Purpose An increasing number of workers in the US have chronic health conditions that limit their ability to work, and few worksite interventions have been tested to improve worker coping and problem solving at work. The purpose of this study was to evaluate a worksite-based health self-management program designed to improve workplace function among workers with chronic health conditions. Methods We conducted a randomized, controlled trial of a worksite self-management program (“Manage at Work”) (clinicaltrials.gov #NCT01978392) for workers with chronic health conditions (N = 119; 82% female, ages 20–69). Most workers were recruited from the health care or light manufacturing industry sectors. Workers attended a 5-session, facilitated psychoeducational program using concepts of health self-management, self-efficacy, ergonomics, and communication. Changes on outcomes of work engagement, work limitation, job satisfaction, work fatigue, work self-efficacy, days absent, and turnover intention at 6-month follow-up were compared to wait-list controls. Results The most prevalent chronic health conditions were musculoskeletal pain, headaches, vision problems, gastrointestinal disorders, respiratory disorders, and mental health disorders. The self-management program showed greater improvement in work engagement and turnover intent at 6-month follow-up, but there was no evidence of a parallel reduction in perceived work limitation. Trends for improved outcomes of work self-efficacy, job satisfaction, and work fatigue in the intervention group did not reach statistical significance in a group x time interaction test. Conclusions Offering a worksite self-management program to workers with chronic health conditions may be a feasible and beneficial strategy to engage and retain skilled workers who are risking disability.

Clinical trial registration: Clinicaltrials.gov #NCT01978392.

目的在美国，越来越多的工人患有限制其工作能力的慢性健康状况，并且很少有工作场所干预措施经过测试以改善工人在工作中的应对能力和解决问题的能力。本研究的目的是评估一项基于工作场所的健康自我管理计划，该计划旨在改善患有慢性健康状况的工人的工作场所功能。方法我们对工作场所自我管理计划（“管理工作”）进行了一项随机对照试验。) (clinicaltrials.gov #NCT01978392) 适用于患有慢性健康状况的工人（N = 119；82% 的女性，年龄在 20-69 岁之间）。大多数工人是从医疗保健或轻工业部门招聘的。工人们使用健康自我管理、自我效能、人体工程学和沟通的概念参加了一个 5 次会议，促进了心理教育计划。将 6 个月随访时工作投入、工作限制、工作满意度、工作疲劳、工作自我效能、缺勤天数和离职意向结果的变化与等待名单控制进行了比较。结果最普遍的慢性健康状况是肌肉骨骼疼痛、头痛、视力问题、胃肠道疾病、呼吸系统疾病和精神健康障碍。自我管理计划在 6 个月的随访中显示出工作投入和离职意向的更大改善，但没有证据表明感知的工作限制平行减少。在组 x 时间交互测试中，干预组的工作自我效能、工作满意度和工作疲劳结果的改善趋势没有达到统计学意义。结论为患有慢性健康状况的工人提供工作场所自我管理计划可能是吸引和留住有残疾风险的熟练工人的可行且有益的策略。

临床试验注册：Clinicaltrials.gov #NCT01978392。