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Bellaire LL. What's Important: Engaging Meaningfully with Sustainability Efforts as an Orthopaedic Surgeon. J Bone Joint Surg Am 2024:00004623-990000000-01195. [PMID: 39259776 DOI: 10.2106/jbjs.24.00641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/13/2024]
Affiliation(s)
- Laura L Bellaire
- Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah
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Peters SE, Gundersen DA, Katz JN, Sorensen G, Wagner GR. Thriving from Work Questionnaire: Dimensionality, reliability, and validity of the long and short form questionnaires. Am J Ind Med 2023; 66:281-296. [PMID: 36748853 DOI: 10.1002/ajim.23465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 01/04/2023] [Accepted: 01/13/2023] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Thriving from Work is defined as the state of positive mental, physical, and social functioning in which workers' experiences of their work and working conditions enable them to thrive in their overall lives, contributing to their ability to achieve their full potential at work, at home, and in the community. The purpose of this study was to develop a psychometrically-sound questionnaire measuring the positive contribution that work can have on one's well-being both at, and outside of, their work. METHODS We used both a qualitative and quantitative approach of item reduction, domain mapping dimensionality testing, development of "long-" and "short-" versions of the questionnaire, reliability, and construct and criterion validity testing. This was established in two independent online samples of US based workers (n = 1550, n = 500). RESULTS We developed a bi-factor model 30-item long-form and a uni-factorial 8-item short-version. The long-form measures both the latent construct of Thriving from Work and six domains (psychological/emotional; work-life integration; social; experience of work; basic needs; health). Both long- and short- forms were found to have high empirical reliability (0.93 and 0.87 respectively). The short-form captures 94% of variance of the long-form. Construct and criterion validity were supported. Test-retest reliability was high. CONCLUSIONS The Thriving from Work Questionnaire appears to be a valid and reliable measure of work-related well-being in United States workers. Further testing is needed to refine and test the instrument in specific industries, unique worker populations, and across geographic regions.
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Affiliation(s)
- Susan E Peters
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Daniel A Gundersen
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
- Survey and Qualitative Methods Core, Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Jeffrey N Katz
- Departments of Orthopedic Surgery and Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Glorian Sorensen
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
- Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Gregory R Wagner
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
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Liu Y, Yang X, Wu Y, Xu Y, Zhong Y, Yang S. The Relationship between Job Satisfaction and Depressive Symptoms among Chinese Adults Aged 35-60 Years: The Mediating Role of Subjective Well-Being and Life Satisfaction. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20032023. [PMID: 36767389 PMCID: PMC9915934 DOI: 10.3390/ijerph20032023] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 01/19/2023] [Accepted: 01/20/2023] [Indexed: 05/31/2023]
Abstract
The purpose of this study was to assess the serial multiple mediating effects of subjective well-being and life satisfaction between job satisfaction and depressive symptoms among Chinese adults aged 35-60 years. According to the 2018 China Family Panel Study (CFPS), we finally selected 10,609 respondents (5202 females, and 5407 males) aged 35-60 years old as samples for the study. Correlation analysis was carried out to examine the relationship among job satisfaction, subjective well-being, life satisfaction, and depressive symptoms. Linear regression models were established to analyze the relationship between job satisfaction and depressive symptoms. Serial multiple mediation analysis was conducted by the SPSS macro PROCESS program. The results suggested that job satisfaction was negatively correlated with depressive symptoms among Chinese adults aged 35-60 years. Subjective well-being and life satisfaction mediated the relationships between them, respectively. Furthermore, job satisfaction also had indirect impacts on depressive symptoms through the serial mediating effects of subjective well-being and life satisfaction. The findings revealed that increasing job satisfaction could decrease depressive symptoms through promoting subjective well-being and life satisfaction. The study may offer some meaningful implications for improving the mental health and reducing the risk of depressive symptoms among Chinese adults aged 35-60 years.
