Workplace Health Group, Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
Department of Health Policy and Management, College of Public Health, The University of Georgia , Athens, GA , USA.
Front Public Health. 2015 Apr 27;2:179. doi: 10.3389/fpubh.2014.00179. eCollection 2014.
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.
由于劳动力老龄化、慢性病患病率上升以及需要保持美国劳动力的生产效率和竞争力，疾病管理在工作场所健康促进中变得越来越重要。尽管慢性病自我管理计划（CDSMP）广泛可用，并且具有已知的健康相关益处，但在工作场所环境中，该计划的采用率仍然很低。本研究的主要目的是比较在工作场所参加 CDSMP 的成年人与其他环境（如老年人中心、医疗保健组织、居住设施）的个人和交付特征。本研究还对比了工作场所 CDSMP 参与者的特征与更广泛的美国劳动力的特征，并为在工作场所环境中使用 CDSMP 提供了建议。该研究分析了在全国范围内推广 CDSMP 期间收集的 25664 名成年人的数据。只有在工作场所环境中开展研讨会的州和领土才包括在分析中（n=13 个州和波多黎各）。通过交付地点类型比较 CDSMP 参与者的特征，使用了卡方检验和 t 检验。然后将 CDSMP 工作场所参与者的特征与美国劳工统计局的报告进行比较。在本研究的 25664 名 CDSMP 参与者中，有 1.7%（n=435）参加了在工作场所举办的研讨会。与非工作场所环境中的 CDSMP 参与者相比，工作场所环境的参与者年龄明显更小，慢性疾病数量也更少。根据慢性疾病类型也观察到了差异。平均而言，工作场所环境中的 CDSMP 研讨会班级规模较小，工作场所环境的参与者参加的研讨会课程更多。工作场所环境中的 CDSMP 参与者年龄明显较大，女性比例也明显高于美国普通劳动力。研究结果表明，有机会将 CDSMP 进行翻译，以便在工作场所中为新的目标受众使用。
