A Time-Lagged Study On Health-Centric Leadership S

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Current Psychology

https://doi.org/10.1007/s12144-021-02140-5

A time-lagged study on health-centric leadership styles


and psychological health: the mediating role of psychosocial
safety climate
Muhammad Zeeshan Mirza 1 & Mumtaz Ali Memon 2 & Maureen Dollard 3

Accepted: 21 July 2021


# The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021

Abstract
Leadership plays an important role in occupational health psychology in explaining worker psychological health. However, to
date, there is limited work on how cultural context affects a leader’s effectiveness. The purpose of this study is to identify types of
leadership that can have beneficial effects on employees’ health in the Malaysian context. Further this study examines the
mechanism (mediating role of psychosocial safety climate) linking health-centric leadership styles and employees’ psychological
health. At Time 1, data were collected from the employees of petrochemical and gas processing plants (n = 303, response rate =
61%), and at Time 2 (n = 192, response rate = 48%) completed the questionnaires. Partial Least Squares Structural Equation
Modeling (PLS-SEM), using SmartPLS3.0, was used to test the proposed framework. Results confirm a positive association
between health-centric leadership styles and psychosocial safety climate. Psychosocial safety climate was negatively related with
psychological health. Further, the findings confirm the mediating role of psychosocial safety climate between health-centric
leadership styles and psychological health among Malaysian oil and gas employees. The present study fills a gap in the literature
by proposing a health-centric leadership framework based on contextual requirements. Additionally, this is the first study that
examines psychosocial safety climate as a mediator, thereby fills an important research gap in the existing literature.

Keywords MBEA . Health-specific leadership . Psychosocial safety climate . Psychological health . Malaysia

Introduction Malaysian economy (Social Security Organization Report,


2016), economic expansion has increased the severity of the
Malaysia is one of the fastest emerging economies in Asia and situation. The implementation and awareness of the occupa-
aims to become one of the top business-friendly economies by tional health and safety (OHS) master plan, which was intro-
2020. But the growth of the economy also increases the threat duced in 2005 to address workplace safety concerns, remains
to employees’ health and safety (Leigh, 2011). While occupa- fairly ineffective (Lugah et al., 2010). The National Institute of
tional health and safety has always been a concern for the Occupational Safety and Health (NIOSH)1 has expressed
grave concern over the psychological health issues faced by
the Malaysian workforce and emphasized that sustained orga-
* Muhammad Zeeshan Mirza
zeeshanmirza21@hotmail.com
nizational success can only be achieved with a healthy and
motivated workforce. In addition, foreign direct investment
Mumtaz Ali Memon also depends on occupational health and safety performance
mumtazutp@gmail.com of the Malaysian economy.
Maureen Dollard Leadership has substantial effects on employee health and
Maureen.Dollard@unisa.edu.au safety (Gilbreath, 2004; Montano et al., 2017; Mullen &
Kelloway, 2011). Various reviews of leadership and employee
1
Department of Engineering Management, National University of health often report transformational leadership to be the most
Sciences and Technology (NUST), Islamabad, Pakistan beneficial for employees’ health. Leader-member exchange
2
NUST Business School, National University of Sciences and
Technology, Islamabad, Pakistan
1
3 http://www.dosh.gov.my/index.php/en/archive-news/2015/1605-
Work & Stress Research Group, Centre for Applied Psychological
psychosocial-risks-among-workers-are-cause-for-concern-niosh-new-straits-
Research, University of South Australia, Adelaide, Australia
times-online

