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Suggested Citation:"REFERENCES." National Academies of Sciences, Engineering, and Medicine. 2004. Transit Operator Health and Wellness Programs. Washington, DC: The National Academies Press. doi: 10.17226/23371.
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Suggested Citation:"REFERENCES." National Academies of Sciences, Engineering, and Medicine. 2004. Transit Operator Health and Wellness Programs. Washington, DC: The National Academies Press. doi: 10.17226/23371.
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Suggested Citation:"REFERENCES." National Academies of Sciences, Engineering, and Medicine. 2004. Transit Operator Health and Wellness Programs. Washington, DC: The National Academies Press. doi: 10.17226/23371.
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48 ling the issues of rising health care costs of an aging opera- tor population. Although some responding agencies have made a good start at being able to quantify the results of investing in employee health and wellness, the evaluation component of the health and wellness program operation appears to be the least developed aspect of these programs. As one agency’s external program audit recommended, wellness programs need to move toward a clearly articulated, re- sults-oriented focus. If these programs have the clearly de- fined missions, goals, and objectives that they have indi- cated in their survey responses, they probably possess the framework for generating qualitative and quantitative data that can help them evaluate and communicate the value of these programs to their organization. Defining such metrics is a possible area for future research. Without strong per- formance indicators, health and wellness programs may become vulnerable to significant downsizing or elimina- tion during times of diminished financial resources or leadership changes. Future research that determines the core components for a cost-effective wellness program at any size organization might also be valuable. Research that develops a transit agency health and wellness program tool kit could be espe- cially helpful to those agencies that need and want to know how to start and sustain a viable program.

49 REFERENCES 1. Volinski, J., TCRP Synthesis of Transit Practice 33: Practices in Assuring Employee Availability, Trans- portation Research Board, National Research Coun- cil, Washington, D.C., 1999, 69 pp. 2. Gertler, J., S. Popkin, D. Nelson, and K. O’Neil, TCRP Report 81: Toolbox for Transit Operator Fa- tigue, Transportation Research Board, National Re- search Council, Washington, D.C., 2002, 240 pp. 3. McGlothin Davis, Inc., TCRP Report 77: Managing Transit’s Workforce in the New Millennium, Transpor- tation Research Board, National Research Council, Washington, D.C., 2002, 154 pp. 4. Rosa, R.R. and M.J. Colligan, Plain Language About Shiftwork, U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occu- pational Safety and Health, Cincinnati, Ohio, July 1997. 5. Ragland, D.R., N. Krause, B.A. Greiner, and J.M. Fisher, “Studies of Health Outcomes in Transit Op- erators: Policy Implications of the Current Scientific Database,” Journal of Occupational Health Psychol- ogy, Vol. 3, No. 2, April 1998, pp. 172–187. 6. Code of Federal Regulations, Title 49CFR 391.1, Department of Transportation, Washington, D.C. [Online]. Available: http://www.access.gpo.gov/nara/ cfr/waisidx_00/49cfr391_00.html [2003, Nov. 12]. 