Beyond Safety: A Holistic Measure of Worker Well-Being

What is it about?

In this study, we developed and validated the Total Worker Health Climate (TWH-c) Scale, a tool designed to measure how workers perceive their organization’s commitment to safety, physical health, and mental well-being. Total Worker Health (TWH) is an approach that promotes worker well-being by aligning safety and health initiatives. It recognizes that physical, mental, and social factors are interconnected, and affect workers both at work and at home. The TWH-c Scale integrates the subclimates of safety, physical health, and mental well-being into a single framework that captures how effectively organizations support employee well-being.

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Why is it important?

Many workplaces aim to support health and safety, but until now, there has been no validated way to measure how employees experience these efforts holistically. The TWH-c Scale fills this gap by offering a practical, research-based method to assess an organization’s Total Worker Health culture and capture individual, work group, and organization-level perceptions. This helps leaders identify what’s working, where improvements are needed, and how safety, health, and well-being efforts can reinforce one another. By applying the TWH-c Scale, organizations can make data-informed decisions to foster safer, healthier, and more supportive environments, improving both employee and organization outcomes.

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