About the study

The Small + Safe + Well (SSWell) study, which concluded in early 2020, was a multi-year research project designed to understand how small organizations support the health, safety, and well-being of their workforce and how employees perceive their workplace culture. The aim of this project was to uncover how those efforts and perceptions that affect health outcomes.

Our research demonstrates the importance of developing Total Worker Health policies, programs, and practices in small business. In particular, our work emphasizes how critical company leadership is in creating an environment that supports these efforts. We find that when leadership is committed to workforce health, safety, and well-being employees are more motivated to engage in Total Worker Health initiatives and actually do participate more. Our research demonstrates that TWH leadership training can help small business leaders take action to improve their workforce’s health, safety, and well-being.

Total Worker Health® Leadership Programs

Major outputs of this project are our Total Worker Health Leadership Programs that are available to non-SSWell study participants. These programs are designed for business leaders who want to create a sustainable workforce and workplace culture that is safe, healthy, and productive.


The SSWell Study is funded through a cooperative agreement (1 U19 OH 011227 – 01) with the Centers for Disease Control and Prevention’s National Institute for Occupational Safety and Health as part of one of six national Centers of Excellence for Total Worker Health. ​​​​  ​