Effect evaluation of a self-management program for dutch workers with a chronic somatic disease: a randomized controlled trial

J Occup Rehabil. 2013 Jun;23(2):189-99. doi: 10.1007/s10926-013-9450-0.


Purpose: The objective of this study is to investigate the effect of a Self-Management Program for workers with a chronic disease. This program is based on the Chronic Disease Self-Management Program of Stanford University, modified for workers with a chronic somatic disease.

Methods: In a randomized controlled trial, the effectiveness of a Self-Management Program was evaluated. Participants were randomly assigned to the experimental group (n = 57) and the control group (n = 47). The experimental group received an intervention, the control group received care as usual. Primary outcome measures were self-efficacy at work and the attitude towards self-management at work. Secondary outcomes were the SF-12 health survey questionnaire, job satisfaction and intention to change job. The results were measured at baseline, after the intervention and 8 months after the intervention.

Results: The attitude towards self-management at work (enjoyment) improved after 8 months for the intervention group (p = 0.030). No other outcome variable differed significantly. As an interaction effect, it was found that low educated workers developed a better physical health quality (SF-12) in the intervention group compared with the control group. The attitude towards self-management at work (importance) improved in the intervention group for older and female workers and the attitude toward enjoying self-management at work improved for female workers only.

Conclusion: The results show that low educated workers, older workers and women benefit significantly more from the training than higher educated workers, younger workers and men.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Chronic Disease / psychology*
  • Chronic Disease / therapy*
  • Employment
  • Female
  • Health Surveys
  • Humans
  • Interviews as Topic
  • Job Satisfaction
  • Male
  • Middle Aged
  • Netherlands
  • Patient Education as Topic / methods*
  • Program Evaluation
  • Rehabilitation, Vocational / methods
  • Self Care*
  • Self Efficacy*
  • Socioeconomic Factors
  • Surveys and Questionnaires