LAUSR

The TWH approach requires a coordinated effort to evaluate and address complex health and safety challenges. A shared TWH leadership approach to ensuring the effectiveness of a TWH program is needed. Our study demonstrates the factors that may be associated with sharing leadership responsibilities in construction teams. Objective The purpose of this study is to investigate the organizational, supervisor, team, and individual factors associated with employee and leader perceptions of shared Total Worker Health (TWH) transformational leadership in teams. Methods: We conducted a cross-sectional study with 14 teams across three construction companies. Results: Shared TWH transformational leadership in teams was associated with employees and leaders' perceptions of support from coworkers. Other factors were also associated it, but it differed by position. Conclusions: We found that leaders may be focused on the mechanics of sharing TWH transformational leadership responsibilities and workers may be more focused on their internal cognitive abilities and motivations. Our results suggest the potential ways of promoting shared TWH transformational leadership among construction teams.