7. Tyler, K., “Sit Up Straight,” HR Magazine, Vol. 43, No. 10, 1998, pp. 122–128. 8. Anderson, R., “The Back Pain of Bus Drivers: Preva- lence in an Urban Area of California,” Spine, Vol. 12, 1992, pp. 1481–1488. 9. Tyler, K., “Cut the Stress,” HR Magazine, Vol. 48, No. 5, 2003, pp. 101–106. 10. NIOSH Working Group, Stress . . . At Work, Publica- tion No. 99-101, U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, Ohio, 1999. 11. Mayer, M., “Breaking Point,” HR Magazine, Vol. 46, No. 10, 2001, pp. 111–116. 12. Atkinson, W., “When Stress Won’t Go Away,” HR Magazine, Vol. 45, No. 12, 2000, pp. 105–110. 13. Greiner, B.A., D.R. Ragland, N. Krause, S.L. Syme, and J.M. Fisher, “Objective Measurement of Occupa- tional Stress Factors—An Example with San Fran- cisco Urban Transit Operators,” Journal of Occupa- tional Health Psychology, Oct. 1997, Vol. 2, No. 4, pp. 325–342. 14. Evans, G.W. and S. Carrere, “Traffic Congestion, Perceived Control, and Psychophysiological Stress Among Urban Bus Drivers,” Journal of Applied Psy- chology, Oct. 1991, Vol. 76, No. 5, pp. 658–663. 15. Yandrick, R.M., “When Getting Help Hurts,” HR Magazine, Vol. 45, No. 4, 2000, pp. 64–72. 16. Scott, B.S., “Breaking New Ground: Public Health Takes on Workplace Violence,” Closing the Gap (Of- fice of Minority Health), Department of Health and Human Services, Rockville, Md., Jan./Feb. 2002, pp. 4–5. 17. Grensing-Pophal, L., “Smokin’ in the Workplace,” HR Magazine, Vol. 44, No. 5, 1999, pp. 58–66. 18. “Tobacco Control,” American Lung Association, New York, N.Y. [Online]. Available: http://www. lungusa.org/tobacco [2003, June 19]. 19. Sorensen, G., K. Emmons, A. Stoddard, L. Linnan, and J. Avrunin, “Do Social Influences Contribute to Occupational Differences in Quitting Smoking and Attitudes Toward Smoking?” American Journal of Health Promotion, Vol. 16, No. 3, 2002, pp. 135– 141. 20. Stacy, N.C., Americans for a Drug-Free America, American Crisis Publishing, Austin, Tex., 2000. 21. Anderson, R., et al., Drug and Alcohol Testing Re- sults 2000 Annual Report, Federal Transit Admini- stration, U.S. Department of Transportation, Wash- ington, D.C., 2001. 22. “Regional Transportation District Drug and Alcohol Policy,” Regional Transportation District—Denver, Colo., 2003, pp. 1–16. 23. Holland, D.W., “Fatigue in America: Too Busy to Sleep?” Wellness Management, Vol. 18, No. 4, 2002– 2003, pp. 1–3. 24. Aguirre, A., Health & Extended Hours: Understand- ing the Problems, Implementing the Solutions, Cir- cadian Technologies, Inc., Lexington, Mass. [Online]. Available: http://www.circadian.com/catalog/product_ info.php?products_id = 72 [2003, June 19]. 25. Overman, S., “Rise and Sigh,” HR Magazine, Vol. 44, No. 5, 1999, pp. 68–74. 26. Harp, J.B., “Hypertension and Heart Disease in Women: The Treatment of Obesity as a Disease,” Ethnicity and Disease, Vol. 6, No. 3/4, 1996, pp. 315–320. 27. “Snapshot of Diabetes Fact Sheet, National Diabetes Education Program,” National Business Group on Health, Washington, D.C. [Online]. Available: http:// diabetesatwork.org/factsheets.htm [2003, July 3]. 28. Depression in the Workplace Survey, Society for Human Resource Management, Alexandria, Va., 1999. 29. Tyler, K., “Happiness from a Bottle,” HR Magazine, Vol. 47, No. 5, 2002, pp. 30–37.

