A Rapid Systematic Review Assessing the Effectiveness of Interventions to Promote Self-Management in Workers with Long-Term Health Conditions and Disabilities

David W. Maidment (), Katie Clarkson, Emma V. Shiel, Karina Nielsen, Jo Yarker and Fehmidah Munir
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David W. Maidment: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Katie Clarkson: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
Emma V. Shiel: School of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK
Karina Nielsen: Institute of Work Psychology, Management School, University of Sheffield, Sheffield S10 1FL, UK
Jo Yarker: Affinity Health at Work, London SW12 9NW, UK
Fehmidah Munir: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK

IJERPH, 2024, vol. 21, issue 12, 1-14

Abstract: 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.

Keywords: disabilities; long-term conditions; occupational health; rapid review; self-management; workplace (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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