This project is the test of the effectiveness of the Chronic Disease Self-Management Program which will be translated to a worksite setting.
This project will 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 collected 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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
800
This is the CDSMP program which has been modified to fit the unique characteristics of the workplace and will be offered in worksites.
This is the standard CDSMP which has been implemented in community settings.
Madison County Schools
Danielsville, Georgia, United States
City of Moultrie
Moultrie, Georgia, United States
Colquitt County Government
Moultrie, Georgia, United States
Body Mass Index examining change at 6 and 12 months
Measure of obesity using height and weight
Time frame: baseline, six months, one year
blood pressure examining change at 6 and 12 months
diastolic and systolic measures
Time frame: baseline, six months, one year
Cholesterol levels examining change at 6 and 12 months
HDL, LDL, and total cholesterol levels
Time frame: baseline, six months, one year
blood glucose examining change at 6 and 12 months
blood glucose levels
Time frame: baseline, six months, one year
Cardiovascular risk scale examining change at 6 and 12 months
Overall measure taken from the Framing Heart Study which includes: systolic blood pressure, total cholesterol, HDL cholesterol, BMI, gender, age, use of antihypertensive treatment, smoking and diabetes mellitus status.
Time frame: baseline, six months, one year
Eating behaviors (Food propensity questionnaire) examining change at 6 and 12 months
Food propensity questionnaire used to estimate usual intake for food items and food groups.
Time frame: baseline, six months, one year
Physical activity (Measure of moderate-intensity physical activities) examining change at 6 and 12 months
Measure of moderate-intensity physical activities.
Time frame: baseline, six months, one year
Sedentary behavior (Measures total time spent sitting in transport, work and leisure) examining change at 6 and 12 months
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Colquitt County Schools
Moultrie, Georgia, United States
Colquitt Regional Medical Center
Moultrie, Georgia, United States
National Beef
Moultrie, Georgia, United States
Southwest Georgia Bank
Moultrie, Georgia, United States
Southwest Georgia Community Action Council
Moultrie, Georgia, United States
Southwest Regional Technical College
Moultrie, Georgia, United States
Turning Point Hospital
Moultrie, Georgia, United States
...and 3 more locations
Measures total time spent sitting in transport, work and leisure.
Time frame: baseline, six months, one year
Tobacco use examining change at 6 and 12 months
Measure of current and past tobacco use.
Time frame: baseline, six months, one year
Patient-provider communication (Measure of communication with a physician) examining change at 6 and 12 months
Measure of communication with a physician.
Time frame: baseline, six months, one year
Self-assessed quality of life scale examining change at 6 and 12 months
CDC Healthy Days quality of life measure.
Time frame: baseline, six months, one year
Depression (Personal Health Questionnaire Depression Scale (PHQ8) examining change at 6 and 12 months
Personal Health Questionnaire Depression Scale (PHQ8).
Time frame: baseline, six months, one year
Prescription medication adherence examining change at 6 and 12 months
Measures medication compliance.
Time frame: baseline, six months, one year
Pain (Visual analogue scale) examining change at 6 and 12 months
Visual analogue scale to determine symptoms of chronic disease.
Time frame: baseline, six months, one year
Sleep (Visual analogue scale) examining change at 6 and 12 months
Visual analogue scale to determine symptoms of chronic disease.
Time frame: baseline, six months, one year
Stress (Visual analogue scale) examining change at 6 and 12 months
Visual analogue scale to determine symptoms of chronic disease.
Time frame: baseline, six months, one year
Fatigue (Visual analogue scale) examining change at 6 and 12 months
Visual analogue scale to determine symptoms of chronic disease.
Time frame: baseline, six months, one year
Well-being (SF-12) scale examining change at 6 and 12 months
Measure of functional health and well-being (SF-12).
Time frame: baseline, six months, one year
Quality of life (EQ-5D) scale examining change at 6 and 12 months
Measure of quality of life (EQ-5D).
Time frame: baseline, six months, one year