Work life improvements for home care workers: impact and feasibility.

Four work life demonstration projects designed to upgrade home aide employment, reduce turnover, and increase continuity of care were evaluated using randomly selected experimental and control groups at each of 11 agencies. The projects reduced worker turnover in the experimental groups from 10 to 44 percentage points. Where it was measured, continuity of care also significantly improved. Local political, economic, and competitive conditions affected the viability of the projects, which added from $.09 to $1.43 to the aides' hourly wage.