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Chronic Diseases and Employment: Which Interventions Support the Maintenance of Work and Return to Work among Workers with Chronic Illnesses? A Systematic Review

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  • Soja Nazarov

    (Health Sciences/Public Health, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany)

  • Ulf Manuwald

    (Health Sciences/Public Health, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany)

  • Matilde Leonardi

    (Neurologia, Salute Pubblica e Disabilità, FONDAZIONE IRCCS ISTITUTO NEUROLOGICO CARLO BESTA, 20133 Milan, Italy)

  • Fabiola Silvaggi

    (Neurologia, Salute Pubblica e Disabilità, FONDAZIONE IRCCS ISTITUTO NEUROLOGICO CARLO BESTA, 20133 Milan, Italy)

  • Jérôme Foucaud

    (Institut National du Cancer (INCa), 92100 Boulogne-Billancourt, France
    Health Education and Practices Laboratory (LEPS EA 3412), Paris 13, University—UFR SMBH—74 rue Marcel Cachin, 93017 Bobigny, France)

  • Kristopher Lamore

    (Institut National du Cancer (INCa), 92100 Boulogne-Billancourt, France
    Université de Paris, LPPS, 92100 Boulogne-Billancourt, France)

  • Erika Guastafierro

    (Neurologia, Salute Pubblica e Disabilità, FONDAZIONE IRCCS ISTITUTO NEUROLOGICO CARLO BESTA, 20133 Milan, Italy)

  • Chiara Scaratti

    (Neurologia, Salute Pubblica e Disabilità, FONDAZIONE IRCCS ISTITUTO NEUROLOGICO CARLO BESTA, 20133 Milan, Italy)

  • Jaana Lindström

    (Department of Public Health Solutions, Public Health Promotion Unit, National Institute for Health and Welfare, 00271 Helsinki, Finland)

  • Ulrike Rothe

    (Health Sciences/Public Health, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany)

Abstract

The increase of chronic diseases worldwide impact quality of life, cause economic and medical costs, and make it necessary to look for strategies and solutions that allow people with chronic diseases (PwCDs) to lead an active working life. As part of the CHRODIS Plus Joint European Action project, a systematic review was conducted to identify studies of interventions that support the maintenance of work and return to work (RTW) among workers with chronic illnesses. These interventions should target employees with the following conditions: diabetes, cardiovascular diseases, metabolic vascular syndrome, respiratory diseases, musculoskeletal disorders, mental disorders, and neurological disorders. An extensive search was performed in PubMed, EMBASE, and PsycINFO for English language studies. Included in this review were 15 randomized controlled trials (RCT) for adult employees (aged 18+). We found that workplace-oriented and multidisciplinary programs are the most supportive to RTW and reducing the absence due to illness. In addition, cognitive behavioral therapies achieve positive results on RTW and sick leave. Finally, coaching is effective for the self-management of chronic disease and significantly improved perceptions of working capacity and fatigue.

Suggested Citation

  • Soja Nazarov & Ulf Manuwald & Matilde Leonardi & Fabiola Silvaggi & Jérôme Foucaud & Kristopher Lamore & Erika Guastafierro & Chiara Scaratti & Jaana Lindström & Ulrike Rothe, 2019. "Chronic Diseases and Employment: Which Interventions Support the Maintenance of Work and Return to Work among Workers with Chronic Illnesses? A Systematic Review," IJERPH, MDPI, vol. 16(10), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1864-:d:234583
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    References listed on IDEAS

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    1. Carla Sabariego & Michaela Coenen & Elizabeth Ito & Klemens Fheodoroff & Chiara Scaratti & Matilde Leonardi & Anastasia Vlachou & Panayiota Stavroussi & Valentina Brecelj & Dare S. Kovačič & Eva Esteb, 2018. "Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies," IJERPH, MDPI, vol. 15(3), pages 1-34, March.
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    3. Kristopher Lamore & Thomas Dubois & Ulrike Rothe & Matilde Leonardi & Isabelle Girard & Ulf Manuwald & Soja Nazarov & Fabiola Silvaggi & Erika Guastafierro & Chiara Scaratti & Thierry Breton & Jérôme , 2019. "Return to Work Interventions for Cancer Survivors: A Systematic Review and a Methodological Critique," IJERPH, MDPI, vol. 16(8), pages 1-21, April.
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