MANAGE AT WORK: Addressing the Challenge of Chronic Physical Health Conditions in the Workplace
2017년 6월 1일 업데이트: Liberty Mutual Research Institute for Safety
MANAGE AT WORK: Evaluation of a Group-based Self-management Program to Address Workplace Discomfort and Fatigue Associated With Chronic Physical Health Conditions
The specific aim of the study is to evaluate the health benefits of a series of group workshops designed for workers with chronic physical health conditions.
The facilitated workshops apply principles of pain and illness self-management to help workers deal with health-related challenges while at work.
The workshops address issues of pain management, physical job demands, pacing of work, communication, problem solving, and coping.
Half of the participants in the study will be randomly assigned to attend workshop sessions (10 hours total), and all study participants will be followed for one year.
The primary hypothesis is that workers who participate in these workshops will show improvements in work engagement and reductions in work limitation in the subsequent 12 months.
연구 개요
상세 설명
One significant trend in the US workforce is the advancing median age of workers and the growing prevalence of chronic medical conditions that contribute to workplace pain, fatigue, task limitations, and reduced productivity.
The proposed multi-site study is a randomized, controlled trial of a multi-session group intervention program targeting workers with chronic health concerns (N = 300).
The primary outcome measures will be self-report measures of work limitations and work engagement measured at baseline, 6 months, and 12 months follow-up.
Secondary outcomes will include turnover intention, sickness absence, job satisfaction, and healthcare utilization.
Process variables and covariates will include assessment of self-efficacy, work-related fatigue, emotional distress, work characteristics, general health status, and basic demographic variables.
The study should provide an assessment of whether principles of symptom self-management can be successfully applied to workplace problems and delivered in a group workshop format to reduce the disabling effects of chronic medical conditions.
연구 유형
중재적
등록 (실제)
122
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
-
-
Massachusetts
-
Worcester, Massachusetts, 미국
- Employer #3 (confidential)
-
-
New Hampshire
-
Hanover, New Hampshire, 미국, 03755
- Dartmouth-Hitchcock Medical Center
-
Hanover, New Hampshire, 미국, 03755
- Employer #4 (Confidential)
-
-
Rhode Island
-
Providence, Rhode Island, 미국
- Employer #2 (confidential)
-
-
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion Criteria:
- Workers with at least one chronic physical condition (> 6 months).
- Working full time (at least 20 hours per week).
- Able to read and speak in English language.
Exclusion Criteria:
- Impending retirement or major career change (next 12 months).
- Not available to attend group workshops after working hours.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 방지
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: Self-management group workshops
Self-management group workshops: Participants randomized to the intervention arm will be asked to participate in group workshop sessions (10 hours total) led by a specially trained facilitator and provided over a span of approximately 2-3 months.
|
This intervention consists of multiple group workshop sessions (10 hours total) led by a specially trained facilitator and provided over a span of approximately 2-3 months.
The intervention incorporates standard elements of existing evidence-based pain and illness self-management efforts, but tailoring key messages and discussion elements to apply to workplace problems most relevant to workers with chronic medical conditions.
Each session is focused on different self-management strategies, with each session containing a mix of facilitator presentation, group discussion, case illustrations, role-play, completion of in-session self-assessments and activities, and brief homework assignments.
Approximately equal time is allocated to the topics of improving comfort, modifying work, communicating effectively, applying systematic problem-solving strategies, and dealing with negative thoughts and emotions.
|
|
간섭 없음: No treament (wait-list control)
Wait-list control: Participants randomized to the control arm will receive no intervention during the one-year period of data collection, but they will be invited to attend a full-day Saturday workshop after all study data collection is complete).
The intent of the full-day workshop will be to provide the same self-management information as in the intervention arm, but on a delayed basis and in a more condensed format.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Work limitations
기간: One year
|
The Work Limitations Questionnaire (WLQ)(Lerner et al., 2003) is a 25-item self-report questionnaire that assesses the degree to which working individuals are experiencing limitations on-the-job due to their health problems and health-related productivity loss.
The WLQ asks respondents to rate their level of difficulty or ability to perform specific job demands.
Items are grouped into 4 scales: (1) time management; (2) physical demands; (3) mental-interpersonal demands; and (4) output demands.
|
One year
|
|
Work engagement
기간: One year
|
The Utrecht Work Engagement Scale (UWES) (Demourati et al., 2001) is a 17-item self-report questionnaire that was designed to measure the degree to which employees have a sense of energetic and effective connection with their work activities (energy involvement) and see themselves as able to deal with the demands of their job (professional efficacy).
Respondents rate their level of agreement with stated feelings about work on a 7-point likert scale from "never" to "always".
Work engagement has been defined as a positive, fulfilling, work-related state of mind that is characterized by vigor, dedication, and absorption.
|
One year
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Work fatigue
기간: One year
|
The Occupational Fatigue Exhaustion Recovery Scale (OFER) (Winwood et al., 2005) is a 20-item self-report questionnaire that assesses the degree to which job activities produce acute fatigue, deplete available energy, and reduce the ability to engage in pleasurable activities outside of work.
Respondents rate their level of agreement on a 7-point likert scale from "completely disagree" to "completely agree".
|
One year
|
|
Turnover intention
기간: One year
|
A 4-item scale developed by Kelloway and colleagues (1999) will be used to assess turnover intentions.
The four questions are: "I am thinking about leaving this organization", "I am planning to look for a new job", "I intend to ask people about new job opportunities", and "I don't plan to be in this organization much longer".
Each item is rated on a 5-point likert scale from "strongly disagree" to "strongly agree".
|
One year
|
|
Job satisfaction
기간: One year
|
A 2-item scale developed from prior work by the researchers will be used to assess job satisfaction.
The two questions are: "I like working for this company and expect to be here for another year or more" and "I would recommend this company to others".
|
One year
|
|
Self-efficacy
기간: One year
|
A unique self-efficacy measure was developed for the project to be closely aligned with the content of the workshop program.
Ten items were adapted from the Pain Self-efficacy Questionnaire (Nicholas, 2007) and ten items were taken from the Return-to-work Self Efficacy (RTWSE-19) scale (Shaw et al., 2011).
The goal of the new measure is to assess worker confidence with respect to symptom management, job modification, communication, emotional coping, and obtaining needed support and assistance.
|
One year
|
|
General health status
기간: One year
|
The Standard Form-36 (SF-36) (Ware et al., 1992) will be used to assess general health status.
This is the most well-validated and frequently used measure of generic health status in health research.
The SF-36 provides a single metric of health function regardless of diagnostic categories or illness classifications.
|
One year
|
|
Sickness absence
기간: One year
|
Participants will be asked to recall the number of days in the past 6 months that they were absent from work because of their health.
Self-report has been shown to be a viable and reasonably accurate method for assessing sickness absence days in studies of employee health (Short et al., 2009).
|
One year
|
|
Healthcare utilization
기간: One year
|
Participants will be asked to recall the number and type of health care visits over the past 6 months using a standardized set of reporting options and prompts.
Self-report has been shown to be a viable and reasonably accurate method for assessing health care utilization rates in studies of employee health (Short et al., 2009) and among individuals with chronic medical conditions (Lubeck & Hubert, 2005).
|
One year
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: William S Shaw, Ph.D., Liberty Mutual Research Institute for Safety
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Tveito TH, Shaw WS, Huang YH, Nicholas M, Wagner G. Managing pain in the workplace: a focus group study of challenges, strategies and what matters most to workers with low back pain. Disabil Rehabil. 2010;32(24):2035-45. doi: 10.3109/09638281003797398. Epub 2010 Sep 23.
- Shaw WS, Tveito TH, Geehern-Lavoie M, Huang YH, Nicholas MK, Reme SE, Wagner G, Pransky G. Adapting principles of chronic pain self-management to the workplace. Disabil Rehabil. 2012;34(8):694-703. doi: 10.3109/09638288.2011.615372. Epub 2011 Oct 17.
- Shaw WS, Tveito TH, Boot CR. Introduction to the special section: sustainability of work with chronic health conditions. J Occup Rehabil. 2013 Jun;23(2):157-61. doi: 10.1007/s10926-013-9448-7.
- Shaw WS, McLellan RK, Besen E, Namazi S, Nicholas MK, Dugan AG, Tveito TH. A Worksite Self-management Program for Workers with Chronic Health Conditions Improves Worker Engagement and Retention, but not Workplace Function. J Occup Rehabil. 2022 Mar;32(1):77-86. doi: 10.1007/s10926-021-09983-6. Epub 2021 May 13.
- Shaw WS, Besen E, Pransky G, Boot CR, Nicholas MK, McLellan RK, Tveito TH. Manage at work: a randomized, controlled trial of a self-management group intervention to overcome workplace challenges associated with chronic physical health conditions. BMC Public Health. 2014 May 28;14:515. doi: 10.1186/1471-2458-14-515.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
2013년 11월 1일
기본 완료 (실제)
2017년 5월 31일
연구 완료 (실제)
2017년 5월 31일
연구 등록 날짜
최초 제출
2013년 11월 1일
QC 기준을 충족하는 최초 제출
2013년 11월 6일
처음 게시됨 (추정)
2013년 11월 7일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2017년 6월 2일
QC 기준을 충족하는 마지막 업데이트 제출
2017년 6월 1일
마지막으로 확인됨
2017년 6월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- LMRIS 11-08
- LMRIS Project 11-08 (기타 보조금/기금 번호: Liberty Mutual Research Institute for Safety)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
예
IPD 계획 설명
De-identified data may be available to qualified researchers after data collection is complete
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .