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

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  • Matthew Lee Smith

    (Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA
    Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX 77843, USA
    Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Mark G. Wilson

    (Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Melissa M. Robertson

    (Department of Psychology, The University of Georgia, Athens, GA 30602, USA)

  • Heather M. Padilla

    (Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Heather Zuercher

    (Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Robert Vandenberg

    (Department of Management, Terry College of Business, The University of Georgia, Athens, GA 30602, USA)

  • Phaedra Corso

    (Department of Health Policy and Management, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

  • Kate Lorig

    (Self-Management Resource Center, Palo Alto, CA 94303, USA)

  • Diana D. Laurent

    (Self-Management Resource Center, Palo Alto, CA 94303, USA)

  • David M. DeJoy

    (Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA)

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 (uΔ = 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.

Suggested Citation

  • 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, 2018. "Impact of a Translated Disease Self-Management Program on Employee Health and Productivity: Six-Month Findings from a Randomized Controlled Trial," IJERPH, MDPI, vol. 15(5), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:5:p:851-:d:143151
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    References listed on IDEAS

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    1. Bandura, Albert, 1991. "Social cognitive theory of self-regulation," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 248-287, December.
    2. Sorensen, G. & Landsbergis, P. & Hammer, L. & Amick III, B.C. & Linnan, L. & Yancey, A. & Welch, L.S. & Goetzel, R.Z. & Flannery, K.M. & Pratt, C., 2011. "Preventing chronic disease in the workplace: A workshop report and recommendations," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 196-207.
    3. Matthew Lee Smith & Samuel D. Towne & Angelica Herrera-Venson & Kathleen Cameron & Kristie P. Kulinski & Kate Lorig & Scott A. Horel & Marcia G. Ory, 2017. "Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality," IJERPH, MDPI, vol. 14(6), pages 1-14, June.
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    1. Matthew Lee Smith & Caroline D. Bergeron & Ledric D. Sherman & Kirby Goidel & Ashley L. Merianos, 2022. "Contextualizing the Chronic Care Model among Non-Hispanic Black and Hispanic Men with Chronic Conditions," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    2. Siok Swan Tan & Marta M Pisano & An LD Boone & Graham Baker & Yves-Marie Pers & Alberto Pilotto & Verushka Valsecchi & Sabrina Zora & Xuxi Zhang & Irene Fierloos & Hein Raat, 2019. "Evaluation Design of EFFICHRONIC: The Chronic Disease Self-Management Programme (CDSMP) Intervention for Citizens with a Low Socioeconomic Position," IJERPH, MDPI, vol. 16(11), pages 1-10, May.

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