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Curr Psychol

(LMX) and task-oriented leadership also positively influence been studied at an individual level within the organizational
employees’ health while destructive and abusive leadership have domain in management literature (Kirkman et al., 2006).
detrimental effects on employees’ health (see, Brouer & Harris, According to Hofstede (2016) the Malaysian culture is high
2007; Kelloway & Barling, 2010; Mackey et al., 2019; Zhang & on power distance (acceptance to unequal distribution of pow-
Liao, 2015). However, much of the leadership research in theory er in an organization) and collectivism (high level of harmony
development and empirical verification has been conducted in and concern for each other in an organization). Also, Malaysia
Western and American cultures (Avolio et al., 2009), and much is a conservative culture which promotes compliance, disci-
of that research used social exchange theory (Montano et al., pline and a high level of respect for elders and people in high
2017) as a foundation to explain the effectiveness of leadership positions (Abdullah, 1992). Previous research confirms the
styles in the workplace. The concept of social exchange preference for a directive kind of leadership in Malaysia
(Emerson, 1976) is used to explain followers acceptance towards (Jogulu, 2010; Selvarajah et al., 2006). Other research reports
a leadership style when it is based on leaders caring for their that culture influences respect and compliance for the leaders
health and safety. within their organization (Bakar et al., 2014).
The few studies that examined these leadership styles (e.g. In occupational health psychology literature a participa-
Jogulu, 2008, 2010) in Asian cultures have reported results tive style of leadership has been found to improve health
that vary from those conducted in Western and American and well-being of employees (Kelloway & Barling, 2010;
cultures, thereby indicating the potentially important role of Zwingmann et al., 2014). In addition, recently a more
cultural context (Mirza & Isha, 2017). Recently, Holten et al. health-centered type of leadership named, health-specific
(2017) reported varying employee related outcomes (e.g., leadership (Gurt et al., 2011) has been introduced and
well-being, health, job satisfaction) of transformational lead- found to play an effective role regarding employee’s psy-
ership among employees from different cultural backgrounds chological health issues. However, in the Malaysian cul-
working in the same environment. ture where the leader’s authority is expected and accepted,
The objective of this study is to examine (1) leadership styles a leader who assumes more power and emphasizes strict
(e.g., health-centric leadership styles) and their effect on employ- norms can also be effective. In such a culture, leaders play
ee psychological health, and (2) the mechanism that links them. a much bigger role and constantly guide their followers
Since, the body of research indicates positive effects of leadership regarding the performance of their job duties.
on employees’ health (Barling & Griffiths, 2010; Hoch et al., In cultures with low power distance and collectivism, a
2018; Mullen & Kelloway, 2011), this study identifies types of participative style of leadership in the long-term has ad-
leadership that can have beneficial effects on employees’ health verse effects on the psychological health of employees
in the Malaysian context. As Porter and McLaughlin (2006) (Franke & Felfe, 2011; Hooper & Martin, 2008; Harris
noted, context has always been an afterthought while the focus & Kacmar, 2006; Zwingmann et al., 2016). Whereas stud-
has predominantly been on explaining the given leadership style. ies report conflicting findings of the influence of a mon-
Specifically, this paper discusses the types of leadership that are itoring style such as management-by-exception active
in alignment with the Malaysian context. Surprisingly, no study (MBEA, Kanste et al., 2007; Stordeur et al., 2001); on
has yet specifically theorized leadership style in relation to psy- employee psychological health. The general presumption
chological health. We explore psychosocial safety climate as a about MBEA, however, is that it has detrimental effects
potential mechanism that links leadership to employee psycho- and has been mostly used in a negative connotation (e.g.,
logical health. As direct or indirect actions by leaders influence Lee & Jensen, 2014; Luria, 2008).
the overall perception in followers that their health is a priority In a culture like Malaysia, where power distance is very
(Yukl, 2017), these leadership actions first create a health-prone high, we believe that MBEA can play a role in reducing em-
climate that ultimately has a positive effect on employees’ psy- ployees’ psychological health problems. The societal orienta-
chological health. It is therefore expected that the path from tion in these types of cultures are such that people are taught to
leadership to psychological health is mediated by psychosocial follow their leaders (Abdullah, 1992). Considering that indi-
safety climate. Overall, this study proposes a psychological viduals’ cultural values have a large bearing on organization
health-based leadership framework for Malaysia specifically culture (Noorderhaven & Harzing, 2003), MBEA may be a
and for other Muslim countries that have similar contextual re- viable option for Malaysian workforce. Moreover, being a
quirements, as many health and safety issues in Muslim countries collectivistic society, Malaysia encourages a ‘family-like’ en-
are either ignored or overlooked (Mirza & Bashir, 2015). vironment even in professional settings where leaders give
due consideration to their followers and encourage a culture
The Role of Context of collaboration and support (Abdullah, 2001; Jogulu &
Ferkins, 2012). This therefore makes health-specific leader-
Although the cultural dimensions proposed by Hofstede are ship a relevant practice to combat psychological health
more important at a societal level, most of this research has problems.