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Pronk N, Kleinman DV, Goekler SF, Ochiai E, Blakey C, Brewer KH. Promoting Health and Well-being in Healthy People 2030. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2021; 27:S242-S248. [PMID: 33278186 PMCID: PMC8478321 DOI: 10.1097/phh.0000000000001254] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Healthy People 2030 describes a vision and offers benchmarks that can be used to track progress toward the goal of all people in the United States achieving their full potential for health and well-being across the life span. This vision can be realized through evidence-based interventions and policies that address the economic, physical, and social environments in which people live, learn, work, and play. Securing health and well-being for all will benefit society as a whole. Gaining such benefits requires eliminating health disparities, achieving health equity, attaining health literacy, and strengthening the physical, social, and economic environments. Implementation of Healthy People 2030 will by strengthened by engaging users from many sectors and ensuring the effective use and alignment of resources. Promoting the nation's health and well-being is a shared responsibility-at the national, state, territorial, tribal, and community levels. It requires involving the public, private, and not-for-profit sectors.
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Affiliation(s)
- Nico Pronk
- Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Drs Pronk, Kleinman, and Goekler); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai and Ms Blakey); and Health ConTexts, LLC, Silver Spring, MD (Ms Brewer)
| | - Dushanka V. Kleinman
- Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Drs Pronk, Kleinman, and Goekler); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai and Ms Blakey); and Health ConTexts, LLC, Silver Spring, MD (Ms Brewer)
| | - Susan F. Goekler
- Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Drs Pronk, Kleinman, and Goekler); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai and Ms Blakey); and Health ConTexts, LLC, Silver Spring, MD (Ms Brewer)
| | - Emmeline Ochiai
- Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Drs Pronk, Kleinman, and Goekler); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai and Ms Blakey); and Health ConTexts, LLC, Silver Spring, MD (Ms Brewer)
| | - Carter Blakey
- Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Drs Pronk, Kleinman, and Goekler); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai and Ms Blakey); and Health ConTexts, LLC, Silver Spring, MD (Ms Brewer)
| | - Karen H. Brewer
- Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Drs Pronk, Kleinman, and Goekler); Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, US Department of Health and Human Services, Rockville, Maryland (Ms Ochiai and Ms Blakey); and Health ConTexts, LLC, Silver Spring, MD (Ms Brewer)
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Calitz C, Pratt C, Pronk NP, Fulton JE, Jinnett K, Thorndike AN, Addou E, Arena R, Brown AGM, Chang C, Latts L, Lerner D, Majors M, Mancuso M, Mills D, Sanchez E, Goff D. Cardiovascular Health Research in the Workplace: A Workshop Report. J Am Heart Assoc 2021; 10:e019016. [PMID: 34459251 PMCID: PMC8649235 DOI: 10.1161/jaha.120.019016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Heart disease and stroke are the first and fifth leading causes of death in the United States, respectively. Employers have a unique opportunity to promote cardiovascular health, because >60% of US adults are employed, and most spend half of their waking hours at work. Despite the scope of the opportunity, <1 in 5 businesses implement evidence-based, comprehensive workplace health programs, policies, and practices. Integrated, systems-based workplace health approaches that harness data science and technology may have the potential to reach more employees and be cost-effective for employers. To evaluate the role of the workplace in promoting cardiovascular health across the lifespan, the National Heart, Lung, and Blood Institute, the National Institute for Occupational Safety and Health, and the American Heart Association convened a workshop on March 7, 2019, to share best practices, and to discuss current evidence and knowledge gaps, practical application, and dissemination of the evidence, and the need for innovation in workplace health research and practice. This report presents the broad themes discussed at the workshop and considerations for promoting worker cardiovascular health, including opportunities for future research.
