# Publications

2013
Hill R, Tranby E, Kelly EL, Moen P. Relieving the Time Squeeze? Effects of a White-Collar Workplace Change on Parents. Journal of Marriage and Family [Internet]. 2013;75 (4) :1014–1029. Publisher's VersionAbstract

Employed parents perceive a time squeeze even as trends from the 1960s show they are spending more time with their children. Work conditions (e.g., hours and schedule control) would seem to affect both parents' time with children and perceived time squeeze, but most studies rely on cross-sectional data that do not establish causality. The authors examined the effects of the introduction of a workplace flexibility initiative (Results Only Work Environment [ROWE]) on changes in mothers' and fathers' perceptions of the adequacy of their time with children and actual time spent with children (N = 225). Baseline data show the importance of work conditions for parents' sense of perceived time adequacy. Panel data show that mothers (but not fathers) in ROWE report increased schedule control and improved time adequacy, but no change in actual time spent with children, except that ROWE increases evening meals with children for mothers sharing few meals at baseline.

Liu SY, Rovine MK, Klein LC, Almeida DM. Synchrony of diurnal cortisol pattern in couples. Journal of Family Psychology [Internet]. 2013;27 (4) :579-588. Publisher's VersionAbstract

Cortisol is a biomarker of stress reactivity, and its diurnal pattern is an indicator of general neuroendocrine health. Despite theories conceptualizing marital dyads as dynamic systems wherein spouses are interdependent in their physiology and stress coping, little is known about the daily processes in which spouses possibly influence each other in biological stress. Nineteen heterosexual couples provided saliva samples containing cortisol 4 times a day for 4 consecutive days. We used multilevel modeling to examine whether one’s cortisol awaking response (CAR) and diurnal cortisol slope (DCS) predict those of the spouse’s on the same day and/or on the next day. We found that spouses synchronize their DCS, such that on days when one experiences faster or slower decline in diurnal cortisol than usual, the spouse also experiences faster or slower decline than usual. For CAR, positive synchrony was only observed in couples reporting high levels of marital strain and disagreement. Cross-lagged regression analysis reveals stability in diurnal cortisol pattern. A steeper cortisol slope on a particular day predicts a steeper slope on the next day within an individual, but no significant cross-lagged relation was found between spouses. Couples reporting more spousal support tend to have stronger stability in CAR. These findings provide evidence that spouses are interdependent in their diurnal cortisol patterns on a day-to-day basis, and that these daily dynamics are associated with marital relationship quality. The study contributes to our understanding of marital processes and biobehavioral health. It also contributes methodologically to the advancement of longitudinal dyadic analysis. (PsycINFO Database Record (c) 2013 APA, all rights reserved)

Barbosa C, Bray JW, Brockwood K, Reeves D. Costs of a Work-Family Intervention: Evidence From the Work, Family, and Health Network. Am J Health Promot. [Internet]. 2013;Aug 23 :[Epub ahead of print]. Publisher's VersionAbstract

Purpose . To estimate the cost to the workplace of implementing initiatives to reduce work-family conflict. Design . Prospective cost analysis conducted alongside a group-randomized multisite controlled experimental study, using a microcosting approach. Setting . An information technology firm. Subjects . Employees (n = 1004) and managers (n = 141) randomized to the intervention arm. Intervention . STAR (Start. Transform. Achieve. Results.) to enhance employees' control over their work time, increase supervisor support for employees to manage work and family responsibilities, and reorient the culture toward results. Measures . A taxonomy of activities related to customization, start-up, and implementation was developed. Resource use and unit costs were estimated for each activity, excluding research-related activities. Analysis . Economic costing approach (accounting and opportunity costs). Sensitivity analyses on intervention costs. Results . The total cost of STAR was $709,654, of which$389,717 was labor costs and $319,937 nonlabor costs (including$313,877 for intervention contract). The cost per employee participation in the intervention was $340 (95% confidence interval:$330-$351);$597 ($561-$634) for managers and $300 ($292-$308) for other employees (2011 prices). Conclusion . A detailed activity costing approach allows for more accurate cost estimates and identifies key drivers of cost. The key cost driver was employees' time spent on receiving the intervention. Ignoring this cost, which is usual in studies that cost workplace interventions, would seriously underestimate the cost of a workplace initiative. Moen P, Lam J, Ammons SK, Kelly EL. Time Work by Overworked Professionals: Strategies in Response to the Stress of Higher Status. Work Occup. 