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Curr Psychol

Management-by-Exception Active and Psychosocial 2001), because they builds a sense of relationship between
Safety Climate leader and followers where the leader acts as a mentor who
shows responsibility for the needs of their followers
Leaders exhibiting MBEA behaviors regularly monitor fol- (Selvarajah et al., 2006). Particularly, when leaders are active-
lower performance and take remedial steps before any serious ly dedicated to the issues concerning health and well-being of
problem transpires (Bass & Riggio, 2006). The general pre- their followers, they build trust in their followers about their
sumption about such kind of leaders is that they create extra commitment to resolve health-related issues (Gurt et al.,
pressure on employees which causes detrimental effect on 2009). Malaysian employees relate with leader’s actively
employees health (Stordeur et al., 2001), and well-being committing and showing dedication towards them (Jogulu &
(Kelloway et al., 2012). Notwithstanding, Kanste et al. Ferkins, 2012) much like an elder of a family who is respected
(2007) found that MBEA reduces employees health-related for his/her position and sense of responsibility. The theoretical
problems and increase the level of individual description of health-specific leadership is grounded in these
accomplishment in nursing staff. points (Gurt et al., 2011). Thus, it is believed that health-
Mirza and Isha (2017) suggest that in a culture where pow- specific leadership will play an effective role in developing
er distance is very high (e.g. Malaysia) MBEA will be most employee’s psychosocial safety climate perceptions in
effective for lower-level workforce (e.g., production workers). Malaysian setting. Therefore, we hypothesize that:
The acceptability of the fact that leaders will assume more
power and will be more directive, makes MBEA behaviors H2: Health-specific leadership will be positively associ-
positive rather than negative in such cultures. As such MBEA ated with psychosocial safety climate perceptions of
is suggested to positively influence followers’ psychosocial Malaysian employees.
safety climate perceptions. Previously, it has been reported
that lower-level employees positively respond to task related
communication and positive feedback of leaders (Winkler Psychosocial Safety Climate and Psychological Health
et al., 2015). Based on these theoretical presumptions, we
propose that health and safety specific MBEA behaviors of Psychosocial safety climate (PSC) is defined as “‘policies,
leaders will persuade their followers that their organization practices and procedures for the protection of worker psycho-
will not compromise their health and safety for any competing logical health and safety” (Dollard & Bakker, 2010). Since its
demands, which will build and strengthen their psychosocial inception, psychosocial safety climate has been used as a lead
safety climate perceptions. Therefore, we hypothesize that: predictor for the psychological health problems of workforce
(Zadow et al., 2017). PSC reflects management commitment
H1: MBEA will be positively associated with psychoso- towards employee’s health and safety so that it should not be
cial safety climate perceptions of Malaysian employees. compromised for competing demands. Law et al. (2011)
found that when employees have high levels of psychosocial
safety climate perceptions it reduces their psychological
Health-Specific Leadership and Psychosocial Safety health problems. Similar results were reported by Mirza
Climate et al. (2019) that psychosocial safety climate helps reduce
employees’ psychological distress. Also, PSC was found be
Gurt et al. (2011) introduced the concept of health-specific more strongly related to psychological distress than other cli-
leadership and define it as “leaders’ explicit and therefore mate measure (Idris et al., 2012). Thus, there is strong empir-
visible consideration of and engagement in employee health” ical evidence which supports that high level of psychosocial
(p. 110). They also reported it to be distinct construct from safety climate diminishes employee’s psychological health
general leadership which has a definite focus on employee’s issues. Therefore, we hypothesize that:
health and also motivates employees to be more participative
in health-related behaviors. As stated by Gurt et al. (2009) H3: Psychosocial safety climate will be negatively asso-
“routine leadership behaviors (do not contribute to an occupa- ciated with psychological health problems in Malaysian
tional health culture, which indicates that employees did not employees.
attribute “good” general leadership behavior with underlying
organizational values concerning health. In order to contribute
to the perception of a supportive occupational health culture, Mediating Role of Psychosocial Safety Climate
the leader has to show his specific engagement for health
promotion” (p. 38). Previously it has been reported that the path from leadership to
In Malaysia, leaders who constantly interact with their fol- employee health outcomes is mediated by job satisfaction, and
lowers and give them due attention are preferred (Abdullah, work environment factors such as role ambiguity, bullying,

