Impact of a Translated Disease Self-Management Program on Employee Health and Productivity: Six-Month Findings from a Randomized Controlled Trial

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2018 Apr 26

PMID 29693605

Citations 9

Authors

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

Affiliations

Soon will be listed here.

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 [ = 72]) relative to CDSMP (‘Usual Care’ [ = 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, = 0.018), fatigue (uΔ = −2.88, = 0.002), sedentary behavior (uΔ = −4.49, = 0.018), soda/sugar beverage consumption (uΔ = −0.78, = 0.028), and fast food intake (uΔ = −0.76, = 0.009) from baseline to follow-up. Significant improvements in patient⁻provider communication (uΔ = 0.46, = 0.031) and mental work limitations (uΔ = −8.89, = 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 ( < 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.

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