A POSSIBLE DESIGN EXAMPLE FOR JCQ 2.0 JOB DECISION LATITUDE SCALES (draft, 2-22-05)

Prepared by Paul Landsbergis, with input from Aleck Ostry, Annet deLange, Leslie MacDonald, Jeffrey Johnson, Ellen Rosskam

 

 

This proposal builds upon the excellent framework for a JCQ version 2.0 developed by Robert Karasek, October 2004: http://www.jcqcenter.org/.  At the March 8-9, 2005 JCQ workshop, we need to discuss item choices and begin to make decisions on the composition of the JCQ 2.0.

 

Table 1 includes old JCQ items (with a Q prefix, e.g., Q3, Q4…) and new items on decision latitude and a related concept (organizational justice) used in a pilot test of the JCQ 2.0 conducted in February 2005 among Korean transit workers. Additional items to consider are included in Table 2. These include items on “macro-level” support/trust/latitude suggested by Robert Karasek, Aleck Ostry and the ILO; items on organizational level latitude used by Aleck Ostry in a study of sawmill workers; items from the 2002 U.S. General Social Survey (co-sponsored by NIOSH); and an item from the QPSNordic Psychosocial questionnaire. Items in blue (and labeled NEW) are new to the JCQ. We encourage you to suggest additional items to the list below (for the worker surveys or expert surveys) from your research.

 

LEVELS OF DECISION LATITUDE

 

Task-level (also referred to as job level, micro-level or individual level)

 

Definition: This most commonly used definition of job decision latitude describes features of jobs, primarily the ability of the worker to use his or her skills on the job and to have authority to make decisions regarding how the work is done and to set the schedule for completing work activities. This level of decision latitude focuses on the worker’s abilities to control his or her own activities and skill use, not to control others (1, p. 60). These concepts are operationalized by the “skill discretion” and “decision authority” subscales of the JCQ.

 

Organizational-level

 

Definition: The job demand-control model is not limited to task-level control. “Organizational level” decision latitude involves participation, influence or control over decisions made at the work group, departmental or organizational level. Such latitude can have direct effects on health and productivity as well as indirect effects through changes in the possibility of task control at the individual level (1, p. 60).

 

Such participation or influence can be exercised individually and directly (though meetings of a work group, or by being a supervisor), or indirectly through representative bodies (labor unions, works councils).

 

Validity: Organizational-level latitude questions listed in the Table (#13-20) have rarely been tested for reliability or validity. However, the addition of 3 items (influence over work group decisions; work group ideas about company policy will be considered; good chances for career development/ promotions) to the 9-item task level latitude scale increased the odds ratio between job strain and hypertension among men from 2.9 to 3.7-4.0 in the New York City Blood Pressure Study (2).

“Macro” level (also referred to as "macro control-insecurity-support” or "long term employment status control")

 

Definition: Other factors that affect control in the workplace are often the result of broad economic and business conditions related to technological change, the market and the globalization of the economy, generally perceived by workers to be beyond their control (1, p. 61). At the 2003 JCQ workshop, participants suggested that “macro level” decision latitude should assess the effects of neo-liberalism in the global economy, such as job insecurity, downsizing, outsourcing, privatization, labor protection losses, aggressive "flexibility" of employment contracts, and financial cost-cutting. As Robert Karasek points out, the resulting threats to workers are in overlapping areas: loss of company-level decision influence, loss of job security, loss of small-scale production control to new work systems, inventory monitoring and electronic monitoring, and a less protective social environment threatening workers’ basic security platforms and undermining trust. Thus, a broader concept is proposed– linking macro decision latitude with job insecurity and macro social support. (“Macro” social support includes concepts such as organizational justice, organizational entitlements, and perceived organizational trust.)

