TY - JOUR
T1 - Impact of a translated disease self-management program on employee health and productivity
T2 - Six-month findings from a randomized controlled trial
AU - Smith, Matthew Lee
AU - Wilson, Mark G.
AU - Robertson, Melissa M.
AU - Padilla, Heather M.
AU - Zuercher, Heather
AU - Vandenberg, Robert
AU - Corso, Phaedra
AU - Lorig, Kate
AU - Laurent, Diana D.
AU - Dejoy, David M.
N1 - Funding Information:
Acknowledgments: Research reported in this publication was supported by the National Heart, Lung, And Blood Institute of the National Institutes of Health under Award Number R01HL122330. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding Information:
This study was funded by the National Heart, Lung, and Blood Institute to translate CDSMP for use in the workplace among employees. In collaboration with the original program developer, the first year of this 5-year grant was dedicated to modifying the intervention’s format and content to be more appropriate for on-site workplace delivery while meeting the needs of younger employed participants. The program translation was guided by the research team’s experience translating interventions to worksite settings [23,24] and implementing and evaluating CDSMP in community and healthcare settings [11,19,21]. To inform the translation, the research team gathered input from CDSMP Master Trainers (i.e., national survey, interviews) and employees who had one or more chronic diseases (i.e., focus groups). Master Trainers were selected as participants because of the extensive training they received about the intervention (e.g., content, processes, fidelity), their role hosting lay leader trainings for those who facilitate workshops, and their experience interacting with adults living with chronic conditions. Employees with chronic diseases were selected as participants because of their first-hand experiences living and working with a chronic condition as well as their experience participating in health promotion activities at work. Additionally, the research team engaged in extensive conversations with the program developers throughout the translation process regarding program logistics (e.g., grand-scale dissemination, translation, leader training, fidelity monitoring). Information obtained from these sources was used to develop materials for the translated intervention. The translation resulted in a worksite-tailored version of CDSMP that is referred to as wCDSMP (also known in the community as Live Healthy, Work Healthy).
Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2018/5
Y1 - 2018/5
N2 - 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.
AB - 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.
KW - Chronic Disease Self-Management Program
KW - Disease self-management
KW - Employee health
KW - Evidence-based program
KW - Intervention translation
KW - United States of America
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U2 - 10.3390/ijerph15050851
DO - 10.3390/ijerph15050851
M3 - Article
C2 - 29693605
AN - SCOPUS:85046141301
SN - 1661-7827
VL - 15
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 5
M1 - 851
ER -