A Worksite Self-management Program for Workers with Chronic Health Conditions Improves Worker Engagement and Retention, but not Workplace Function

AbstractPurpose An increasing number of workers in the US have chronic health conditions that limit their ability to work, and few worksite interventions have been tested to improve worker coping and problem solving at work. The purpose of this study was to evaluate a worksite-based health self-management program designed to improve workplace function among workers with chronic health conditions. Methods We conducted a randomized, controlled trial of a worksite self-management program (“Manage at Work”) (clinicaltrials.gov #NCT01978392) for workers with chronic health conditions (N = 119; 82% female, ages 20–69). Most workers were recruited from the health care or light manufacturing industry sectors. Workers attended a 5-session, facilitated psychoeducational program using concepts of health self-management, self-efficacy, ergonomics, and communication. Changes on outcomes of work engagement, work limitation, job satisfaction, work fatigue, work self-efficacy, days absent, and turnover intention at 6-month follow-up were compared to wait-list controls. Results The most prevalent chronic health conditions were musculoskeletal pain, headaches, vision problems, gastrointestinal disorders, respiratory disorders, and mental health disorders. The self-management program showed greater improvement in work engagement and turnover intent at 6-month follow-up, but there was no evidence of a parallel reduction in perceived work limitation. Trends for improved outcomes of work self-efficacy, job satisfaction, and work fatigue in the intervention group did not reach statistical significance in a group x time interaction test. Conclusions Offering a worksite self-management program to workers with chronic health conditions may be a feasible and beneficial strategy to engage and retain skilled workers who are risking disability.Clinical trial registration: Clinicaltrials.gov #NCT01978392.

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Internet-Based Chronic Disease Self-Management for Youth

Assistive Technologies ◽

10.4018/978-1-4666-4422-9.ch012 ◽

2013 ◽

pp. 224-245

Author(s):

Jennifer Stinson ◽

Navreet Gill

Keyword(s):

Chronic Disease ◽

Health Outcomes ◽

Management Program ◽

Chronic Health Conditions ◽

Children And Youth ◽

Health Conditions ◽

Self Management ◽

Treatment Programs ◽

Chronic Health ◽

Important Health

Chronic health conditions in children and youth are important health problems that seriously affect all aspects of their everyday lives. There is growing recognition of the need to promote disease self-management in youth with chronic health conditions. While there is evidence of the effectiveness of self-management programs to improve health outcomes in pediatric chronic illnesses, there are barriers to youth receiving these services. Internet-based programs offer an innovative approach to improve the availability, accessibility, and acceptability of these programs. This chapter provides an overview of Internet-based chronic disease self-management treatment programs for children and youth. It defines and describes the underlying theories, processes, and content elements of Internet-based self-management programs. Practical tips for program development and evaluation in terms of improved health outcomes are also discussed based on the authors’ experience with developing the “Teens Taking Charge: Managing Arthritis Online” self-management program for adolescents with arthritis. Future directions for theory, research, and clinical practice are also described.

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Internet-Based Chronic Disease Self-Management for Youth

E-Health Communities and Online Self-Help Groups ◽

10.4018/978-1-60960-866-8.ch003 ◽

2013 ◽

pp. 36-56

Author(s):

Jennifer Stinson ◽

Navreet Gill

Keyword(s):

Chronic Disease ◽

Health Outcomes ◽

Management Program ◽

Chronic Health Conditions ◽

Children And Youth ◽

Health Conditions ◽

Self Management ◽

Treatment Programs ◽

Chronic Health ◽

Important Health

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Predictors of Health Self-Management Program Preference Among Lower-to-Middle Wage Employed Adults With Chronic Health Conditions. The Time Is Now for Determining the Role of Social Determinants: An Editorial Reaction to Dr Kneipp and Colleagues

American Journal of Health Promotion ◽

10.1177/0890117118823162 ◽

2019 ◽

Vol 33 (2) ◽

pp. 170-171 ◽

Cited By ~ 1

Author(s):

Bruce W. Sherman

Keyword(s):

Social Determinants ◽

Management Program ◽

Chronic Health Conditions ◽

Health Conditions ◽

Self Management ◽

Chronic Health

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An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

Chronic Illness ◽

10.1177/1742395318769370 ◽

2018 ◽

Vol 15 (4) ◽

pp. 276-292

Author(s):

Sarah E Scott ◽

Jeff D Breckon ◽

Robert J Copeland

Keyword(s):

Physical Activity ◽

Motivational Interviewing ◽

Chronic Health Conditions ◽

Health Conditions ◽

Behavioural Intervention ◽

Chronic Health ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention ◽

Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

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Introduction

Promoting Self-Management of Chronic Health Conditions ◽

10.1093/med-psych/9780190606145.003.0001 ◽

2017 ◽

pp. 1-9

Keyword(s):

Healthcare Professionals ◽

Healthcare Providers ◽

Chronic Health Conditions ◽

Health Conditions ◽

Self Management ◽

Societal Costs ◽

Chronic Health ◽

Fundamental Goal ◽

Global Increase ◽

Time Limitations

The fundamental goal of this book on self-management is to elaborate on the theories and practices that can help individuals with chronic health conditions to become as independent as possible by self-managing their conditions. The present chapter introduces the concept of self-management. This concept fundamentally denotes that individuals with chronic health conditions take responsibility for managing their chronic health conditions to the best of their abilities. Self-management also involves collaboration with healthcare providers. This chapter discusses several reasons why there is a need to study promoting self-management, including perspectives related to the global increase in the prevalence of chronic health conditions, the societal costs of chronic health conditions, and the time limitations of healthcare professionals providing care. It also includes a discussion of the terminology that is used in this book and concludes with an overview of the content provided by the sections of this book.

