidskriftsartikel (refereegranskat)abstract
- It is not unusual for old data to be used in epidemiological studies. Recently developed instruments for measuring work-related stress did not exist when the data collection was carried out. Therefore, approximate questions are sometimes used. An apparent problem is the lack of validation of proxy questions. The aim of this study was to compare the original questions for measuring Effort-Reward Imbalance (ERI) with approximate questions. The study population corresponded with a subgroup in the WOLF-n (WOrk, Lipids, Fibrinogen-north) cohort study of cardiovascular risk in a working population in the north of Sweden: 655 men and 178 women. The agreement in exposure between the original and the approximate ERI single questions was relatively low throughout, whereas the correlation between the ERI subscales and the ERI ratios was reasonable. The latter agreement between the original and the approximate ERI ratio indicates that the approximate measures might have been useful in the past. Yet, whenever possible the implementation of the original questionnaire in study protocols is recommended since a complete measurement of ERI might help to further improve the internal consistency and the predictive validity of this exposure to effort-reward imbalance.
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| 13. |
- Fältén, Rebecca, et al.
(författare)
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How are organisational conditions related to illegitimate tasks among managers and their subordinates in the public sector? A Swedish study
- 2024
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Ingår i: Work & Stress. - 0267-8373 .- 1464-5335.
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Tidskriftsartikel (refereegranskat)abstract
- Illegitimate tasks violate the norms of what is considered part of the employee's work role and have been found to harm individuals, groups and organisations. The purpose of this study was to investigate the relationship between key organisational conditions - span of control, recruitment needs, administrative support and organisational changes - and the prevalence of unnecessary and unreasonable illegitimate tasks experienced by managers and their subordinates. Data were collected from a sample comprising 80 managers and 863 subordinates in a Swedish municipality using questionnaires to assess their perceptions of illegitimate tasks. Organisational conditions were collected from the human resources register in the municipality. Multilevel analysis results reveal a positive association between the size of workgroups and illegitimate tasks; the more subordinates per workgroup, the more unnecessary and unreasonable tasks managers reported and the more unreasonable tasks the subordinates reported. These findings hold practical implications for organisations because they indicate that illegitimate tasks can be reduced by decreasing the number of employees in larger workgroups.
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| 14. |
- Hansson, Ann-Sophie, et al.
(författare)
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Organizational Change, Health and Sick Leave among Health Care Employees : A Longitudinal Study Measuring Stress Markers, Individual and Work Site Factors
- 2008
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 22:1, s. 69-80
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Tidskriftsartikel (refereegranskat)abstract
- This controlled longitudinal study was conducted to investigate the effects of organizational change on employees' self-reported health, work satisfaction, work-related exhaustion, stress, and sick leave. The population consisted of 226 employees at T1 and 198 at T2, divided into a study group affected by organizational changes, and a reference group not affected by them. Group differences for the outcome measures self-rated health (SRH), work satisfaction, work-related exhaustion, and hormones associated with stress were analysed using a two-factor ANOVA design for repeated measurements. Our findings showed no significant differences, either across time or between groups for SRH, work satisfaction, and work-related exhaustion. However, we did find significant change across time and between groups for the recovery hormone DHEA-S. Days of sick leave increased by 7% for employees in the study group and by 2% in the reference group. Serum cortisol showed significantly decreased levels across time but not between groups. The decreased recovery potential in the study group might have long-term health implications. The study points to the importance of looking at the impact of organizational change on employee well-being from a number of perspectives, such as self-reported health parameters, registered sick-leave data, and biological stress markers.
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| 15. |
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| 16. |
- Harter Griep, R, et al.
(författare)
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Beyond simple approaches to studying the association between work characteristics and absenteeism : Combining the DCS and ERI models
- 2010
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 24:2, s. 179-195
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Tidskriftsartikel (refereegranskat)abstract
- The Demand-Control-Support (DCS) and the Effort-Reward Imbalance (ERI) models assess different psychosocial factors. This study investigates whether a combination of these models increases their ability to predict sickness absence, as compared to results based on each model separately. A cross-sectional study with nursing personnel (N = 1307) in Brazil was performed. Regression analyses were conducted in three stages: analysis of each scale of the models and sickness absences; assessment of the independent association of each model with sickness absences; assessment of the associations of three combinations of models/scales with sickness absences: DC and social support (SS), ERI and overcommitment, and DC and ERI. As regards comparisons between the stress models, ERI was shown to be independently associated with short (up to 9 days) and long (10 days or more) spells of absenteeism. The same result held true for low social support. The combinations DC-ERI and DC-SS were better predictors for short spells than each model/scale separately, whereas for long spells, the combination DC-SS was the best predictor. ERI seems to be a good instrument for predicting absenteeism if used alone, whereas DC performed better when combined with ERI or SS. An improved risk estimation of sickness absences by combining information from the two models was observed.
