Health Promotion Solutions for Chinese Miners: A Holistic Approach Considering Collaborative Governance and Locus of Control Perspectives

Workplace health promotion (WHP) plays an important role in improving employees' health and well-being and promoting health communication in the industry. However, current health promotion activities for miners achieve limited outcomes, owing to the overlook of the cultivation of miners' autonomy, and the role of the supportive work environment. This study addressed this research gap following a multistep method. First, a comprehensive qualitative method based on intervention mapping was applied to determine the stakeholders, barriers, and facilitators in promoting miners' internal health locus of control. Second, social network analysis was employed to analyze the connectivity between stakeholders' behavioral strategies and identify the key strategies which have the most significant influencing effect in the network. Last, combined with system dynamics modeling, a four-party dynamic evolutionary game model was constructed and simulated to analyze the asymptotic stability conditions of stakeholders' behavioral strategies and explore the impact of the changes in the key strategies on miners' strategic choices. As a result, among 47 items of stakeholders' behavioral strategies, strategies such as mine managers' commitment to safety and health, team leaders' tangible and intangible support, and health managers' organization of mental intervention programs, were identified as the key to WHP solutions' successful implementation. Sufficient enforcement of these significant strategies could increase the probability of miners actively participating in WHP programs. Overall, this study developed health promotion solutions aimed at promoting miners' health self-management, with the perspectives of all stakeholders involved, which contributes to improved workplace health practices in mines.