Capstone Project
Effective Self-Care Messaging in the Construction Workplace
D. Hartling · March 1, 2026
Construction is an industry that demands extreme performance of worker’s minds and bodies. Heavy loads, long hours, pressing deadlines, and jobsites full of potentially dangerous equipment and working conditions. Within this environment, stoicism and resiliency are the norm; complaints of physical ailments or mental load are often seen as a weakness. This fosters a trend of self-care being dismissed, misunderstood, or deferred indefinitely. However, the stresses placed on these workers are both physically and mentally significant, and the consequences of neglecting them or dealing with them in unhealthy ways are measurable and widespread.
This project aims to promote awareness of this issue and spread self-care messages in a way that is accessible, and unintrusive. The goal is to disseminate these messages in a way that construction workers will be more receptive of. While there is a clear focus to the audience of this work, it is not exclusive: Ideally these messages will be relatively universal and bring positivity to whoever’s hands they wind up in.
Construction workers frequently operate under conditions that require discomfort to be overlooked; inclement weather, extreme temperatures, cumbersome safety equipment, and materials that cause one to become completely dirty are just a few examples. It is not hard to see where also overlooking one’s own physical or mental discomfort could easily become normalized as part of the job itself. An overwhelming majority of surveyed workers experienced acute musculoskeletal pain, with many continuing to work despite injury or fatigue. (Arias, Choi, & Koenig, 2022) This is indicative of wider cultural pattern of normalizing pain and high mental load. Seeking respite or care can be seen as weakness or a way to get out of work. Endurance is valued. Traditional self-care messaging can be seen as disconnected from the reality of the job. (Stoddard, Bhandari, Sherratt, Lauren, & Russell, 2024)
Workplace norms, time constraints, and production pressure pose barriers to health and self-care promotion in these settings. (Fuller, Abid, & Imriyas, 2022) Obligatory safety meetings are often looked at as a waste of time and can be disruptive to the workday. Just because they meet legal minimum requirements does not mean that they are well received or effective in promoting workers’ wellbeing. Further, there has historically been an absence of open dialogue about mental health. (Thompson) Awareness is growing, but there is a lot of progress that needs to be made.
Research shows that self-care is frequently misunderstood or inconsistently applied when it is presented as an abstract concept rather than a practical, actionable behavior (Kendrick, Kapoyannis, & Pagaling, 2024)(Marquez, 2023) In high-demand professions, effective self-care must be framed in ways that reinforce agency, clarity, and immediate applicability. Within this project, that principle is translated into short, direct messages designed to be interpreted and used in real time, rather than deferred or ignored. Such small, repeated interventions have been shown to positively influence behavior over time. Pain management studies link increased awareness to improved outcomes. (Kongsted, Jensen, Doktor, & Hestbæk, 2021)
This approach takes a cue from the Center for Disease Control’s Total Worker Health® frameworks which lends credibility to preventative, culture-sensitive approaches. (CDC, 2026) By integrating health promotion into the structure of work itself, workplace conditions themselves can be used to directly influence long-term health outcomes. (Rohlman & Kelly, 2020) With constant small reminders, hopefully there are messages in this collection that someone will gravitate to, and want to have with them as they work, providing positive reinforcement throughout the day.
The scale of this work is simultaneously large and small. The messages themselves are small, innocuous, printed on an actual tool of trade. But there are lots of them. In this trial run there are 44 different messages on hundreds of pencils. Not an overwhelming amount, but with the potential to reach hundreds of people. This could be scaled up immensely, and it’s economically feasible for companies to deploy them as part of a comprehensive approach…they already spend money on pencils, why not have positive messages on them? (Huntsman & Bulaj, 2023) This approach works by reducing resistance while increasing exposure. Disruption is avoided while awareness is reinforced over time, aligning with behavioral and environmental health strategies that cue with passive, embedded messaging to “nudge” the audience in the direction of positive health actions. It isn’t forceful or demanding, but rather an achievable, small ask with a constant reminder.
The oversize pencil grabs attention. It transforms a familiar object into a collaborative tool, with a message that is overwhelmingly positive. By requiring multiple people to use it effectively, the object creates an embodied experience of cooperation, reinforcing the idea that care and labor are collective rather than individual responsibilities.
