151. Evaluation of an organizational health intervention for low-skilled workers and immigrants
- Author
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Tobias Koch, Eva Winkler, Julia Clasen, Christine Busch, and Julia Vowinkel
- Subjects
Strategy and Management ,media_common.quotation_subject ,Immigration ,education ,Health intervention ,03 medical and health sciences ,Social support ,0302 clinical medicine ,peer-mentoring ,Arts and Humanities (miscellaneous) ,Nursing ,Management of Technology and Innovation ,Peer mentoring ,0502 economics and business ,realist evaluation ,030212 general & internal medicine ,Low skilled ,media_common ,ComputingMilieux_THECOMPUTINGPROFESSION ,05 social sciences ,General Social Sciences ,Social Work and Social Pedagogics ,organizational health intervention ,social support ,low-skilled workers ,occupational health intervention ,line manager training ,Psychology ,multi-methods approach ,050203 business & management ,job stress intervention - Abstract
We conducted this realist evaluation study of an organizational health intervention involving 421 low-skilled workers (50% female), half of whom were immigrants, in three companies over six months. Non-profit agencies implemented peer-mentoring and taught peer-mentors and line managers how to enhance social support in order to improve workers’ work situation in a participative way. We formulated five mechanisms of change: the company management encouragement mechanism, the role model mechanism, the peer-mentor support mechanism, the line manager support mechanism, and the participative work improvement mechanism. We combined realist evaluation with a quasi-experimental design and process evaluation in a multi-methods approach. Results of multiple group latent change models and qualitative research showed that intervention-group workers perceived increases in peer-mentor support but not in line manager support. Peer-mentors managed to initiate high-quality improvements at work. Intervention-group workers showed significant reductions in blood pressure. Control-group workers experienced more psychosomatic complaints over time in significant contrast to intervention-group workers. Our results suggest that peer-mentoring offers an effective way for low-skilled workers and immigrants to achieve better health. To improve such health effects, a greater focus on line managers’ work situations is needed to help them provide support.
- Published
- 2017
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