BACKGROUND: Accumulating evidence suggests that worksite
interventions integrating worksite health promotion (WHP) and occupational
safety and health (OSH) may be more efficacious and have higher
participation rates than health promotion programs offered alone. However,
dissemination of integrated programs is complicated by lack of tools for
implementation - particularly for small and medium-sized businesses
(SMBs).
OBJECTIVE: The goal of this study is to describe perceptions of
acceptability and feasibility of implementing an integrated approach to
worker health that coordinates WHP and OSH in SMBs.
METHODS: In September to November 2012, decision-makers for
employee health programming within SMBs (< 750 employees) in greater
Minneapolis were identified. Fourteen semi-structured interviews were
conducted and analyzed to develop an understanding of perceived benefits and
barriers, awareness, and capacity for implementing an integrated approach.
RESULTS: Worker health was widely valued by participants. They
reported strong management support for improving employee health and safety.
Most participants indicated that their company was open to making changes in
their approach to worker health; however, cost and staffing considerations
were frequently perceived as barriers.
CONCLUSIONS: There are opportunities for implementing integrated
worksite health programs in SMBs with existing resources and values.
However, challenges to implementation exist, as these worksites may lack the
appropriate resources.
