Workplace Equity, Job and Health Supports Employer Intervention for Chronic Disease

Phase-Based Estimates
1
Effectiveness
1
Safety
University of North Carolina at Chapel Hill, Chapel Hill, NC
Chronic Disease+2 More
Workplace Equity, Job and Health Supports Employer Intervention - Behavioral
Eligibility
18 - 65
All Sexes
Eligible conditions
Chronic Disease

Study Summary

This study is evaluating whether a multilevel intervention can help reduce chronic disease risks in socioeconomically disadvantaged populations.

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Eligible Conditions

  • Chronic Disease
  • Diabetes
  • Psychological Distress

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Workplace Equity, Job and Health Supports Employer Intervention will improve 12 primary outcomes, 24 secondary outcomes, and 3 other outcomes in patients with Chronic Disease. Measurement will happen over the course of At Baseline (Month 0).

3 Months
Mean Psychological Distress Scores at Month 3
At Baseline (Month 0)
Chronic Conditions
Baseline (Month 0)
Blood Pressure at Baseline
Mean Psychological Distress Scores at Baseline
Weight at Baseline
Month 12
Blood Pressure at Month 12
Mean Psychological Distress Scores at Month 12
Month 3
Blood Pressure at Month 3
Weight at Month 3
Month 6
Blood Pressure at Month 6
Mean Psychological Distress Scores at Month 6
Weight at Month 6
Month12
Weight at Month 12
Up to 12 Months
Mean Change in Perceived Discrimination Scores
Mean Change in Perceived Supervisor Support Scores
Up to 12 months
Dietary Intake Log
Health Care Provider Status
Health Management Apps/Programs/Wearables Use
MET Rate as Determined by ActiGraph Accelerometer
Medication Covariates
Number of Steps Taken as Determined by ActiGraph Accelerometer
Number of Times of Healthcare Utilization
Physical Activity Intensity as Determined by ActiGraph Accelerometer
Proportion of Days Employed
Responses to Motivation to Stop Smoking
Scores on Alcohol Use Scale
Scores on Chronic Financial Strain Scale
Scores on Coping Strategies Scale
Scores on Effort-Reward Imbalance Scale
Scores on Employment Functioning Scale
Scores on General Health
Scores on Health Self-Regulation Scale
Scores on Organizational Citizenship Behaviors Checklist
Scores on Situational Stress Scale
Scores on Smoking Quantity Scale
Sedentary Bouts as Determined by ActiGraph Accelerometer
Total Amount of Supplementary Out-of-pocket costs
Weeks of Continuous Employment
Up to 60 months
Responses to CDC Scorecard

Trial Safety

Safety Estimate

1 of 3

Trial Design

4 Treatment Groups

No Control Group
CDPP Only

This trial requires 600 total participants across 4 different treatment groups

This trial involves 4 different treatments. Workplace Equity, Job And Health Supports Employer Intervention is the primary treatment being studied. Participants will be divided into 4 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

CDPP Only
Behavioral
Participants will receive the individual level CDPP intervention and no employer intervention. The CDPP is a 24-week online curriculum that consists of 8 learning modules and 7 lifestyle coach sessions. Content for the program will include healthy lifestyle habits, managing stress and staying motivated.
Employer Intervention Only
Behavioral
Participants will receive usual DSS employment services and an employer level workplace equity, job & health supports intervention. The employer intervention will include an implicit bias workshop and supervisor support training in addition to regular supervisor check-ins every other week.
Control Group
Behavioral
Participants will receive usual DSS employment services that include, but are not limited to, consultation with an employments specialist, resume writing guidance, educational classes and attendance at job fairs. Participants will have access to a delayed, attenuated online-only version of the CDPP at the time they complete the 12 month data collection. This version will provide all modules, self-monitoring options (including through use of a Fitbit contingent on the completion of the 12 month data collection) but will not include face-to-face or phone lifestyle coach sessions.
CDPP and Employer InterventionParticipants will receive the individual level CDPP intervention and employer level workplace equity, job & health supports intervention. The CDPP is a 24-week online curriculum that consists of 8 learning modules and 7 lifestyle coach sessions and check-ins. Content for the program will include healthy lifestyle habits, managing stress and staying motivated. The employer intervention will include an implicit bias workshop and supervisor support training, in addition to regular supervisor check-ins every other week..

