scholarly journals Manage at work: a randomized, controlled trial of a self-management group intervention to overcome workplace challenges associated with chronic physical health conditions

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
William S Shaw ◽  
Elyssa Besen ◽  
Glenn Pransky ◽  
Cécile RL Boot ◽  
Michael K Nicholas ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Physical Health ◽  
Group Intervention ◽  
Controlled Trial ◽  
Health Conditions ◽  
Self Management ◽  
Randomized Controlled ◽  
Management Group ◽  
Workplace Challenges

scholarly journals A pilot randomized controlled trial of a self-management group intervention for people with early-stage dementia (The SMART study)

2015 ◽  
Vol 28 (5) ◽  
pp. 787-800 ◽  
Author(s):  
Catherine Quinn ◽  
Gill Toms ◽  
Carys Jones ◽  
Andrew Brand ◽  
Rhiannon Tudor Edwards ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Self Efficacy ◽  
Group Intervention ◽  
Early Stage ◽  
Controlled Trial ◽  
Self Management ◽  
Randomized Controlled ◽  
Management Group ◽  
People With Dementia ◽  
Pilot Randomized Controlled Trial

ABSTRACTBackground:Self-management equips people to manage the symptoms and lifestyle changes that occur in long-term health conditions; however, there is limited evidence about its effectiveness for people with early-stage dementia. This pilot randomized controlled trial (RCT) explored the feasibility of a self-management intervention for people with early-stage dementia.Methods:The participants were people with early-stage dementia (n= 24) and for each participant a caregiver also took part. Participants were randomly allocated to either an eight-week self-management group intervention or treatment as usual (TAU). Assessments were conducted at baseline, three months and six months post-randomization by a researcher blind to group allocation. The primary outcome measure was self-efficacy score at three months.Results:Thirteen people with dementia were randomized to the intervention and 11 to TAU. Two groups were run, the first consisting of six people with dementia and the second of seven people with dementia. There was a small positive effect on self-efficacy with the intervention group showing gains in self-efficacy compared to the TAU group at three months (d =0.35), and this was maintained at six months (d =0.23). In terms of intervention acceptability, attrition was minimal, adherence was good, and satisfaction ratings were high. Feedback from participants was analyzed with content analysis. The findings suggest the positive aspects of the intervention were that it fostered independence and reciprocity, promoted social support, offered information, and provided clinician support.Conclusions:This study has provided preliminary evidence that self-management may be beneficial for people with early-stage dementia.

Nurse-led self-management group programme for patients with congestive heart failure: randomized controlled trial

2010 ◽  
Vol 66 (7) ◽  
pp. 1487-1499 ◽  
Author(s):  
Esther S.T.F. Smeulders ◽  
Jolanda C.M. Van Haastregt ◽  
Ton Ambergen ◽  
Nicole H.K.M. Uszko-Lencer ◽  
Josiane J.J. Janssen-Boyne ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Self Management ◽  
Randomized Controlled ◽  
Management Group ◽  
Group Programme

scholarly journals A Cross-Provider Health Care Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies

2021 ◽  
Vol 18 (22) ◽  
pp. 11844
Author(s):  
Kyung-Eun (Anna) Choi ◽  
Lara Lindert ◽  
Lara Schlomann ◽  
Christina Samel ◽  
Martin Hellmich ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Case Management ◽  
Sick Leave ◽  
Musculoskeletal Disorders ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Self Management ◽  
Randomized Controlled ◽  
Management Group

Musculoskeletal disorders (MSDs) are among the most common cause for reduced work capacity and sick leave. Workplace health promotion programs are often neither tailored to the workplace nor the individual needs of the employees. To counteract lacking intersectional care, this four-year randomized controlled trial (RCT) aimed to investigate the effects of modular coordinating case management (treatment group) compared to supported self-management (control group) on MSD specific sick leave days (routine data), workability (WAI), self-efficacy (self-efficacy scale), and pain (German pain questionnaire, GPQ). The study network comprised 22 companies, 15 company health insurance funds, and 12 pension funds in Germany. Overall, 852 participants (Module A/early intervention: n = 651, Module B/rehabilitation: n = 190, Module C/reintegration: n = 10) participated. Both groups achieved fewer sick leave days, higher workability, and less pain (p < 0.0001) at follow-up compared to baseline. At follow-up, the coordinating case management group showed fewer disability days (GPQ), lower disability scores (GPQ), and lower pain intensities (GPQ) than the supported self-management group (p < 0.05), but no superiority regarding MSD specific sick leave days, workability, nor self-efficacy. Module A showed more comprehensive differences. The accompanying process evaluation shows barriers and facilitators for the implementation of the program, especially in a RCT setting.

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