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Curr Psychol

and harassment. We believe that the theoretical grounding of covering letter underlining the confidentiality and voluntary
psychosocial safety climate more appropriately explains this nature of participation, along with instructions about how to
relationship. Furthermore given the cultural settings in complete the questionnaire. The questionnaires were
Malaysia, leaders play the most vital role in establishing an completed during working hours and once the question-
overall climate in the organizations (Selvarajah & Meyer, naires were filled by the respondents they were handed
2008). Social learning theory (Bandura, 1971) explains that back to the researchers.
the major portion of individual learning and knowledge ac- The time-lagged study design, also referred to as the “half-
quirement derives from those with whom they have social longitudinal design” (Idris et al., 2014), was used for data
interactions. Hence, health aversive behaviors of individuals collection. Two waves of data collection technique (T1 and
can be modified to health conducive behaviors if the environ- T2) were adopted to test the mediation path, as recommended
ment in which they operate educates them about its impor- by Cole and Maxwell (2003). There was a three-month lag
tance (Conner & Norman, 2005). To create that environment, between T1 and T2, as suggested by the literature on psycho-
leaders play the most important role because of the direct and social safety climate (Idris et al., 2014). The nature of the
indirect effect they have on their followers (Yukl, 2006). They industry (oil and gas) being studied was such that the proce-
act as role models (Bass, 1985), and their behaviors shape dure for getting approval for data collection is often difficult
follower perceptions and behaviors through followers self- and complicated (Memon et al., 2016). Initially, an email in-
concept (Viktor, 1982). cluding a letter of participation was sent to potential oil and
Based on these theoretical premises, it is believed that both gas organizations. After a follow up, only two organizations
leadership styles i.e. MBEA and health-specific leadership voluntarily agreed to participate in the research. An executive
will create a positive perception about psychosocial safety was assigned by the organizations to facilitate the data collec-
climate in the followers, which will ultimately result in reduc- tion process. A questionnaire survey including a cover letter
tion of psychological health problems. Prior literature on oc- and university approval letter were submitted to the organiza-
cupational health and safety also suggests that employees’ tions for clearance before arrival as requested. Upon approval,
positive perceptions about the climate is essential to their researchers visited the site and personally administered the
health and safety (Clarke, 2010; Zohar, 2010), and leadership questionnaire to the production workers. The same procedure
plays the central role in developing and establishing those was repeated for T2.
climate perceptions (Clarke, 2013). Therefore, it is hypothe- At T1, respondents filled questionnaire related to MBEA
sized that: and health-specific leadership (n = 303, response rate = 61%).
After three months, respondents answered the questionnaire
H4: Psychosocial safety climate will mediate the rela- containing items related to psychosocial safety climate and
tionship between MBEA and psychological health prob- psychological distress (n = 192, response rate = 48%). 31 re-
lems of Malaysian employees. sponses were omitted because they were either incomplete
(13) or were new respondents (18) who did not fill the ques-
H5: Psychosocial safety climate will mediate the rela- tionnaires at T1. We followed the method of (Carmeli
tionship between health-specific leadership and psycho- et al., 2010) and asked respondents to write the name of
logical health problems of Malaysian employees. their grandparents on the questionnaires. It was clearly
explained to the respondents that it was done only to
correlate the T1 to T2 data.
The overall sample size of the study was 161 (of these 84
Method participants were from petrochemical plant and 77 from gas
processing plant) and the overall response rate was 55%.
Procedure and Participants Given the lack of support given to researchers in Malaysia
regarding data collection (Ali et al., 2009) the low response
Using purposive sampling technique, data were collected rate was not unexpected. The participants were predominantly
from production workers of petrochemical and gas processing male (87%), between 20 and 30 years old (47%), with orga-
plants operating in various states of Malaysia (i.e., Pahang and nizational tenure of more than 5 years (45%). Out of the 161
Terengganu). The criterion for inclusion in the study was only respondents, 92% answered in Malay and 8% in English.
those production workers dealing with hazardous chemicals,
as their job requires a lot of care and attention. The job de- Measures
scription of these workers requires them to be extra cautious
while performing their job and they frequently experience A Malay language expert assisted with the translation of the
psychological distress (Carlisle & Parker, 2014; Durand & scales, and we then used a back-to-back standard procedure
Marchand, 2005). Questionnaires were distributed with a for translation (Brislin et al., 1973). This is a reliable technique