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: up to 60 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly up to 60 months for reporting.

Closest Location

University of North Carolina at Chapel Hill - Chapel Hill, NC

Eligibility Criteria

This trial is for patients born any sex between 18 and 65 years old. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
unemployed
She is able to read and write in English fluently. show original
receiving DSS-E services
People aged between 18 and 64 years old are eligible for the scheme. show original

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are the signs of chronic disease?

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In order of increasing prevalence, signs of chronic disease were fatigue, dyspnoea, dyspnoea on exertion, pain, obesity, and depression. Depressed mood appears less frequently than dyspnoea.

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Can chronic disease be cured?

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While many chronic diseases such as diabetes, heart disease, and asthma are highly treatable, many people with these diseases live much longer than they have had the diseases. Although many theories and research have been conducted on the causes of chronic diseases, all of them are only speculative. While treatments for cancer cure most cancer patients, very few treatments cure chronic disease because the changes incurred by chronic disease to the human body are so extensive and difficult to reverse.

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How many people get chronic disease a year in the United States?

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More than 100 million Americans live with at least one type of chronic disease. These numbers will increase significantly between the years 1990 and 2020, reflecting the aging of the U.S. population and the increasing prevalence of chronic disease among adult Americans.

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What causes chronic disease?

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There is evidence that exposure to infections increases the risk of chronic diseases, presumably because they act on biological mechanisms implicated in the induction of atherosclerosis, diabetes and chronic kidney disease.

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What is chronic disease?

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This article should introduce some common chronic diseases for the readers. What's more, this article will provide you with some information on the most common chronic diseases and their prevention and treatment.\n

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What are common treatments for chronic disease?

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Most patients with chronic disease are prescribed multiple medications. These medications are used for a variety of conditions, but have in most cases only low or no proof of benefit. For the large majority of conditions, treatment is based primarily on clinical observation.

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Who should consider clinical trials for chronic disease?

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[The proportion of eligible patients receiving clinical trial offers varied across disease groups, with more than half of patients with diabetes receiving clinical trial offers but only a third with cardiovascular Disease or type 2 diabetes. The difference may reflect a failure to adequately identify patients in need of clinical trial care through the use of clinical disease groups in their eligibility criteria, and warrants further investigation.

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How does workplace equity, job and health supports employer intervention work?

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Employee participation is more important in the implementation of EER than formalizing EI in the company policy. In addition, HR support is as important as participation. In a recent study, findings of these research underscore the importance for an appropriate selection of personnel and training at workplaces especially in developing countries. The study also stresses the need for an effective employer training for EI and EER, especially when using an employee participation approach.

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Is workplace equity, job and health supports employer intervention safe for people?

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The findings suggest that the use of targeted worksite intervention in support of the health of employees was associated with more long term positive health. This was not seen in areas where only general supports were provided. The quality of support was important and has the potential to impact on health and health behaviour outcomes of employees and their families.

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Is workplace equity, job and health supports employer intervention typically used in combination with any other treatments?

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There are important differences in how workplace interventions are implemented and implemented in combination with any other treatments. The effectiveness, cost-efficiency, and feasibility needs for additional intervention studies.

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What is workplace equity, job and health supports employer intervention?

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Implementing interventions that focus on addressing inequity within workplace and its effects on job satisfaction, work engagement and illness perception may increase the effectiveness of supportive employer interventions for addressing the high prevalence of pain and chronic disease in the community. The limitations of these findings and evidence for the need to consider broader contextual factors such as 'coup de thème' or 'fears of failure/compromise' are discussed.

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Have there been other clinical trials involving workplace equity, job and health supports employer intervention?

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There is an urgent need for intervention studies to prevent negative health outcomes in the workplace that could be due to high levels of job dissatisfaction amongst employees. These might include prevention of negative job and health outcomes associated with job insecurity in healthcare settings.

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See if you qualify for this trial
Get access to this novel treatment for Chronic Disease by sharing your contact details with the study coordinator.