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Promoting Self-Management of Chronic Health Conditions

10.1093/med-psych/9780190606145.001.0001 ◽

2017 ◽

Cited By ~ 1

Keyword(s):

Management Practices ◽

Healthcare Providers ◽

Chronic Health Conditions ◽

Health Conditions ◽

Self Management ◽

Psychological Interventions ◽

Management Support ◽

Chronic Health ◽

Treatment Plans

This book explores the theories and practices that help to facilitate self-management of chronic health conditions (also known as chronic impairments or chronic diseases). It consists of four parts, in addition to an introductory chapter and a chapter on defining self-management, for a total of 22 chapters. This book includes discussions about self-management models, psychological interventions, and collaborative care on both individual and systemic levels for the promotion of self-management. Self-management requires that individuals understand the range of symptoms related to their specific chronic impairment, what those symptoms may indicate, and what actions to take to address those symptoms. Healthcare providers are an integral part of providing self-management support (SMS) to these individuals. Self-management includes the micro-decisions that individuals with chronic health conditions make about their conditions and the macro-decisions (e.g., creating treatment plans) that healthcare providers make in collaboration with individuals with chronic health conditions. This book focuses on exploring a range of self-management practices that can empower individuals with chronic health conditions to be less dependent on healthcare systems and, ultimately, to be more in control of their lives.

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Promoting Self-Management in Adolescents with Chronic Health Conditions: Parent Perspectives on Their Own Support Needs

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2017.11.191 ◽

2018 ◽

Vol 62 (2) ◽

pp. S94

Author(s):

Raina Vachhani Voss ◽

Bridget M. Whelan ◽

Laura P. Richardson ◽

Kym R. Ahrens

Keyword(s):

Chronic Health Conditions ◽

Health Conditions ◽

Self Management ◽

Support Needs ◽

Parent Perspectives ◽

Chronic Health

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Hospitalization rates among survivors of childhood and adolescent cancer: A report from the Childhood Cancer Survivor Study (CCSS)

Journal of Clinical Oncology ◽

10.1200/jco.2009.27.15_suppl.9556 ◽

2009 ◽

Vol 27 (15_suppl) ◽

pp. 9556-9556

Author(s):

B. A. Kurt ◽

V. G. Nolan ◽

K. K. Ness ◽

J. P. Neglia ◽

J. M. Tersak ◽

...

Keyword(s):

Childhood Cancer ◽

Cancer Diagnosis ◽

Chronic Health Conditions ◽

Health Conditions ◽

Severe Toxicity ◽

Chronic Health ◽

Adolescent Cancer ◽

Hospitalization Rates ◽

Survivors Of Childhood Cancer

9556 Background: Survivors of childhood cancer have a high burden of chronic health conditions following cancer therapy, but the risk for subsequent hospitalization has not been reported. Methods: Hospitalizations during 1996–2000 among a cohort of 10,367 5-yr survivors of childhood cancer (diagnosed 1970–1986) and 2,540 siblings were ascertained. Age-and gender-stratified standardized incidence ratios (SIRs) for hospitalization were calculated using the sibling cohort and U.S. population from the National Hospital Discharge Survey (NHDS). Associations between demographic, cancer/treatment-related risk factors and non-obstetrical hospitalization among survivors were evaluated in multiple variable logistic regression models. Results: At follow-up, survivors were a mean of 20.9 yrs. from diagnosis (SD: 4.6, range: 13.3–32.2) and mean age of 28.6 yrs. (SD: 7.7, range: 13–51). Overall hospitalization rates among survivors were 1.5 times (95% CI 1.44–1.52) that of siblings and 1.2 times (95% CI 1.16–1.22) that of the U.S. general population. Increased risk of hospitalization was noted irrespective of gender, age at follow-up, or cancer diagnosis, with highest SIRs noted for male (SIR=12.7, 95% CI 9.5–15.8) and female (SIR=72.1, 95% CI 58.8–85.5) survivors aged 45–54. Females (OR=1.2, 95% CI 1.04–1.3) and survivors with a chronic health condition (OR=1.6, 95% CI 1.5–1.8) were more likely to have been hospitalized for non-obstetrical causes after adjusting for age at diagnosis, age at follow-up, cancer diagnosis, household income, insurance, and history of relapse/second malignancy. Among survivors, those with Hodgkin's lymphoma had the highest hospitalization rates for neoplastic, infectious, endocrine, pulmonary and cardiovascular causes. CNS malignancy survivors had the highest hospitalization rates for neurologic, psychological and external (e.g. traumatic) causes. Conclusions: Therapy for childhood and adolescent cancer is associated with a significant increase in subsequent hospitalization rates. Regular medical follow-up and early intervention for chronic health conditions may help to limit severe toxicity that would require hospitalization. No significant financial relationships to disclose.

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