Putting CDSMP to Work: Implementation of the Live Healthy, Work Healthy Program

将 CDSMP 付诸实践：实施健康生活、健康工作计划

• 批准号: 9062320
• 负责人: Matthew Lee Smith
• 金额: $ 69.41万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-03-15 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9062320
• 关键词: Absenteeism; Adherence; Adoption; American; Behavior; Blood Glucose; Blood Pressure; Body mass index; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Cholesterol; Chronic; Chronic Disease; Clinical; Communication; Communities; Community Trial; Control Groups; Cost Effectiveness Analysis; County; Data; Development; Diabetes Mellitus; Diet; Educational workshop; Effectiveness; Effectiveness of Interventions; Elderly; Employee; Fatigue; Feedback; Fostering; Growth; Health; Health Care Costs; Health Professional; Health Promotion; Health Status; Healthcare; Heart Diseases; High Density Lipoprotein Cholesterol; High Prevalence; Hypertension; Individual; Intervention; Investments; Job Satisfaction; Libraries; Life; Measures; Medical; Modeling; Obesity; Outcome; Outcome Measure; Pain; Participant; Patients; Performance at work; Physical activity; Population; Problem Solving; Productivity; Provider; Public Health; Quality of life; Randomized; Recruitment Activity; Research; Risk Assessment; Rural; Secondary to; Self Management; Site; Surveys; Target Populations; Techniques; Testing; Time; Tobacco use; Training; Translating; Work; Workplace; aged; arm; base; behavior change; cardiovascular risk factor; community setting; comparative effectiveness; coping; cost; cost effectiveness; design; eligible participant; follow-up; group intervention; hypercholesterolemia; improved; interest; intervention effect; medication compliance; middle age; peer; primary outcome; programs; psychologic; research to practice; skills; statistics; symptom management; treatment as usual; uptake

DESCRIPTION (provided by applicant): This project proposes to test adaptations of the Chronic Disease Self-Management Program (CDSMP) designed to increase the likelihood of widespread use in workplace settings. CDSMP, which has been proven efficacious in community trials, is a six-week program that is designed to help individuals better manage their chronic disease and its many complications. Although there is considerable interest among worksite health promotion practitioners for a chronic disease program, CDSMP has not been adapted and tested in workplace settings. In this study, we will determine a) if the CDSMP program tailored to worksites can be efficacious, b) the comparative effectiveness of the worksite tailored CDSMP when compared to the original CDSMP and c) the cost-effectiveness (average and incremental) and return on investment of the two interventions. The participating sites are seven organizations from a rural county in Southwest Georgia. Our partner for the project is the local YMCA. YMCA staff will be trained to implement the program which will foster sustainability. Participants will be randomly assigned to 1) workplace-tailored CDSMP, 2) 'usual care' CDSMP, and 3) control group. Data will collect at baseline, 6-month follow-up and 12-months follow-up. The control group will be a delayed intervention group that will be randomly assigned to an intervention group after taking the 6 month survey. The primary outcome measures include blood pressure, cholesterol, blood glucose, BMI, diet, physical activity and tobacco use and the secondary measures including patient-provider communication, quality of life, medical adherence, and work performance and productivity. An average cost-effectiveness analysis will compare interventions to control and an incremental cost-effectiveness analysis will be conducted comparing each intervention to one another. The hypotheses will be tested using a growth modeling approach examining changes over time. This will enable us to maximize the dissemination and implementation of CDSMP across worksite populations by using approaches which are realistic for most work organizations.

描述（由申请人提供）：该项目提议测试慢性疾病自我管理计划（CDSMP）的适应，旨在增加在工作场所环境中广泛使用的可能性。 CDSMP在社区试验中被证明有效，是一个为期六周的计划，旨在帮助个人更好地管理慢性疾病及其许多并发症。尽管工作地点健康促进从业人员对慢性疾病计划有很大的兴趣，但CDSMP尚未在工作场所环境中进行调整和测试。在这项研究中，我们将确定a）与原始的CDSMP和C相比，量身定制的CDSMP程序是否可以有效，b）量身定制的CDSMP的比较有效性（平均和递增）和两种干预措施的投资回报率。参与的地点是佐治亚州西南部一个乡村的七个组织。该项目的合作伙伴是当地的基督教青年会。基督教青年会工作人员将接受培训，以实施将促进可持续性的计划。参与者将被随机分配给1）工作场所限制的CDSMP，2）“通常的护理” CDSMP和3）对照组。数据将在基线，6个月的随访和12个月的随访中收集。对照组将是一个延迟的干预组，在进行了6个月的调查后，将随机分配给干预组。主要结局指标包括血压，胆固醇，血糖，BMI，饮食，体育锻炼和烟草使用以及次要措施，包括患者提供沟通，生活质量，医疗依从性以及工作表现和生产力。平均成本效益分析将比较干预措施与控制，并将进行增量的成本效益分析，将每种干预措施相互比较。假设将使用增长建模方法进行检验，以检查随着时间的推移的变化。这将使我们能够使用对大多数工作组织现实的方法来最大化跨工作场所人群的CDSMP的传播和实施。