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Recommended resources

NIOSH's National Total Worker Health Agenda  

NIOSH's National Total Worker Health® (TWH) Agenda is a National Occupational Research Agenda intended to define and prioritize occupational safety and health research, practice, and prevention activities for the next decade. The Agenda articulates a variety of strategic goals, intermediate goals, and activity/output goals within the domains of Research, Practice, Policy, and Capacity-Building. It builds on an earlier Proposed National TWH Agenda released in September 2014 for stakeholder comment. More information about the final Agenda and NIOSH’s Response to Summarized Stakeholder Comments is available at

Total Worker Health Essentials video series 

The University of Iowa’s Healthier Workforce Center has created a free video series, Total Worker Health Essentials. In the videos, award-winning, small Midwestern businesses share their experiences with workplace programs that protect and promote workers' health, safety, and well-being both on and off the job. The series of 8 short videos includes advice on topics such as getting started, low-cost solutions, and return on investment. The video series has been praised by regional and national experts.

NIOSH Training for Nurses on Shift Work and Long Work Hours

This training program is the outcome of several years of work done in collaboration with healthcare stakeholders, including professional healthcare organizations and academic groups. The content is derived from the scientific literature on shift work, long work hours, sleep, and circadian rhythms. This free course is divided into two parts. Part 1 relays the health and safety risks that are associated with shift work and long work hours. Short-term risks include injury and deaths due to fatigue. Long-term risks include the development of chronic health problems, including cardiovascular, gastrointestinal, and musculoskeletal diseases, diabetes, cancer, mood disorders, and having adverse reproductive outcomes. Mistakes by tired workers can also lead to patient care errors and vehicle crashes that endanger the broader community. Part 2 covers strategies to reduce risks, including management strategies to improve the design of work schedules and the organization of the work and personal strategies for nurses. The course is multi-media and interactive, using quizzes and video testimonials from several nurses. The self-paced course is available for desktop and mobile devices and takes about 3 hours to complete. Continuing education certificates will be available for persons who complete the course.

NIOSH Centers of Excellence

NIOSH's Total Worker Health®, established in 2006, aims to support and expand multidisciplinary research, training, and education pertaining to worksite health, safety, and health promotion.

The Harvard T.H. Chan School of Public Health Center for Work, Health, & Well-being is one of six Centers of Excellence funded by NIOSH's Total Worker Health®.

Other Centers in the Initiative are:
Healthier Workforce Center of Excellence at University of Iowa
Center for the Promotion of Health in the New England Workplace, a collaboration of The University of Massachusetts, Lowell and the University of Connecticut
Oregon Healthy WorkForce Center at Oregon Health & Science University
Center for Health, Work & Environment at the University of Colorado
Center for Healthy Work at the University of Illinois-Chicago (UIC)

Working on Wellness initiative 

Working on Wellness is a statewide Massachusetts worksite wellness initiative (a partnership between the Massachusetts Department of Public Health, AdvancingWellness, Health Resources in Action, and University of Massachusetts Lowell). The initiative provides funding, training, technical assistance, and resources to businesses to help them create a healthy work environment that makes the healthy choice the easy choice. See this PDF for more information, or visit

Research Compendium: The NIOSH Total Worker Health™ Program: Seminal Research Papers 2012

In May 2012, NIOSH published a research compendium reviewing the scientific evidence for coordinating and integrating worksite health promotion and occupational health and safety as a means of enhancing the effectiveness of efforts to promote and protect worker health. The paper introduces the parameters for a research agenda aimed at improving worker health through such integrated and coordinated efforts.

Essential Elements

The Essential Elements of Effective Workplace Programs and Policies for Improving Worker Health and Wellbeing was developed by the National Institute for Occupational Safety and Health (NIOSH) to guide employers and employer-employee partnerships in establishing effective workplace programs that sustain and improve worker health. Essential Elements identifies twenty components of a comprehensive work-based health protection and health promotion program and provides guiding principles and practical direction for organizations seeking to develop effective workplace programs.