LAUSR

BACKGROUND Hotel room cleaners are disproportionately exposed to hazards that increase risk for poor health outcomes. Interventions are needed to improve the health of these workers. Yet we know little about the expressed needs of hotel room cleaners nor do we know about managers' perspectives on how to best optimize employee health. OBJECTIVE We aimed to develop an understanding of perceived intervention needs among hotel room cleaners and to assess managers' views on the acceptability of the proposed interventions. METHODS We used a community-based approach to recruit study participants. We conducted five focus groups among hotel room cleaners and individual interviews with hotel managers. Interviews were audio-recorded, transcribed, and analyzed using content analysis. RESULTS The workers expressed needs centered on pay, workload, appreciation, ergonomics, chemical and biological hazards, nutrition, smoking cessation, exercise, mental health and stress management. In addition to echoing the workers' expressed needs, managers emphasized employee retention and financial literacy. CONCLUSIONS To our knowledge, this is the first paper to include both workers' and managers' accounts on intervention approaches that will optimize health and wellbeing. This paper offers a guide for future program development among hospitality workers. Effective interventions need to be integrated, encompassing the individual, intrapersonal, organizational, and policy levels.