The Workplace Chronic Disease Self-Management Program Matthew Lee - - PowerPoint PPT Presentation
Opportunities to Implement Live Healthy, Work Healthy : The Workplace Chronic Disease Self-Management Program Matthew Lee Smith, PhD, MPH Texas A&M University The University of Georgia Heather S. Zuercher, MPH The University of Georgia
Matthew Lee Smith, PhD, MPH
Texas A&M University The University of Georgia
Heather S. Zuercher, MPH
The University of Georgia
Shawn M. Kneipp, PhD, RN
University of North Carolina – Chapel Hill
Kate Lorig, DrPH
Self-Management Resource Center
Smith Zuercher Lorig Kneipp
Describe the translation process Share 6-month outcomes from randomized trial
Setting and Context Training Site identification Preparing for implementation Recruitment Support and data Lessons learned
health conditions
25% of all adults have two or more chronic conditions
(absent or lower productivity)
6.7 days per month for those with chronic health conditions
22% - 49%: Difficulties meeting physical work demands 27% - 58%: Difficulties meeting psychosocial work demands
absenteeism/presenteeism also cost employers
$1,685 per employee per year $225.8 billion annually
account for greatest costs
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Obesity
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Diabetes
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Arthritis
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Heart Disease
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Asthma & Lung Disease
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Chronic Pain
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Cancer
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Chronic Heartburn and Acid Reflux
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Congestive Heart Failure
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Hepatitis
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High Blood Pressure
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HIV/AIDS
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Inflammatory Bowel Syndrome
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Irritable Bowel Syndrome
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Kidney Stones
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Multiple Sclerosis
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Parkinson’s Disease
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Peptic Ulcer Disease
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Renal Failure
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Stroke
the Centers for Disease Control and Prevention (CDC)
PI: Shawn M. Kneipp Implemented in 5 counties in North Carolina
self-management (no translation)
Focus on low-income employees Ages 40 to 64 years One or more chronic conditions Baseline, 6 month, 12 month
Health and work performance
the National Heart, Lung, and Blood Institute (NHLBI)
PIs: Matthew Smith & Mark Wilson Implemented in 11 worksites in 1 South Georgia county
(translation)
Focus on cardiovascular risk Ages 40+ years One or more chronic conditions Baseline, 6 month, 12 month
Health and work performance
Biometrics and ROI
Only 0.7% attended workshops in workplace settings
Reduce healthcare utilization Boost work productivity and retention Low delivery costs and scalable
CDSMP (Original) wCDSMP (Workplace-Tailored) FORMAT 6 weeks 6 weeks 2.5 hour sessions (1 session per week) 60 minute sessions (2 sessions per week) On-site or off-site (worksite dependent) On-site or off-site (worksite dependent) On work time or off work time (worksite dependent) On work time or off work time (worksite dependent) Facilitated by 2 leaders Facilitated by 2 leaders Leader training (4-day training) Leader Training (4-day training) + bridge training Participant materials (book & CD) Participant materials (book & CD) [consider lending library] Target participants aged 50 years and older Target participants aged 40 years and older Up to 18 participants Up to 16 participants CONTENT Reorganized order of activities Emphasis on work-life balance Updated work-related examples, content, and activities Addition of stress-related content/activities Revised communication activity Revised and streamlined information about nutrition Reduced information about falls Bold text indicates differences across programs Comparison of CDSMP and wCDSMP workshop delivery
Worksites have more resources but less flexibility than usual CDSMP sites Work schedules and job responsibilities are often not flexible Worksite may not be accustomed to this type of programming Each worksite is completely unique
Employed CDSMP participants differ from general CDSMP participants in many ways Additional confidentiality and privacy concerns Work can get in the way of worksite health programs
https://www.selfmanagementresource.com/programs/small- group/workplace-chronic-disease-self-management smrc@selfmanagementresource.com
4.5 days of facilitator training and certification, either at SMRC or off- site
Licensing Training Participant materials
Align with organizational mission and priorities Identify ‘pain points’ from the employer perspective
Sociodemographics, organizational structure, roles/ responsibilities, work flow
Can hinder workshop attendance Best when offered on work time
Flyers, emails, save the date cards, pay stubs, etc. *State Employee Health Plan
https://www.mdpi.com/1660-4601/15/5/851
Smith, M. L., Wilson, M. G., Robertson, M. M., Padilla, H. M., Zuercher, H., Vandenberg, R., Corso, P. S., Lorig, K., Laurent, D. D., & DeJoy, D. M. (2018). Impact of a translated disease self-management program on employee health and productivity: Six-month findings from a randomized controlled trial. International Journal of Environmental Research and Public Health, 15(5), 851. doi:10.3390/ijerph15050851.
https://www.selfmanagementresource.com/resources/evaluation-tools
wCDSMP: This presentation is a product of funding from the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number R01HL122330. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health (NIH). SMART Life: This presentation is a product of a Health Promotion & Disease Prevention Research Center supported by Cooperative Agreement Number 1U48DP005017-01 from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are the author(s) and do not necessarily represent the position of the Centers for Disease Control and Prevention (CDC).
Matthew Lee Smith, PhD, MPH
Texas A&M University The University of Georgia matthew.smith@tamhsc.edu
Heather S. Zuercher, MPH
The University of Georgia zuercher@uga.edu
Shawn M. Kneipp, PhD, RN
University of North Carolina – Chapel Hill skneipp@email.unc.edu
Kate Lorig, DrPH
Self-Management Resource Center kate@selfmanagementresource.com
Smith Zuercher Lorig Kneipp