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Curr Psychol

for adapting scales from the original language to the adapted (Ringle et al., 2015). We applied the two-staged recommend-
one (Mallinckrodt & Wang, 2004). We used a bilingual ques- ed analytical procedure (Anderson & Gerbing, 1988) to test
tionnaire for all scales with linguistically simplified items in the measurement and structural model.
Malay language to make sure they were easily comprehended G* Power version 3.1.9.2 was used to determine the min-
and to target the particular requirements of the production imum sample size for this study. Based on the power of 0.80,
workers. The modifications/simplifications made were ap- the sample size required for this study was 68. As such, the
proved by two experienced researchers of the field to make present sample (N = 161) comfortably exceeded the required
sure that the items did not lose the original meaning. minimum sample size by means of power analysis. In addi-
Health-specific leadership was measured using the scale of tion, the required sample size for PLS-SEM analysis is 100
(Gurt et al., 2011) consisting of 7 items (e.g. “My supervisor (Reinartz et al., 2009). Thus, a sample of 161 was considered
discusses health-related topics with us”; “In our regular work meet- sufficient.
ings, we are informed about health issues”; 1 = Strongly Disagree,
5 = Strongly Agree). The alpha value of the scale was 0.813.
Common Method Variance and Multicollinearity
MBEA for work health and safety was measured using the
Multifactorial Leadership Questionnaire (MLQ 5x-Short;
Although longitudinal study design was used for collec-
Bass & Avolio, 1995). The original scale consisted of 4 items,
tion of data which limits the chance of common method
however due to the difficulty in understanding and responding
variance, self-reporting bias can still be expected given
to double-barreled items (Bassili & Scott, 1996), it is advised
that data for PSC and psychological distress was self-re-
to avoid double barreled questions (Krosnick & Presser,
ported. Therefore, a statistical procedure, Harman’s one-
2010). Hence we rephrased the items of the scale to remove
factor test, was used to examine whether there is any
the double barreled issue, the rephrased version of the scale
common method variance (Podsakoff et al., 2003). The
consist of 9 items (e.g. “My supervisor focuses on irregulari-
common method variance becomes problematic if a single
ties regarding health and safety standards”; “My supervisor
factor accounts for the majority of the explained variance
pays full attention on dealing with health and safety com-
(Podsakoff & Organ, 1986). The results indicate that the
plaints”; 1 = Strongly Disagree, 5 = Strongly Agree). A short-
first factor accounted for only 26.91% of the variance,
coming highlighted in the literature about the MBEA scale
thereby rolling out the likelihood of common method
(Clarke, 2013) id that it does not necessarily explain the con-
bias.
text in which the monitoring is being done. Permission was
The Variance Inflation Factors (VIF) was also computed to
taken from Mind Garden Inc. to reproduce, translate and alter
identify the issue of multicollinearity. The VIF values for
the items of MBEA scale to apply it to the work health and
MBEA was (1.166), health-specific leadership (1.166), and
safety context. The alpha value of the scale was 0.906.
psychosocial safety climate (1.199), which were considerably
Psychosocial safety climate was assessed using the scale
below the required threshold value of <3.3 (Kock & Lynn,
developed by (Hall et al., 2010) which consist of 12 items (e.g.
2012). The VIF values clearly indicate that there was no issue
“In my workplace senior management acts quickly to correct
of multicollinearity for this data set.
problems/issues that affect employees’ psychological health”;
“My contributions to resolving occupational health and safety
concerns in the organization are listened to”); 1 = Strongly
Disagree, 5 = Strongly Agree. The alpha value of the scale Results
was 0.935.
Psychological Distress was assessed using the Malay ver- Measurement Model
sion of the General Health Questionnaire, GHQ-12 (Yusoff
et al., 2009). It is a reliable and effective scale to measure The assessment of the measurement model includes two
“psychological impairment” (Andrews et al., 1999). The scale types of validity: convergent and discriminant. The con-
consist of 12 items (e.g. “Been able to concentrate on what vergent validity is ascertained through loadings, average
you are doing?”; “Been feeling unhappy or depressed?” with a variance extracted (AVE) and composite reliability
response scale, 1 = Not at All, 4 = Much more than Usual. The (Memon et al., 2019; Ramayah et al., 2016). In assessing
alpha value of the scale was 0.936. the convergent validity of the constructs, the loading of all
the items should be equal to or higher than 0.7 to be
deemed acceptable (Chin, 2010). A loading lower than
Data Analysis 0.4 of an item means that it should be removed, and
items with loadings between 0.4–0.7 should be consid-
The proposed relationships were tested using the Partial Least ered for deletion if their removal increases composite
Square (PLS) technique using the SmartPLS 3.2.7 software reliability (CR) or AVE (Chin, 2010; Hair et al., 2014).

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Curr Psychol

Table 1 indicates that most of the loadings are above 0.7. The discriminant validity (the degree to which each con-
However, few of the loadings were between 0.4–0.7 but as struct is distinct from others) was measured through
explained earlier they are only considered for removal if the Heterotrait-Monotrait Ratio (HTMT) criterion. Using Monte
CR and AVE values are below the acceptable threshold and Carlo simulation, Henseler and colleagues highlighted the ef-
increases after the removal of that item. The AVE of all the ficiency of HTMT over traditional criterion (i.e., Fornell and
constructs were above 0.5 and the CR was greater than 0.7, Lacker). As presented in Table 2 all the values are lower than
which is suggested as the required threshold value in the lit- the required threshold value of 0.85 (Kline, 2015), thus estab-
erature (Chin, 2010; Hair et al., 2014). lishing the discriminant validity.