50 30. Anspaugh, D.J., S. Hunter, and M. Dignan, “Risk Factors for Cardiovascular Disease Among Exercis- ing Versus Nonexercising Women,” American Journal of Health Promotion, Vol. 10, No. 3, 1996, pp. 171–174. 31. Yunis, C., “Hypertension and Heart Disease in Women,” Ethnicity and Disease, Vol. 6, No. 3/4, 1996, pp. 311–314. 32. West, J.I., “Hypertension a Silent, Deadly Killer,” Closing the Gap (U.S. Office of Minority Health), Department of Health and Human Services, Rock- ville, Md., Sep./Oct. 2001, pp. 10–11. 33. Higgins, M., Coronary Heart Disease in Women: Epidemiology and Prevention, National Wellness Conference Program Resource Manual, Stevens Point, Wisc., 1995, pp. 250–251. 34. Workplace Visions: Health Care, No. 2-2002, Society for Human Resource Management, Alexandria, Va., 2002. 35. Gale, S.F., “Selling Health to High-Risk Workers,” Workforce, Vol. 81, No. 12, 2002, pp. 74–76. 36. Worksite Wellness Cost/Benefit 1996 Report, Vol. 8, The University of Michigan Health Management Re- search Center, Ann Arbor, Mich., 1997, pp. 1–3. 37. “Award-Winning DaimlerChrysler/UAW Worksite Wellness Program Reduces Health Care Costs,” Well- ness Management, Vol. 17, No. 1, 2001, pp. 11–13. 38. “Study Confirms Wellness Program Value,” Health Promotion Practitioner, Vol. 11, No. 3, 2002, p. 12. 39. “Benefit Integration Boosts Productivity and Profits,” Workforce.Com, Nov. 2002 [Online]. Available: http:// www.workforce.com/section/02/feature/23/36/89/index. html [2003, Jan. 16]. 40. Morris, W.R., K.M. Conrad, R.J. Marcantonio, B.A. Marks, and K.M. Ribisl, “Do Blue-Collar Workers Perceive the Worksite Health Climate Differently Than White-Collar Workers?” American Journal of Health Promotion, Vol. 13, No. 6, 1999, pp. 319–324. 41. Fouad, M.N., C. Kiefe, A.A. Bartolucci, N.M. Burst, V. Ulene, and M.R. Harvey, “A Hypertension Control Program Tailored to Unskilled and Minority Work- ers,” Ethnicity and Disease, Vol. 7, No. 3, 1997, pp. 191–199. 42. Grossman, R.J., “Make Ergonomics Go,” HR Maga- zine, Vol. 45, No. 4, 2000, pp. 36–42. 43. You, H., B. Osterling, J. Bucciaglia, B. Lowe, B. Gilmore, and A. Freivalds, TCRP Report 25: Bus Operator Workstation Evaluation and Design Guide- lines, Transportation Research Board, National Re- search Council, Washington, D.C., 1997, 27 pp. 44. Halvorson, K., “Exercise Boosts Employee Job Performance,” Health Promotion Practitioner, Vol. 11, No. 3, 2002, p. 8. 45. Borillo, D.J., “The HIMS Program—Tools for Re- covery from Alcoholism,” The Federal Air Surgeon’s Medical Bulletin, Spring 2003 [Online]. Available: http://www.cami.jccbi.gov/AAM-400A/FASMB/Editor- ials/2003_1.htm [2003, Nov. 4]. 46. Atkinson, W., “Disease Management: A Win–Win Game Plan,” HR Magazine, Vol. 46, No. 12, 2001, pp. 58–63. 47. Atkinson, W., “Making Disease Management Work,” HR Magazine, Vol. 47, No. 1, 2002, pp. 42–45. 48. Woodward, M.H., “Add a Refreshing Touch to Bene- fit Programs,” HR Magazine, Vol. 43, No. 11, 1998, pp. 106–110. 49. Benedict, S. and I. Tessaro, “Health Works for Women: Using Natural (Lay) Helper Program in the Workplace,” Wellness Management, Vol. 15, No. 2, 1999, pp. 6–7. 50. Stevens, M.M., A. Paine-Andrews, and V.T. Fran- cisco, “Improving Employee Health and Wellness: A Pilot Study of the Employee-Driven Perfect Health Program,” American Journal of Health Promotion, Vol. 11, No. 1, 1996, pp. 12–14.

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TRB’s Transit Cooperative Research Program (TCRP) Synthesis 52: Transit Operator Health and Wellness Programs examines health and wellness issues faced by bus and rail operators, the impacts of these issues on operators’ abilities to be productive employees, and programs that transit agencies have implemented to improve the health status of operators.

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