Putting CDSMP to Work

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.

Inclusion Criteria:

- The primary target is all employees 45 years or above with levels of gender and
ethnicity similar to those found in the workplaces with which we will work.

- If younger individuals wish to participate, we will not turn them away but the program
is designed for older adults. It is unlikely we will get a substantial number of
participants over 45.

Exclusion Criteria: