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A rapid systematic review assessing the effectiveness of interventions to promote self-management in workers with long-term health conditions and disabilities.

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posted on 2025-05-07, 14:52 authored by David MaidmentDavid Maidment, Katie ClarksonKatie Clarkson, Emma Shiel, Karina Nielsen, Jo Yarker, Fehmidah MunirFehmidah Munir

The objective of this study was to synthesise evidence assessing the effectiveness of workplace-based interventions that promote self-management of multiple long-term conditions or disabilities, e.g., type I and II diabetes, asthma, musculoskeletal injury/disorder, cancer, and mental ill-health. A prospectively registered rapid systematic review was conducted. Both academic and grey literature databases were searched for papers published within the last 10 years, reflecting the most contemporary legislation and policy. The outcomes included work productivity, work engagement, self-management, work ability, quality of life, psychological wellbeing, workplace fatigue, job satisfaction, work-based attendance, work self-efficacy, and condition-specific health status. Five randomised controlled trials were included, and all assessed a chronic disease self management programme consisting of six weekly facilitator-led group sessions. Due to the small number of studies and the variability in outcome measures employed, meta-analyses were not feasible. However, a narrative synthesis indicated that work engagement, self-management and wellbeing improved in the intervention compared to the control groups. All of the other outcomes showed mixed results. The findings highlight the need to develop less resource-intensive workplace-based self-management interventions that cater to both workers and employer stakeholders, to examine intervention implementation processes as well as effectiveness, and to draw on a common set of outcome measures to enable comparative analysis to better inform public health policy and practice.

Funding

Self-management support to enhance work-health balance in people with long-term health conditions and disabilities.

National Institute for Health Research

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History

School

  • Sport, Exercise and Health Sciences

Published in

International Journal of Environmental Research and Public Health

Volume

21

Issue

12

Publisher

MDPI

Version

  • VoR (Version of Record)

Rights holder

© The Author(s)

Publisher statement

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

Acceptance date

2024-12-20

Publication date

2024-12-23

Copyright date

2024

ISSN

1661-7827

eISSN

1660-4601

Language

  • en

Depositor

Dr David Maidment. Deposit date: 20 December 2024

Article number

1714

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