2013;40 (2) :79-114.Abstract How are professionals responding to the time strains brought on by the stress of their higher status jobs? Qualitative data from professionals reveal (a) general acceptance of the emerging temporal organization of professional work, including rising time demands and blurred boundaries around work/ nonwork times and places, and (b) time work as strategic responses to work intensification, overloads, and boundarylessness. We detected four time-work strategies: prioritizing time, scaling back obligations, blocking out time, and time shifting of obligations. These strategies are often more work-friendly than family-friendly, but "blocking out time" and "time shifting" suggest promising avenues for work-time policy and practice. Hammer LB, Kossek EE, Bodner T, Crain TL. Measurement development and validation of the Family Supportive Supervisor Behavior Short-Form (FSSB-SF). Journal of Occupational Health Psychology [Internet]. 2013;18 (3) :285-296. Publisher's VersionAbstract Recently, scholars have demonstrated the importance of Family Supportive Supervisor Behaviors (FSSB), defined as behaviors exhibited by supervisors that are supportive of employees' family roles, in relation to health, well-being, and organizational outcomes. FSSB was originally conceptualized as a multidimensional, superordinate construct with four subordinate dimensions assessed with 14 items: emotional support, instrumental support, role modeling behaviors, and creative work–family management. Retaining one item from each dimension, two studies were conducted to support the development and use of a new FSSB-Short Form (FSSB-SF). Study 1 draws on the original data from the FSSB validation study of retail employees to determine whether the results using the 14-item measure replicate with the shorter 4-item measure. Using data from a sample of 823 information technology professionals and their 219 supervisors, Study 2 extends the validation of the FSSB-SF to a new sample of professional workers and new outcome variables. Results from multilevel confirmatory factor analyses and multilevel regression analyses provide evidence of construct and criterion-related validity of the FSSB-SF, as it was significantly related to work–family conflict, job satisfaction, turnover intentions, control over work hours, obligation to work when sick, perceived stress, and reports of family time adequacy. We argue that it is important to develop parsimonious measures of work–family specific support to ensure supervisor support for work and family is mainstreamed into organizational research and practice. Moen P, Kelly EL, Lam J. Healthy work revisited: do changes in time strain predict well-being?. J Occup Health Psychol. 2013;18 (2) :157-72.Abstract Building on Karasek and Theorell (R. Karasek & T. Theorell, 1990, Healthy work: Stress, productivity, and the reconstruction of working life, New York, NY: Basic Books), we theorized and tested the relationship between time strain (work-time demands and control) and seven self-reported health outcomes. We drew on survey data from 550 employees fielded before and 6 months after the implementation of an organizational intervention, the results only work environment (ROWE) in a white-collar organization. Cross-sectional (wave 1) models showed psychological time demands and time control measures were related to health outcomes in expected directions. The ROWE intervention did not predict changes in psychological time demands by wave 2, but did predict increased time control (a sense of time adequacy and schedule control). Statistical models revealed increases in psychological time demands and time adequacy predicted changes in positive (energy, mastery, psychological well-being, self-assessed health) and negative (emotional exhaustion, somatic symptoms, psychological distress) outcomes in expected directions, net of job and home demands and covariates. This study demonstrates the value of including time strain in investigations of the health effects of job conditions. Results encourage longitudinal models of change in psychological time demands as well as time control, along with the development and testing of interventions aimed at reducing time strain in different populations of workers. Moen P, Fan W, Kelly EL. Team-level flexibility, work-home spillover, and health behavior. Soc Sci Med. 2013;84 :69-79.Abstract Drawing on two waves of survey data conducted six months apart in 2006, this study examined the impacts of a team-level flexibility initiative (ROWE--results only work environment) on changes in the work-home spillover and health behavior of employees at the Midwest headquarters of a large U.S. corporation. Using cluster analysis, we identified three distinct baseline spillover constellations: employees with high negative spillover, high positive spillover, and low overall spillover. Within-team spillover measures were highly intercorrelated, suggesting that work teams as well as individuals have identifiable patterns of spillover. Multilevel analyses showed ROWE reduced individual- and team-level negative work-home spillover but not positive work-home spillover or spillover from home-to-work. ROWE also promoted employees' health behaviors: increasing the odds of quitting smoking, decreasing smoking frequency, and promoting perceptions of adequate time for healthy meals. Trends suggest that ROWE also decreased the odds of excessive drinking and improved sleep adequacy and exercise frequency. Some health behavior effects were mediated via reduced individual-level negative work-home spillover (exercise frequency, adequate time for sleep) and reduced team-level negative work-home spillover (smoking frequency, exercise frequency, and adequate time for sleep). While we found no moderating effects of gender, ROWE especially improved the exercise frequency of singles and reduced the smoking frequency of employees with low overall spillover at baseline. Bray JW, Kelly EL, Hammer LB, Almeida DM, Dearing JW, King RB, Buxton OM. An integrative, multilevel, and transdisciplinary research approach to challenges of work, family, and health. RTI Press. 