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Affiliation(s)
| | | | | | | | - Kimberly Jinnett
- University of California San Francisco and GenentechSan FranciscoCA
| | | | - Ebyan Addou
- National Heart Lung and Blood InstituteBethesdaMD
| | - Ross Arena
- University of Illinois at ChicagoIL
- Healthy Living for Pandemic Event Protection NetworkChicagoIL
| | | | - Chia‐Chia Chang
- National Institute for Occupational Safety and Health/Centers for Disease Control and PreventionWashingtonDC
| | - Lisa Latts
- Colorado Department of Health Care Policy and FinancingDenverCO
| | | | | | | | | | | | - David Goff
- National Heart Lung and Blood InstituteBethesdaMD
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Liu K, Yang D, Zan P, Fan A, Zheng Z, Jiang W, Li G. Preoperative low scores of Life Satisfaction Rating predicts poor outcomes after total knee arthroplasty: a prospective observational study. J Orthop Surg Res 2020; 15:145. [PMID: 32293485 PMCID: PMC7160936 DOI: 10.1186/s13018-020-01668-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 04/03/2020] [Indexed: 01/18/2023] Open
Abstract
Background Despite the continued improvement in the surgical techniques during primary total knee arthroplasty (TKA), literatures indicate that up to 10 to 20% patients are not satisfied with their outcomes. Psychological factors in this dissatisfaction are yet to be clearly identified. The aim of this study is to develop a method to assess whether the patient’s current mental state is suitable enough to accept a TKA surgery. Methods Preoperative demographic and clinical data of 532 patients who underwent TKA were prospectively obtained from January 2012 until December 2016. We recorded the scores evaluated by SF-36 questionnaire and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) preoperatively and 1 year postoperatively. Preoperative Life Satisfaction Rating (LSR) is emphatically evaluated. Results Poor preoperative score of LSR was a significant predictor of dissatisfaction after TKA. Patients with low LSR reported significant pain and stiffness, although there was no remarkable effect on functionality of the replaced joint. The results also showed that age and BMI were not strong predictors of satisfaction in TKA. Conclusion Our outcomes can help clinicians evaluate whether a patient’s current mental status is favorable for TKA. If patients have extreme low scores of LSR (less than 10), a psychological intervention should be recommended for better satisfaction following a TKA surgery. This would also allow surgeons to individually assess the risks and benefits of surgery.
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Affiliation(s)
- Kaiyuan Liu
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China
| | - Dong Yang
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China
| | - Pengfei Zan
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China. .,Department of Orthopedic Surgery, Shanghai General Hospital affiliated to Jiatong University, No.100 Haining Road, Hongkou District, Shanghai, 200080, People's Republic of China.
| | - Aoyuan Fan
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China
| | - Zhi Zheng
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China.,Department of orthopedic surgery, Jinshan Hospital affiliated to Fudan University, Shanghai, People's Republic of China
| | - Wenwei Jiang
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China
| | - Guodong Li
- Department of Orthopedic Surgery, Shanghai Tenth People's Hospital affiliated to Tongji University, 301 Yanchang Rd, Jingan District, Shanghai, 200072, People's Republic of China.
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Nooijen CFJ, Blom V, Ekblom Ö, Ekblom MM, Kallings LV. Improving office workers' mental health and cognition: a 3-arm cluster randomized controlled trial targeting physical activity and sedentary behavior in multi-component interventions. BMC Public Health 2019; 19:266. [PMID: 30836957 PMCID: PMC6402109 DOI: 10.1186/s12889-019-6589-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Accepted: 02/25/2019] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Physically inactive and sedentary lifestyles are negatively related to both mental health and cognition. For office-workers, who spend two-thirds of their workday sitting, it is important to improve these lifestyles. The aim of this study is to assess the effectiveness of multi-component interventions, incorporating individual, environmental and organizational changes, to increase physical activity or reduce sedentary behavior among office-workers in order to improve mental health and cognition. METHODS a 3-arm, clustered randomized controlled trial (RCT) with waiting list control group amongst adult office-workers of two large Swedish companies. Cluster teams will be randomized into 6-month interventions or to a passive waiting list control group which will receive the allocated intervention with a 6-month delay. Two multicomponent interventions will be studied of which one focuses on improving physical activity and the other on reducing sedentary behavior. Both interventions include 5 sessions of motivational counselling. In the physical activity intervention persons also get access to a gym and team leaders will organize lunch walks and encourage to exercise. In the sedentary behavior intervention standing- and walking meetings will be implemented and team leaders will encourage to reduce sitting. The recruitment target is 110 office-workers per arm (330 in total). Measurements will be repeated every 6 months for a total intended duration of 24 months. Proximal main outcomes are physical activity measured with accelerometers and sedentary behavior with inclinometers. Distal outcomes are self-reported mental health and a cognition test battery. Additional outcomes will include cardiovascular fitness, body composition, sleep, self-reported physical activity and sedentary behavior, other health habits, physical health, and working mechanisms from blood samples and questionnaires. DISCUSSION This cluster RCT will contribute to the currently available evidence by comparing the effectiveness of multi-component interventions targeting physical activity or sedentary behavior with the end goal of improving mental health and cognition. This study is strong in its cluster randomized design, numerous objective outcome measures and long-term follow-up. The exact content of the interventions has been defined by combining theory with results from a larger research project as well as having a continuous dialogue with the involved companies. TRIAL REGISTRATION ISRCTN92968402 .
