Impact of a translated disease self-management program on employee health and productivity: Six-month findings from a randomized controlled trial

Matthew Lee Smith, Mark G. Wilson, Melissa M. Robertson, Heather M. Padilla, Heather Zuercher, Robert Vandenberg, Phaedra Corso, Kate Lorig, Diana D. Laurent, David M. Dejoy

Research output: Contribution to journalArticlepeer-review

Abstract

Disease management is gaining importance in workplace health promotion given the aging workforce and rising chronic disease prevalence. The Chronic Disease Self-Management Program (CDSMP) is an effective intervention widely offered in diverse community settings; however, adoption remains low in workplace settings. As part of a larger NIH-funded randomized controlled trial, this study examines the effectiveness of a worksite-tailored version of CDSMP (wCDSMP [n = 72]) relative to CDSMP (‘Usual Care’ [n = 109]) to improve health and work performance among employees with one or more chronic conditions. Multiple-group latent-difference score models with sandwich estimators were fitted to identify changes from baseline to 6-month follow-up. Overall, participants were primarily female (87%), non-Hispanic white (62%), and obese (73%). On average, participants were age 48 (range: 23-72) and self-reported 3.25 chronic conditions (range: 1-16). The most commonly reported conditions were high cholesterol (45%), high blood pressure (45%), anxiety/emotional/mental health condition (26%), and diabetes (25%). Among wCDSMP participants, significant improvements were observed for physically unhealthy days (uΔ = -2.07, p = 0.018), fatigue (uΔ =-2.88, p = 0.002), sedentary behavior (uΔ = -4.49, p = 0.018), soda/sugar beverage consumption (uΔ = -0.78, p = 0.028), and fast food intake (uΔ =-0.76, p = 0.009) from baseline to follow-up. Significant improvements in patient-provider communication (uD = 0.46, p = 0.031) and mental work limitations (uΔ = -8.89, p = 0.010) were also observed from baseline to follow-up. Relative to Usual Care, wCDSMP participants reported significantly larger improvements in fatigue, physical activity, soda/sugar beverage consumption, and mental work limitations (p < 0.05). The translation of Usual Care (content and format) has potential to improve health among employees with chronic conditions and increase uptake in workplace settings.

Original languageEnglish (US)
Article number851
JournalInternational journal of environmental research and public health
Volume15
Issue number5
DOIs
StatePublished - May 2018

Keywords

  • Chronic Disease Self-Management Program
  • Disease self-management
  • Employee health
  • Evidence-based program
  • Intervention translation
  • United States of America

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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