2013;March. 2012 Almeida DM, Davis KD, O'Neill JW, Crouter AC. Translational research on work and family: Daily stress processes in hotel employees and their families. In: Research for the Public Good: Applying the methods of translational research to improve human health and well-being. Washington, DC: American Psychological Association ; 2012. pp. 127-146. Publisher's VersionAbstract Translational science calls on researchers to transform scientific discoveries into practical real-life applications. This chapter describes how we have been attempting to translate our research on work and family stressors to better understand and enhance the daily lives of hotel employees and their families. The Hotel Work and Well-Being Study involves the collaboration between an interdisciplinary team of investigators and hotel industry leaders, and hotel employees and their families. A major feature of this enterprise has been the application of the results from innovative methods of daily stress research to the specific concerns of hotel employees and stakeholders with regard to work–family conflict. The project has evolved through stages that exemplify important features of translational science. These stages include establishing close collaborations and dynamic feedback with important stakeholders, using the information obtained to design a study of daily stress and health specific to the hotel industry, disseminating findings to the industry stakeholders, and adapting knowledge gained in the process to evaluate a workplace program to alleviate the effects of work–family conflict on workers and their family members. This chapter uses examples of these activities to highlight multiple forms of translation. (PsycINFO Database Record (c) 2015 APA, all rights reserved) O'Neill JW. The determinants of a culture of partying among managers in the hotel industry. International Journal of Contemporary Hospitality Management [Internet]. 2012;24 (1) :81-96. Publisher's VersionAbstract Purpose – The purpose of this paper is to explore the apparent norm of partying that persists in the hotel industry despite evidence suggesting it can negatively affect both employees and organizations. Design/methodology/approach – Telephone surveys of 544 managers from 65 hotels were conducted. Multiple regression analyses and analyses of variance were performed to examine the extent to which differences in hotel organizational culture, hotel classification, hotel corporate organization, hotel size and manager age affect the extent to which employees spend time gathering and partying with their work colleagues outside work. Findings – The paper finds that in hotels with organizational culture oriented towards work and family balance, managers displayed less partying behavior. It also finds that such work and family culture may vary based on certain hotel corporate organizations, hotel location classifications, and hotel sizes, because partying behavior significantly varies based on such corporate, locational and size differences. Findings also indicate that relatively older employees spend less time than younger employees partying with work colleagues outside work. Research limitations/implications – Limitations include the use of self reports of hotel managers from full‐service hotels in the USA. Practical implications – A workplace culture oriented towards work and family balance may yield less partying behavior, which may be particularly relevant in certain hotel types and sizes, and may have positive implications for reducing turnover and health care costs. Originality/value – This study explores the common practice, but understudied topic of hotel employees partying with colleagues outside work. In so doing, it provides greater understanding of the phenomenon to researchers and practitioners. Blocklin MK, Crouter AC, McHale SM. Youth supervision while mothers work: a daily diary study of maternal worry. Community, Work & Family [Internet]. 2012;15 (2) :233-249. Publisher's VersionAbstract Using data from a daily diary study of hourly hotel employees in the US and their children, this study examined links between youth supervision arrangements and maternal worry while at work, examining both differences between individuals and day-to-day variation within individuals. Multilevel model analyses revealed both between- and within-person effects linking youth supervision to maternal worry. Mothers’ partner status functioned as moderator, and maternal knowledge also emerged as a protective factor when youth were in self-care, highlighting a potential target for future work–family interventions, particularly those for hourly employees with limited access to family-friendly workplace policies. Buxton OM, Okechukwu CA. Author's Response. Journal of Occupational and Environmental Medicine [Internet]. 2012;54 (11) :1322-3. Publisher's Version Blocklin MK, Crouter AC, McHale SM. Youth Supervision While Mothers Work: A Daily Diary Study of Maternal Worry. Community Work Fam. 2012;15 (2) :233-249.Abstract Using data from a daily diary study of hourly hotel employees in the U.S. and their children, this study examined links between youth supervision arrangements and maternal worry while at work, examining both differences between individuals and day-to-day variation within individuals. Multilevel model analyses revealed both between- and within-person effects linking youth supervision to maternal worry. Mothers' partner status functioned as moderator, and maternal knowledge also emerged as a protective factor when youth were in self-care, highlighting a potential target for future work-family interventions, particularly those for hourly employees with limited access to family-friendly workplace policies.En utilisant les données d'une étude de journal quotidien des employés horaires de l'hôtel aux États-Unis et leurs enfants, cette étude a examiné les liens entre les modalités de supervision des jeunes et l'inquiétude maternelle pendant le travail, en examinant à la fois les différences inter individus et la variation intra individus au jour le jour. Analyses multi-niveaux ont révélé à la fois des effets inter et intra reliant la supervision des jeunes à l'inquiétude maternelle. Statut de partenaire des mères a fonctionné en tant que modérateur, et la connaissance maternelle est également apparue comme un facteur de protection lorsque les jeunes ont pris soins d'eux-mêmes, soulignant une cible potentielle pour des interventions de conciliation travail-famille, en particulier ceux conçus pour des employés horaires avec un accès limité à des politiques favorables à la famille. O'Donnell EM, Berkman LF, Subramanian SV. Manager support for work-family issues and its impact on employee-reported pain in the extended care setting. J Occup Environ Med. 2012;54 (9) :1142-9.Abstract OBJECTIVE: Supervisor-level policies and the presence of a manager engaged in an employee's need to achieve work-family balance, or "supervisory support," may benefit employee health, including self-reported pain. METHODS: We conducted a census of employees at four selected extended care facilities in the Boston metropolitan region (n = 368). Supervisory support was assessed through interviews with managers and pain was reported by employees. RESULTS: Our multilevel logistic models indicate that employees with managers who report the lowest levels of support for work-family balance experience twice as much overall pain as employees with managers who report high levels of support. CONCLUSIONS: Low supervisory support for work-family balance is associated with an increased prevalence of employee-reported pain in extended care facilities. We recommend that manager-level policies and practices receive additional attention as a potential risk factor for poor health in this setting. McHale SM, Blocklin MK, Walter KN, Davis KD, Almeida DM, Klein LC. The role of daily activities in youths' stress physiology. J Adolesc Health. 2012;51 (6) :623-8.Abstract PURPOSE: This study examined links between diurnal patterns of the stress hormone cortisol and time spent by adolescents in nine common daily activities. METHODS: During eight consecutive nightly telephone interviews, 28 youths (n = 12 girls), 10-18 years of age, reported their daily activities. On 4 days, four saliva samples were also collected and assayed for cortisol. Multilevel models assessed within- and between-person associations between time in each activity and cortisol area under the curve (AUC), cortisol awakening response (CAR), morning peak (30 minutes after wake up), and daily decline (morning peak to bedtime). RESULTS: Links with AUC were found for most activities; significant associations with cortisol rhythms suggested that most effects were due to anticipation of the day's activities. Specifically, on days when youths spent more time than usual on video games and television, they had lower AUCs, with lower morning peaks. Youths who spent more time reading (within-person) and in computer-related activities (between-person) had higher AUCs, with stronger CARs (within-person). Youths who slept more had lower AUCs, with lower morning peaks on both the between- and within-person levels. Amounts of time spent in clubs, and for older adolescents in sports, were also linked to lower AUCs. Finally, youths who spent more time in school/schoolwork had lower average AUCs, but on days when youths spent more time than usual in school, they had higher AUCs, stronger CARs, and steeper daily declines. CONCLUSION: Beyond their known implications for psychological adjustment, youths' everyday activities are linked to stress physiology. Nelson CC, Li Y, Sorensen G, Berkman LF. Assessing the relationship between work-family conflict and smoking. Am J Public Health. 2012;102 (9) :1767-72.Abstract OBJECTIVES: We examined the relationship between smoking and work-family conflict among a sample of New England long-term-care facility workers. METHODS: To collect data, we conducted in-person, structured interviews with workers in 4 extended-care facilities. RESULTS: There was a strong association between smoking likelihood and work-family conflict. Workers who experienced both stress at home from work issues (i.e., work-to-home conflict) and stress at work from personal issues (i.e., home-to-work conflict) had 3.1 times higher odds of smoking than those who did not experience these types of conflict. Workers who experienced home-to-work conflict had an odds of 2.3 compared with those who did not experience this type of conflict, and workers who experienced work-to-home conflict had an odds of 1.6 compared with workers who did not experience this type of conflict. CONCLUSIONS: The results of this study indicate that there is a robust relationship between work-family conflict and smoking, but that this relationship is dependent upon the total amount of conflict experienced and the direction of the conflict. Okechukwu CA, El Ayadi AM, Tamers SL, Sabbath EL, Berkman LF. Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: the Work, Family, and Health Network study. Am J Public Health. 2012;102 (1) :126-33.Abstract OBJECTIVES: We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS: Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the association of depressive symptoms with household financial strain, food insufficiency, and work-family spillover (preoccupation with work-related concerns while at home and vice versa). RESULTS: Depressive symptoms were significantly associated with household financial strain (odds ratio [OR] = 1.82; 95% confidence interval [CI] = 1.03, 3.21) and food insufficiency (OR = 2.10; 95% CI = 1.10, 4.18). Among primary earners, stratified analyses showed that food insufficiency was associated with depressive symptoms (OR = 3.60; 95% CI = 1.42, 9.11) but financial strain was not. Among nonprimary wage earners, depressive symptoms correlated with financial strain (OR = 3.65; 95% CI = 1.48, 9.01) and work-family spillover (OR = 3.22; 95% CI = 1.11, 9.35). CONCLUSIONS: Household financial strain, food insufficiency, and work-family spillover are pervasive problems for working populations, but associations vary by primary wage earner status. The prevalence of food insufficiency among full-time employees was striking and might have a detrimental influence on depressive symptoms and the health of working-class families. Hurtado DA, Sabbath EL, Ertel KA, Buxton OM, Berkman LF. Racial disparities in job strain among American and immigrant long-term care workers. Int Nurs Rev. 2012;59 (2) :237-44.Abstract BACKGROUND: Nursing homes are occupational settings, with an increasing minority and immigrant workforce where several psychosocial stressors intersect. AIM: This study aimed to examine racial/ethnic differences in job strain between Black (n = 127) and White (n = 110) immigrant and American direct-care workers at nursing homes (total n = 237). METHODS: Cross-sectional study with data collected at four nursing homes in Massachusetts during 2006-2007. We contrasted Black and White workers within higher-skilled occupations such as registered nurses or licensed practical nurses (n = 82) and lower-skilled staff such as certified nursing assistants (CNAs, n = 155). RESULTS: Almost all Black workers (96%) were immigrants. After adjusting for demographic and occupational characteristics, Black employees were more likely to report job strain, compared with Whites [relative risk (RR): 2.9, 95% confidence interval (CI) 1.3 to 6.6]. Analyses stratified by occupation showed that Black CNAs were more likely to report job strain, compared with White CNAs (RR: 3.1, 95% CI: 1.0 to 9.4). Black workers were also more likely to report low control (RR: 2.1, 95% CI: 1.1 to 4.0). Additionally, Black workers earned$2.58 less per hour and worked 7.1 more hours per week on average, controlling for potential confounders. CONCLUSION: Black immigrant workers were 2.9 times more likely to report job strain than White workers, with greater differences among CNAs. These findings may reflect differential organizational or individual characteristics but also interpersonal or institutional racial/ethnic discrimination. Further research should consider the role of race/ethnicity in shaping patterns of occupational stress.

King RB, Karuntzos GT, Casper LM, Moen P, Davis KD, Berkman LF, Durham M, Kossek EE. Work-Family Balance Issues and Work-Leave Policies. In: Handbook of Occupational Health and Wellness. New York, NY: Springer ; 2012. pp. 323-339.
2011
O'Neill JW, Davis KD. Work stress and well-being in the hotel industry. International Journal of Hospitality Management [Internet]. 2011;30 (2) :385-390. Publisher's VersionAbstract

Employee stress is a significant issue in the hospitality industry, and it is costly for employers and employees alike. Although addressing and reducing stress is both a noble goal and is capable of resulting in expense reductions for employers, the nature and quantity of hospitality employee stress is not fully understood. The first aim of this study was to identify common work stressors in a sample of 164 managerial and hourly workers employed at 65 different hotels who were each interviewed for eight consecutive days. The two most common stressors were interpersonal tensions at work and overloads (e.g., technology not functioning). The second aim was to determine whether there were differences in the types and frequency of work stressors by job type (i.e., managers versus non-managers), gender, and marital status. Hotel managers reported significantly more stressors than hourly employees. There were no significant differences by gender or marital status. The third aim was to investigate whether the various stressors were linked to hotel employee health and work outcomes. More employee and coworker stressors were linked to more negative physical health symptoms. Also, interpersonal tensions at work were linked to lower job satisfaction and greater turnover intentions.