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| 17. |
- Hasson, Henna, et al.
(författare)
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An organizational- level occupational health intervention: Employee perceptions of exposure to changes, and psychosocial outcomes
- 2014
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Ingår i: Work & Stress. - : Informa UK Limited. - 1464-5335 .- 0267-8373. ; 28:2, s. 179-197
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to investigate the association between employees' perceptions of their exposure to an organizational-level occupational health intervention and its psychosocial outcomes. Participants were employees of an insurance firm (N = 1084) in Quebec, Canada. The intervention was designed to reduce adverse psychosocial work factors (high psychological demands, low decision latitude, low social support and low rewards). Departmental managers were responsible for implementing changes to reduce exposure to these factors. Employees' perceptions of exposure to the intervention and its impact on their work were measured in 2007 through questionnaires. Psychological demands, decision latitude, social support and rewards measured in 2005 and 2007 were used to assess outcomes. Employees who perceived that they had been exposed to the intervention changes showed more improvement in outcomes than those who did not perceive changes. The greatest differences in outcomes were found in those participants who perceived that workplace changes had improved their work situation as compared to those who perceived the changes as neutral or negative. The results suggest that measurement of employee-perceived impact of each intervention change on their work situation may be even more important than actual exposure, and should be included in the measurement of exposure to organization-level interventions.
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| 18. |
- Härenstam, Annika, et al.
(författare)
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Patterns of working and living conditions : a holistic, multivariate approach to occupational health studies
- 2003
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 17:1, s. 73-92
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to develop a multivariate approach to occupational health studies that is: capable of identifying groups with similar working conditions; relevant for studies of associations between working and living conditions and health; and an appropriate basis for preventive actions. Data at the individual level were obtained through measurements, observations, interviews and questionnaires, and at the organizational level, through interviews with managers. Cluster analyses were applied with the purpose of identifying groups of individuals with small, within-group differences. Eighty work sites and a sample of employees at each site were strategically selected. The study group comprised 203 men and women, and was characterized by large variation. The final analysis produced eight clusters of individuals, denoted according to their best-defining characteristic, i.e. 'decent', 'boundary-less', 'locked', 'exposed', 'heavy and monotonous', 'changed', 'mobile' and 'restrained'. The clusters differed with regard to 'what' characterized working conditions, 'where' on the labour market they were found, and 'who' clustered in these groups. The holistic approach revealed conditions that were important for health and had higher explanatory power in relation to ill-health than applying socio-economic groupings or the demand-control-support model. It showed how psychosocial, ergonomic-physical and occupational hygiene factors combine and interact to create settings with different risks of ill-health. The chosen strategy is recommended for future occupational health studies and is particularly suitable as guidance for preventive actions relevant to specific clusters of working and living conditions.
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| 19. |
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| 20. |
- Johansson Hanse, Jan, 1954, et al.
(författare)
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Sense of Coherence and Ill Health Among the Unemployed and Re-employed After Closure of an Assembly Plant
- 1999
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Ingår i: Work and Stress. - 0267-8373 .- 1464-5335. ; 13:3, s. 204-222
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate the relationship between employment status, ill health and sense of coherence (SOC). A cross-sectional sample of the former workers at the closed down Volvo Kalmar plant in Sweden was used. A questionnaire was mailed to all identified subjects 2 years after the closure of the plant. Responses were obtained from 344 persons, of whom 173were re-employed and 92were unemployed. They answered the questionnaire anonymously on background variables, SOC and ill health (physical and psychological symptoms). A notable difference was found between the re-employed and unemployed, where the unemployed reported symptoms significantly more often as well as a significantly weaker SOC. The main finding in a four-cell model indicated that unemployment had a rather low impact on symptoms in the presence of a strong SOC. Structural equation modelling (SEM) was performed with simultaneous analysis of the unemployed and reemployed. The SEM analysis indicated that SOC seemed to have a greater impact on psychological symptoms among unemployed compared with re-employed persons. However, it should be noted that the present study does not allow for the determination of cause-effect relationships. A comment: This publication is authored together with a senior research competency within psychology with whom Engström have had long time cooperation procedures.
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