Table 1 Results of Measurement


Model Variables Items Loadings Composite Reliability AVE

Management-by-exception Active MBEA1 0.815 0.924 0.577


MBEA2 0.796
MBEA3 0.644
MBEA4 0.717
MBEA5 0.754
MBEA6 0.764
MBEA7 0.740
MBEA8 0.809
MBEA9 0.782
Health-specific Leadership HSL3 0.876 0.876 0.598
HSL4 0.913
HSL5 0.588
HSL6 0.477
HSL7 0.905
Psychosocial Safety Climate PSC1 0.718 0.929 0.523
PSC2 0.732
PSC3 0.751
PSC4 0.715
PSC5 0.776
PSC6 0.692
PSC7 0.677
PSC8 0.763
PSC9 0.729
PSC10 0.724
PSC11 0.622
PSC12 0.765
Psychological Distress PSD1 0.829 0.937 0.556
PSD2 0.875
PSD3 0.604
PSD4 0.712
PSD5 0.715
PSD6 0.675
PSD7 0.632
PSD8 0.843
PSD9 0.670
PSD10 0.802
PSD11 0.817
PSD12 0.711

AVE = Average Variance Extracted

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Curr Psychol

Table 2 Heterotrait-Monotrait Ratio (HTMT) on psychosocial safety climate T2; thus Hypothesis 2 was also
1 2 3 4 supported. Hypothesis 3 proposed that psychosocial safety
climate T2 will be negatively associated with psychological
1. Health-specific Leadership distress T2, and the results (β = −0.258, p < 0.05), confirming
2. Management-by-exception Active 0.448 the significance of hypothesis 3.
3. Psychosocial Safety Climate 0.481 0.493 Lastly, we conducted mediation analysis following the me-
4. Psychological Distress 0.127 0.392 0.211 diation approach recommended by Hayes (2009). If the indi-
rect effect is significant then mediation is achieved and in case
the indirect is insignificant than there is no mediation.
Hypothesis 4 proposed that psychosocial safety climate T2
Structural Model will mediate the relationship between MBEA T1 and psycho-
logical distress T2. The results provided support for the me-
To evaluate the structural model it is recommended to report diation path (β = −0.096, p < 0.001), thereby confirming hy-
R 2 , beta value and the corresponding t-value through pothesis 4. In accordance with our supposition (β = −0.075,
bootstrapping procedure of 5000 resamples (Hair et al., p < 0.05) psychosocial safety climate T2 also mediated the
2014). Kaufmann and Gaeckler (2015) emphasized that re- relationship between health-specific leadership T1 and psy-
searchers should also report effect size (f2). The f2 represent chological distress T2, thus confirming hypothesis 5.
change in R2 when a specific exogenous construct is omitted Table 3 presents the results of hypotheses testing and depicted
from the model and explains whether that independent vari- in Figure 1.
able had any substantive effect on the dependent variable
(Hair et al., 2014).
The predictive power of the study was assessed using the
score of R2. The R2 value of psychosocial safety climate was Discussion
0.307, whereas the R2 value for psychological distress was
0.067. The effect size f2 for MBEA on psychosocial safety The objectives of this study were to identify the health-related
climate (excluding the effect of health-specific leadership) leadership styles suitable in a culture high on power-distance
was found to be 0.170, while it was 0.102 for health-specific and collectivism to promote psychological health. We identi-
leadership on psychosocial safety climate. Psychosocial safety fied two leadership styles i.e. MBEA and health-specific lead-
climate’s effect size on psychological distress was 0.072. ership. Secondly, we proposed and tested the mediating role
of psychosocial safety climate as a facilitator of the link be-
Hypotheses Testing tween leadership and psychological health issues. Previous
research primarily focused on the outcomes of PSC (see
Hypothesis 1 proposed that MBEA (MBEA) T1 will be pos- Bailey et al., 2015; Dollard et al., 2012; Idris et al., 2014).
itively associated with psychosocial safety climate T2. As However, limited research has been carried out on the deter-
shown in Table 3, MBEA T1 (β = 0.373, p < 0.001) was sig- minants of PSC. This research fills this gap by conceptualizing
nificantly positively related to psychosocial safety climate T2, and empirically confirms MBEA and health-specific leader-
confirming hypothesis 1. Hypothesis 2 proposed that health- ship as antecedents of PSC. Importantly, the findings of this
specific leadership T1 will be positively associated with psy- study broaden our understanding about the role of leadership
chosocial safety climate T2. Health-specific leadership T1 in promulgating PSC at the workplace, in safety-sensitive or-
(β = 0.289, p < 0.001) indeed had a significant positive effect ganizations in particular.

