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Translating CDSMP to the Workplace: Results of the Live Healthy Work Healthy Program.

Authors
  • Wilson, Mark G1
  • DeJoy, David M1
  • Vandenberg, Robert J1, 2
  • Padilla, Heather M1
  • Haynes, Nicholas J1, 3
  • Zuercher, Heather1
  • Corso, Phaedra4
  • Lorig, Kate5
  • Smith, Matthew L6
  • 1 Workplace Health Group, College of Public Health, 1355University of Georgia, Athens, GA, USA. , (Georgia)
  • 2 Department of Management, Terry College of Business, 1355University of Georgia, Athens, GA, USA. , (Georgia)
  • 3 Department of Psychology, Franklin College of Arts and Sciences, 1355University of Georgia, Athens, GA, USA. , (Georgia)
  • 4 Office of the Vice President for Research, 15617Kennesaw State University, Kennesaw, GA, USA.
  • 5 Self-Management Resource Center, Palo Alto, CA, USA.
  • 6 Center for Population Health and Aging, and Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX, USA.
Type
Published Article
Journal
American journal of health promotion : AJHP
Publication Date
May 01, 2021
Volume
35
Issue
4
Pages
491–502
Identifiers
DOI: 10.1177/0890117120968031
PMID: 33111541
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Report the results of a randomized, controlled trial of Live Healthy, Work Healthy (LHWH), a worksite translation of the Chronic Disease Self-Management Program (CDSMP). 14 worksites were randomly assigned to LHWH, standard CDSMP (usual care) or no-intervention (control) group. The diverse set of work organizations centered around a rural community in SE US. 411 participants completed baseline data with 359 being included in the final analyses. LHWH had been adapted to fit the unique characteristics of work organizations. This translated program consists of 15 sessions over 8 weeks and was facilitated by trained lay leaders. The primary outcomes including health risk, patient-provider communication, quality of life, medical adherence and work performance were collected pretest, posttest (6 mos.) and follow-up (12 mos.). Analyses were conducted using latent change score models in a structural equation modeling framework. 79% of participants reported at least one chronic condition with an average of 2.7 chronic conditions reported. Results indicated that LHWH program demonstrated positive changes in a most outcomes including significant exercise (uΔ = 0.89, p < .01), chronic disease self-efficacy (uΔ = 0.63, p < .05), fatigue (uΔ = -1.45, p < .05), stress (uΔ = -0.98, p < .01) and mentally unhealthy days (uΔ = -3.47, p < .001). The translation of LHWH is an effective, low cost, embeddable program that has the potential to improve the health and work life of employees.

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