title: Chronic disease self-management program in the workplace: opportunities for health improvement.
abstract: Disease management is becoming increasingly important in workplace health promotion given the aging workforce, rising chronic disease prevalence, and needs to maintain a productive and competitive American workforce. Despite the widespread availability of the Chronic Disease Self-Management Program (CDSMP), and its known health-related benefits, program adoption remains low in workplace settings. The primary purpose of this study is to compare personal and delivery characteristics of adults who attended CDSMP in the workplace relative to other settings (e.g., senior centers, healthcare organizations, residential facilities). This study also contrasts characteristics of CDSMP workplace participants to those of the greater United States workforce and provides recommendations for translating CDSMP for use in workplace settings. Data were analyzed from 25,664 adults collected during a national dissemination of CDSMP. Only states and territories that conducted workshops in workplace settings were included in analyses (n = 13 states and Puerto Rico). Chi-squared tests and t-tests were used to compare CDSMP participant characteristics by delivery site type. CDSMP workplace participant characteristics were then compared to reports from the United States Bureau of Labor Statistics. Of the 25,664 CDSMP participants in this study, 1.7% (n = 435) participated in workshops hosted in worksite settings. Compared to CDSMP participants in non-workplace settings, workplace setting participants were significantly younger and had fewer chronic conditions. Differences were also observed based on chronic disease types. On average, CDSMP workshops in workplace settings had smaller class sizes and workplace setting participants attended more workshop sessions. CDSMP participants in workplace settings were substantially older and a larger proportion were female than the general United States workforce. Findings indicate opportunities to translate CDSMP for use in the workplace to reach new target audiences.
authors.affiliation: Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: Matthew Lee
authors.initials: ML
authors.lastname: Smith
authors.affiliation: Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: Mark G
authors.initials: MG
authors.lastname: Wilson
authors.affiliation: Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: David M
authors.initials: DM
authors.lastname: DeJoy
authors.affiliation: Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Padilla
authors.affiliation: Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Zuercher
authors.affiliation: Department of Health Policy and Management, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: Phaedra
authors.initials: P
authors.lastname: Corso
authors.affiliation: Department of Management, Terry College of Business, The University of Georgia , Athens, GA , USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Vandenberg
authors.affiliation: Stanford Patient Education Research Center, Department of Medicine, Stanford School of Medicine , Palo Alto, CA , USA.
authors.forename: Kate
authors.initials: K
authors.lastname: Lorig
authors.affiliation: Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center School of Public Health , College Station, TX , USA.
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
keywords: chronic disease self-management; evaluation; evidence-based program; translational research; workplace wellness