 

The primary issue is the growing concern that the work situation no longer provides a stable platform for life and family development. “Macro-level” decision latitude is at the core of this construct: it is a measure of how much "long-term control" the worker has over his/her life, via his/her employment. If work is unavailable, or is very “precarious”, there is little or no control over one's life course. Work still plays a dominant role, but in a different way than when work was more available and stable and it was the content of the work inside the workplace that played a dominant role in producing alienated and stressed workers. Thus, this new broader construct is congruent with Johannes Siegrist’s measure of “job security/career opportunities”, previously called “status control” (3).

 

Given the complex nature of this construct, it remains to be determined how best to measure it. 11 items proposed by Dr. Karasek are included in the Table below. Would a series of modules be appropriate? What would be the best labels for the modules or the overall construct?

 

Lean production and similar new systems of work organization (e.g., “team concept”, production chains, spinning off all non-core work) may “empower” employees by expanding their “horizontal control” (influence over and responsibility for the immediate job and work group levels) while simultaneously maintaining or expanding management’s “vertical control” over the total production system (4). Our new measures should attempt to distinguish true worker support and influence from managerially manipulated teams that serve to intensify production on the part of the individual (“stress amplifiers”) rather than serve as traditional stress “buffers”.

 

Organizational justice: The 4-item organizational justice scale proposed in the Table is a short version of the scale developed by Juhtera and Kivimaki (5). “Although organizational justice partly overlaps with these psychosocial factors, it also seems to tap additive elements associated with employee health—for example, organizational consistency, accuracy, ethicality, managerial decision making, procedures used, and discrimination in organizations” (5, p. 108). While not the same concept as decision latitude, it does describe organizational procedures designed to ensure fairness and provide for some employee "voice" in the process. Thus, it reflects this broader concept of "macro control-insecurity-support” and trust. It should probably be maintained as its own “module” to determine associations with other measures of job decision latitude and other job characteristics.

ADDITIONAL ISSUES

 

Worker surveys and expert surveys

 

Offered in the Table are specific questions on task-level and organizational-level decision latitude both for a worker survey and for surveys to be completed by company-based experts. Use of company-based experts (management and union) is a useful way to:

 

1) Gain additional workplace information that may not be available to workers

2) Allow comparisons between management, union and worker responses to the same question -- not only for validation, but to assess whether discrepancies between such responses predict health outcomes

3) Reduce the number of questions required in employee surveys.

 

Expert surveys focus on issues such as organizational structure, organizational change, structural and support programs for workers, production systems, competitive pressure, company size, unionization, profit/nonprofit, private/public sector, etc. Such interviews would rarely be able to provide information on task-level characteristics, a strength of the individual level surveys. However, some expert questions will be the same as population survey questions.

 

Response options

 

Should we substitute time-based response options: “always-often-sometimes-seldom-never “ for the prior “strongly agree-agree-disagree-strongly disagree” JCQ response options? What is the evidence on this issue?

 

Summary score for organizational-level latitude?

 

In the JCQ v. 1.5, there were subscales for “work group influence”, “formal influence” (supervision, company policy), and “union influence”, with the total scale score being a sum of the subscales.

 

Module approach

 

In addition to modules for the generic JCQ, industry specific latitude modules would be valuable.

 

Modeling

 

Since task-level latitude is nested with organizational-level latitude and both are nested within the broader “macro” latitude concept, this should encourage use of hierarchical regression modeling as an appropriate analytic approach.

 

REFERENCES

 

1.             Karasek R, Theorell T. Healthy work: stress, productivity, and the reconstruction of working life. New York, NY: Basic Books; 1990.

2.             Landsbergis PA, Schnall PL, Warren K, Pickering TG, Schwartz JE. Association between ambulatory blood pressure and alternative formulations of job strain. Scandinavian Journal of Work, Environment and Health 1994;20(5):349-63.

3.             Siegrist J. Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology 1996;1:27-41.

4.             Landsbergis PA, Cahill J, Schnall P. The impact of lean production and related new systems of work organization on worker health. Journal of Occupational Health Psychology 1999;4(2):108-130.

5.             Elovainio M, Kivimaki M, Vahtera J. Organizational justice: Evidence of a new psychosocial predictor of health. American Journal of Public Health 2002;92(1):105-108.