Evaluation of caregiver-friendly workplace policy (CFWPs) interventions on the health of full-time caregiver employees (CEs): implementation and cost-benefit analysis.

Allison M Williams, Emile Tompa, Donna S Lero, Janet Fast, Amin Yazdani, Isik U Zeytinoglu

Journal: BMC public health 2018;17(1):728

PMID: 28931383

Abstract

BACKGROUND

Current Canadian evidence illustrating the health benefits and cost-effectiveness of caregiver-friendly workplace policies is needed if Canadian employers are to adopt and integrate caregiver-friendly workplace policies into their employment practices. The goal of this three-year, three study research project is to provide such evidence for the auto manufacturing and educational services sectors. The research questions being addressed are: What are the impacts for employers (economic) and workers (health) of caregiver-friendly workplace policy intervention(s) for full-time caregiver-employees? What are the impacts for employers, workers and society of the caregiver-friendly workplace policy intervention(s) in each participating workplace? What contextual factors impact the successful implementation of caregiver-friendly workplace policy intervention(s)?

METHODS

Using a pre-post-test comparative case study design, Study A will determine the effectiveness of newly implemented caregiver-friendly workplace policy intervention(s) across two workplaces to determine impacts on caregiver-employee health. A quasi-experimental pre-post design will allow the caregiver-friendly workplace policy intervention(s) to be tested with respect to potential impacts on health, and specifically on caregiver employee mental, psychosocial, and physical health. Framed within a comparative case study design, Study B will utilize cost-benefit and cost-effectiveness analysis approaches to evaluate the economic impacts of the caregiver-friendly workplace policy intervention(s) for each of the two participating workplaces. Framed within a comparative case study design, Study C will undertake an implementation analysis of the caregiver-friendly workplace policy intervention(s) in each participating workplace in order to determine: the degree of support for the intervention(s) (reflected in the workplace culture); how sex and gender are implicated; co-workers' responses to the chosen intervention(s), and; other nuances at play. It is hypothesized that the benefits of the caregiver-friendly workplace policy intervention(s) will include improvements in caregiver-employees' mental, psychosocial and physical health, as well as evidence of cost-benefit and cost-effectiveness for the employer.

DISCUSSION

The expected project results will provide the research evidence for extensive knowledge translation work, to be carried out in collaboration with our knowledge transition partners, to the employer/human resources and occupational health/safety target populations.

TRIAL REGISTRATION

ISRCTN16187974 Registered August 25, 2016.

Address: School of Geography and Earth Sciences, McMaster University, General Science Building, 209, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. [email protected].; Institute for Work and Health, University of Toronto, 481 University Avenue, Suite 800, Toronto, ON, M5G 2E9, Canada.; Department of Family Relations and Applied Nutrition, Macdonald Institute, University of Guelph, 227A, 50 Macdonald Street, Guelph, ON, N1G 1Y1, Canada.; Department of Human Ecology, University of Alberta, 2-06 Agriculture Forestry Centre, Edmonton, AB, T6G 2P5, Canada.; School of Geography and Earth Sciences, McMaster University, General Science Building, 209, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.; Department of Kinesiology, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.; Conestoga College, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.; Department of Human Resources and Management DeGroote School of Business, McMaster University, 405, 1280 Main Street West, Hamilton, ON, L8S 4M4, Canada.
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