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Authors = Rajashree Kotejoshyer

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13 pages, 1033 KiB  
Article
Development and Implementation of a Total Worker Health® Mentoring Program in a Correctional Workforce
by Sara Namazi, Rajashree Kotejoshyer, Dana Farr, Robert A. Henning, Diana C. Tubbs, Alicia G. Dugan, Mazen El Ghaziri and Martin Cherniack
Int. J. Environ. Res. Public Health 2021, 18(16), 8712; https://doi.org/10.3390/ijerph18168712 - 18 Aug 2021
Cited by 12 | Viewed by 4060
Abstract
Correctional officers (COs) are exposed to a number of occupational stressors, and their health declines early in their job tenure. Interventions designed to prevent early decline in CO health are limited. This article describes the development, implementation, and evaluation of a one-year peer [...] Read more.
Correctional officers (COs) are exposed to a number of occupational stressors, and their health declines early in their job tenure. Interventions designed to prevent early decline in CO health are limited. This article describes the development, implementation, and evaluation of a one-year peer health mentoring program (HMP) guided by Total Worker Health® principles and using a participatory action research to collectively address worker safety, health, and well-being of newly hired COs. The HMP aimed to provide new COs with emotional and tangible forms of support during their first year of employment, including peer coaching to prevent early decline in physical fitness and health. The development and implementation of the HMP occurred across five main steps: (1) participatory design focus groups with key stakeholders; (2) adaptation of an existing mentoring handbook and training methods; (3) development of mentor–mentee recruitment criteria and assignment; (4) designing assessment tools; and (5) the initiation of a mentor oversight committee consisting of union leadership, corrections management, and research staff. Correctional employee engagement in the design and implementation process proved to be efficacious in the implementation and adaptation of the program by staff. Support for the HMP remained high as program evaluation efforts continued. Full article
(This article belongs to the Special Issue Worker Safety, Health, and Well-Being in the USA)
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21 pages, 619 KiB  
Article
Impact of a Total Worker Health® Mentoring Program in a Correctional Workforce
by Rajashree Kotejoshyer, Declan O. Gilmer, Sara Namazi, Dana Farr, Robert A. Henning and Martin Cherniack
Int. J. Environ. Res. Public Health 2021, 18(16), 8436; https://doi.org/10.3390/ijerph18168436 - 10 Aug 2021
Cited by 9 | Viewed by 3692
Abstract
(1) Background: Correctional Officers show signs of adverse health early in their careers. We evaluated the impact of a one-year peer health mentoring program for new officers based on a Total Worker Health® approach; (2) Methods: Cadets (n = 269) were [...] Read more.
(1) Background: Correctional Officers show signs of adverse health early in their careers. We evaluated the impact of a one-year peer health mentoring program for new officers based on a Total Worker Health® approach; (2) Methods: Cadets (n = 269) were randomly assigned to a mentored or control group. Cadets in this mixed methods design completed physical assessments, and surveys at three time points to assess demographics, health, mentoring, and workplace variables. Physical testing included several health markers. Surveys and physical data were analyzed as repeated measures. Regression analyses were used to analyze the relationship between mentoring characteristics and outcomes. A semi-structured interview of mentors was analyzed qualitatively. (3) Results: Higher mentoring frequency was associated with lower burnout. Health behaviors and outcomes declined over time in all groups, but mentees displayed slower decline for body mass index (BMI) and hypertension compared to controls. (4) Conclusions: A continuous peer health mentoring program seemed protective to new officers in reducing burnout and also declines in BMI and hypertension. Short-term physical health markers in younger officers may not be an index of psycho-social effects. A participatory design approach is recommended for a long-term health mentoring program to be both effective and sustainable. Full article
(This article belongs to the Special Issue Worker Safety, Health, and Well-Being in the USA)
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17 pages, 798 KiB  
Article
Prospective Evaluation of Fidelity, Impact and Sustainability of Participatory Workplace Health Teams in Skilled Nursing Facilities
by Rajashree Kotejoshyer, Yuan Zhang, Marian Flum, Jane Fleishman and Laura Punnett
Int. J. Environ. Res. Public Health 2019, 16(9), 1494; https://doi.org/10.3390/ijerph16091494 - 27 Apr 2019
Cited by 8 | Viewed by 5650
Abstract
Organizational features of work often pose obstacles to workforce health, and a participatory change process may address those obstacles. In this research, an intervention program sought to integrate occupational safety and health (OSH) with health promotion (HP) in three skilled nursing facilities. Three [...] Read more.
Organizational features of work often pose obstacles to workforce health, and a participatory change process may address those obstacles. In this research, an intervention program sought to integrate occupational safety and health (OSH) with health promotion (HP) in three skilled nursing facilities. Three facilities with pre-existing HP programs served as control sites. The intervention was evaluated after 3–4 years through focus groups, interviews, surveys, and researcher observations. We assessed process fidelity in the intervention sites and compared the two groups on the scope of topics covered (integration), program impact, and medium-term sustainability. The intervention met with initial success as workers readily accepted and operationalized the concept of OSH/HP integration in all three intervention facilities. Process fidelity was high at first but diminished over time. At follow-up, team members in two intervention sites reported higher employee engagement and more attention to organizational issues. Two of the three control facilities remained status quo, with little OSH/HP integration. The intervention had limited but positive impact on the work environment and health climate: staff awareness and participation in activities, and organizational factors such as decision-making, respect, communication, and sharing of opinions improved slightly in all intervention sites. Resources available to the teams, management support, and changing corporate priorities affected potential program sustainability. Full article
(This article belongs to the Special Issue Using Total Worker Health® to Advance Worker Health and Safety)
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