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Affiliation(s)
- Carla F. J. Nooijen
- The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden
- The Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Victoria Blom
- The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden
- The Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Örjan Ekblom
- The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden
| | - Maria M. Ekblom
- The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden
- The Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Lena V. Kallings
- Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden
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Pantzar A, Jonasson LS, Ekblom Ö, Boraxbekk CJ, Ekblom MM. Relationships Between Aerobic Fitness Levels and Cognitive Performance in Swedish Office Workers. Front Psychol 2018; 9:2612. [PMID: 30619011 PMCID: PMC6306454 DOI: 10.3389/fpsyg.2018.02612] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Accepted: 12/05/2018] [Indexed: 01/15/2023] Open
Abstract
Objectives: Aerobic exercise influence cognition in elderly, children, and neuropsychiatric populations. Less is known about the influence of aerobic exercise in healthy samples (particularly working age), and of different fitness levels on cognition. Two hypotheses were posed: (1) low fitness levels, compared to moderate and high, will be related to poorer cognitive performance, and (2) breakpoints for the beneficial relationship between VO2 and cognition will be observed within the moderate-to-high fitness span. Design and Methods: The sample consisted of n=362 office workers. A submaximal cycle ergometer test estimated maximal oxygen consumption (VO2max, mL·kg−1·min−1). Based on estimated VO2max participants were split into tertiles; low (n = 121), moderate (n = 119), and high (n = 122). A cognitive test battery (9 tests), assessed processing speed, working memory, executive functions and episodic memory. Results: Both hypotheses were confirmed. Groups of moderate (≈40) and high (≈49) fitness outperformed the group of low (≈31) fitness for inhibition and episodic recognition, whereas no significant differences between moderate and high fitness were observed (ANCOVAs). Breakpoints between benefits fromVO2max for inhibition and recognition were estimated to ≈44/43 mL·kg−1·min−1 (multivariate broken line regressions). Conclusions: Results suggest that it is conceivable to expect a beneficial relationship between VO2max and some cognitive domains up to a certain fitness level. In a sample of healthy office workers, this level was estimated to 44 mL·kg−1·min−1. This has implications on organizational and societal levels; where incentives to improve fitness levels from low to moderate could yield desirable cognitive and health benefits in adults.
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Affiliation(s)
- Alexandra Pantzar
- The Swedish School of Sport and Health Sciences, GIH, Stockholm, Sweden
| | - Lars S Jonasson
- Department of Integrative Medical Biology, Umeå University, Umeå, Sweden
| | - Örjan Ekblom
- The Swedish School of Sport and Health Sciences, GIH, Stockholm, Sweden
| | - Carl-Johan Boraxbekk
- Centre for Demographic and Aging Research, Umeå University, Umeå, Sweden.,Danish Research Center for Magnetic Resonance, Center for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Hvidovre, Denmark
| | - Maria M Ekblom
- The Swedish School of Sport and Health Sciences, GIH, Stockholm, Sweden.,Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
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