Table 3 Results of Hypotheses


Testing Relationship Std Beta Std Dev t-value f2 R2 Decision

H1 MBEA ➔PSC 0.373 0.069 5.446** 0.170 0.307 Supported


H2 HSL ➔PSC 0.289 0.077 3.776** 0.102 Supported
H3 PSC ➔PSD −0.258 0.100 2.597* 0.072 0.067 Supported
H4 MBEA ➔PSC ➔PSD −0.096 0.055 2.335** Supported
H5 HSL ➔PSC ➔PSD −0.075 0.051 2.012* Supported

**p < 0.001, *p < 0.05


MBEA = management-by-exception active; HSL = Health-specific leadership; PSC = Psychosocial safety cli-
mate; PSD = Psychological distress

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Curr Psychol

Fig. 1 Dotted lines represent


Management by
indirect effect
exception Active β = -0.096
β = 0.373 t = 2.335
(MBEA)
t = 5.446

β = -0.258
Psychosocial Safety t = 2.597 Psychological Health
Climate (PSC) Problems

Health-specific
β = 0.289 β = -0.075
Leadership
t = 3.776 t = 2.012

Dotted lines represent indirect effect

As hypothesized, MBEA enhanced employees’ psycho- Moreover, the results indicate a significant relationship be-
social safety climate perceptions, indicating the impactful tween health-specific leadership and psychosocial safety cli-
role of the monitoring style of leadership when employed mate. Also, the findings confirm the mediating role of psycho-
in an appropriate cultural context (Mirza & Isha, 2017). social safety climate between health-specific leadership and
The results clearly suggest that in Malaysian culture em- psychological health. These findings depart from the earlier
ployees are more receptive to leaders who are directive work, which highlighted health-specific leadership increases
and vigilantly monitor to correct mistakes regarding role ambiguity among employees, which in turn increase their
health and safety. The active monitoring of leaders to health-related problems (Gurt et al., 2011). One of the reasons
reduces deviations from standards in a hazardous environ- of such a finding is cultural orientation of Malaysian em-
ment and enhances employee’s psychosocial safety cli- ployees. Malaysian workers prefer ‘family like’ environment
mate perceptions because it creates an unequivocal envi- and expects consideration and care from their leaders.
ronment regarding their health and safety. Health-specific leaders show unequivocal support and
The path from MBEA to psychological health was mediat- care for employees’ health develops positive psychoso-
ed by psychosocial safety climate, confirming the indirect cial safety climate perception which in turn reduces
effect. The results confirm the earlier findings that their psychological health problems.
Malaysian employees being receptive to leaders who assume These findings validate our earlier argumentation that there
more power (Abdullah, 2001), and are clear about their ex- needs to be an alignment between leadership characteristics
pectations (Jogulu, 2010). Our findings have significant im- and the culture in which leadership style is practiced.
plications for the occupational health psychology literature. Although Gurt et al. (2011) reported its ineffectiveness in
Much of the work in the field has been on leadership styles non-hazardous work setting, they suggested that health-
which have theoretical grounds in social exchange theory (see specific leadership might be effective in specific organization-
Kelloway & Barling, 2010; Montano et al., 2017). We believe al context. The present study proves such an assumption as it
there are two reasons for the discrepant results. First, because confirms the effectiveness of health-specific leadership in
much of the leadership research has been conducted in Malaysian oil and gas industry. The findings also add to the
Western/American cultures (Avolio et al., 2009) there is uni- health-specific leadership literature and it is left for the future
formity in research and results. Secondly, contrary to what studies to examine the effects of health-specific leadership in
many believe leadership styles do not have a universal appli- different organizational settings and also at different hierarchi-
cation (Holten et al., 2017) and it is necessary to consider the cal levels in the organization to improve our understanding on
context in which a leader has to lead. Thus, more focus is the subject matter.
required on the alignment of leadership characteristics with
the context in which they are operating.
Psychosocial safety climate and psychological health were Theoretical Implications
also found to be negatively related. The results are in line with
the earlier findings reporting a negative association between This study contributes to extant psychosocial safety climate
the two constructs (Dollard & Bakker, 2010; Law et al., 2011; and psychological health literature. It suggests leaders
Dollard et al., 2012; Idris et al., 2012). The results add to the (MBEA and health-specific leadership) exhibiting health-
psychosocial safety climate literature by proving its effective- centric behaviors have a significant bearing on psychosocial
ness in a not previously tested hazardous work environment safety climate as well as psychological health, adding a new
like oil and gas. domain of potential interest to psychosocial safety climate