The type of participation and engagement fostered by these components creates a shared experience. They are under the same stresses and demands each day, can they be equally part of a self-care awareness and management strategy? Peer supported models are critical in improving outcomes. (Stinson, et al., 2016) We don’t need workers to be overly touchy-feely and preoccupied with mental health, just that they accept it as helpful in their lives and be open to the concept. By embedding messaging into tools already used daily, this project prioritizes accessibility, repetition, and long-term exposure, which are key components of effective real-world interventions. (Viester, Verhagen, & Bongers, 2014) (Press, 2026)
Self-care, regarding both mental and physical health, is in dire need in the construction industry. It is a high stress field that fosters a macho culture wary of showing any weakness. Often the stress and pressures of the job are ignored or dealt with in unhealthy ways. This project provides a way of promoting not only self-care, but acceptance and community around the subject. By integrating into workflow with relatable messages, these pencils provide a constant, yet unobtrusive (low resistance) reminder that taking care of yourself is a necessary part of life both on and off the job. My hope is that they leave work at work but take the pencils home.
Epilogue: Process and Continuation
The original intent of this project was to expand both the quantity of messages and the efficiency of producing and distributing them on a larger scale. Progress towards that goal is ongoing. While initial prototypes were successful, scaling the process introduced a range of unexpected challenges. Issues with printing consistency, alignment, and workflow required significant troubleshooting and adjustment. The process became time-consuming, stressful, frustrating and at times somewhat depressing.
Amid these difficulties I realized I needed to take my own project to heart. The same stress and pressure that this work is intended to address were present in the process of making it. This required not only technical problem solving but actively applying the project’s core ideas in real time. The messaging became a practical tool for navigating the process itself.
Ultimately, these challenges led to meaningful progress. Approximately 300 additional pencils were produced, and in total there are now roughly 200 in circulation. The large-scale “Big Pencil” was also exhibited publicly, extending the project into a participatory and collaborative context.
Moving forward, I will resume with a revised setup informed by these lessons. With approximately 400 blank pencils remaining, there is clear potential for continued growth and distribution. The next phase of this project will focus on implementing a refined production process and expanding real-world interaction with both the small-scale messaging and the large-scale collaborative object.
This project is ongoing. As it continues to develop, I will update these pages and look for ways of expanding its scale and reach.
References
Arias, O., Choi, S. D., & Koenig, G. (2022). Musculoskeletal Acute and Chronic Pain Surveyed among Construction Workers in Wisconsin, United States: A Pilot Study. Sustainability, 13279. View source
CDC. (2026, 3 1). Total Worker Health. View source
Fuller, T., Abid, H., & Imriyas, K. (2022). A systematic review of factors influencing the implementation of health promotion programs in the construction industry. Engineering, Construction, and Architectural Management, 2554–2573. View source
Huntsman, J. L., & Bulaj, G. (2023). Health education via “empowerment” digital marketing of consumer products and services. Public Health. View source
Kendrick, A. H., Kapoyannis, T., & Pagaling, R. (2024). Streaking and self-care planning: The influence of integrating a well-being initiative in one teacher education program. Teaching Education, 402–423.
Kongsted, A., Jensen, T. S., Doktor, K., & Hestbæk, L. (2021). Effects of weekly pain monitoring on back pain outcomes. Chiropractic & Manual Therapies, 1–9. View source
Marquez, A. D. (2023). The Paradigm of Self-Care. View source
Press, R.-A. -O. (2026, 3 1). RE-AIM Home Reach Effectiveness Adoption Implementation Maintenance. View source
Rohlman, D., & Kelly, K. M. (2020). Using Total Worker Health (R) to Advance Worker Health and Safety. International Journal of Environmental Research and Public Health. View source
Steiger, N. J., & Lipson, J. G. (1985). Self-Care Nursing Theory and Practice. Bowie: Brady Communications Company, Inc.
Stinson, J., Kohut, S. A., Forgeron, P., Amaria, K., Bell, M., Kaufman, M., . . . Spiegel, L. (2016). The iPeer2Peer Program. Pediatric Rheumatology. View source
Stoddard, E., Bhandari, S., Sherratt, F., Lauren, B., & Russell, S. (2024). Exploring the Perceptions of Construction Workers and Senior Management Towards Mental Wellness Interventions Using Q-Methodology. View source
Thompson, A. (n.d.). On Worker Wellness in Construction. Constructor Magazine.
Viester, L., Verhagen, E. A., & Bongers, P. M. (2014). Process Evaluation of a Multifaceted Health Program Aiming to Improve Physical Activity Levels and Dietary Patterns Among Construction Workers. Journal of Occupational and Environmental Medicine, 1210–1217. View source