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Curr Psychol

literature. Theoretically, this means that the leader’s interest in Since data were collected from oil and gas workers, the
employee health and well-being conveyed through health- findings may not be generalizable to other sectors.
centric leadership behaviors and practices provides a psycho- Future studies are recommended to compare the present
logical safety net, conveying to them the message that the model in hazardous and non-hazardous work settings.
organization does not demand outcomes at their expense but Such an effort will help to better understand the utility
rather values their well-being as well. The proactive problem of the present model in different work settings, which is
resolution inherent in MBEA and considerate and caring char- not only important for theoretical advancement but will
acteristics of health-specific leadership signals to subordinates also help managers to nurture PSC at the workplace.
their health and safety is taken care of (psychosocial safety It is important to note that lack of panel data restricted us to
climate perceptions), and keeps their mind off health-related perform additional analyses (e.g. examining reverse relation-
issues, contributing to their psychological health. ships). The oil and gas industry is often considered as a hard-
The findings of this research also contribute to leadership to-reach population because of it’s their geographical loca-
literature in highlighting the importance of aligning leadership tions (i.e., onshore and offshore plants) and type of operations.
style with the cultural context rather than seeking social ex- It is almost impossible to approach target participants without
change consequences of leadership styles. Theoretically, this prior consent from the organization. Notably, a specific time
is significant as it proposes a fresh perspective of context- was allowed to visit production workers. As such, the re-
based leadership. Because leadership comprises of numerous searchers had relatively limited time to administer the ques-
sets of behaviors, they are adoptable, therefore, this study tionnaire survey on the site. Given these time constraints and
contributes to leadership literature in that it emphasizes lead- the sensitive nature of the workplace, only limited questions
ership effectiveness in alignment with the cultural context could be answered. Therefore, in T1, data were collected for
rather than a social exchange perspective. MBEA and health-specific leadership. Later, in T2, the em-
ployees were asked to respond to the PSC and psychological
distress-related items.
Practical Implications The self-reported measures are another limitation of the
present study. It is suggested that future studies might look
Our findings indicate that investing in health-centric leader- for alternative sources of data (e.g., health-related reports,
ship styles will have a beneficial effect on employee’s psy- health-screening expenditure). Although organizational re-
chological health. Leadership commitment is essential in cre- ports regarding health and safety are not considered reliable
ating an environment where employees believe that their (Hamalainen et al., 2006), they may provide an alternative to
health and well-being is valued by the organization. Hence, validate the information provided by the employees.
the Malaysian organizations can practice these leadership Another limitation is that PSC was operationalized at
styles to thwart the risks associated with their employee’s the individual level, whereas the PSC construct is usually
psychological health. For growing economies like Malaysia, conceptualized as an organizational level construct.
this is very important as higher-level occupational health and Research does, however, indicate that over and above
safety will result in better organizational performance, which group level PSC, individual level PSC has an effect on
will ultimately help to attract more foreign direct investment. work conditions and worker mental health (Owen et al.,
The Malaysian organizations need to invest in work health 2016). Nevertheless, future research exploring leadership
and safety specific MBEA leadership as it suits their cultural and climate could consider the role of PSC at the work
requirements (at least for the time being) and can resolve the unit level or organizational level in combination with in-
psychological health issues of their employees. dividual effects in research.
Lastly, non-availability of panel data restricted our capacity
to test reverse relationships between psychosocial safety cli-
Limitations and Future Research Directions mate and leadership. Previous research have used panel data
(see Kinnunen et al., 2016) to examine the reverse relation-
The focus of this study was the lower-level workforce (pro- ships providing interesting insights about ‘followers-view’ of
duction workers). It will be interesting to see whether similar leadership whereby climate. Future research can assess this
results are obtained for the employees working at other levels reverse relationship between psychosocial effects future
i.e. middle and higher level in the similar context. Moreover, leadership.
the present study relied on purposive sampling owing to the
theoretical requirements of the study. Future studies might
consider better sampling techniques (e.g. stratified-random Data Availability Data will be available on request.
sampling) in-order to give clear inferences about effects of
leadership styles at the workplace. Declarations

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Curr Psychol

Ethics Approval All procedures performed in studies involving human Carmeli, A., Reiter-Palmon, R., & Ziv, E. (2010). Inclusive leadership
participants were in accordance with the ethical standards of the institu- and employee involvement in creative tasks in the workplace: The
tional and/or national research committee and with the 1964 Helsinki mediating role of psychological safety. Creativity Research Journal,
declaration and its later amendments or comparable ethical standards. 22(3), 250–260.
Chin, W. W. (2010). How to write up and report PLS analyses. In V. E.
Informed Consent Informed consent was obtained from all individual Vinzi, W. W. Chin, J. Henseler, & H. Wang (Eds.), Handbook of
participants included in the study. partial least squares (pp. 655–690). Springer.
Clarke, S. (2010). An integrative model of safety climate: Linking psy-
chological climate and work attitudes to individual safety outcomes
Conflict of Interest On behalf of all authors, the corresponding author
using meta-analysis. Journal of Occupational & Organizational
states that there is no conflict of interest.
Psychology, 83(3), 553–578. https://doi.org/10.1348/
096317909x452122.
Clarke, S. (2013). Safety leadership: A meta-analytic review of transfor-
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