Evaluation of Work-Related Outcomes of the Chronic Disease Self-Management Program (CDSMP)

Funding Number

Project Description

The Chronic Disease Self-Management Program (CDSMP), developed at Stanford University, is theoretically based and designed to increase self-efficacy (confidence), health behaviors, and health outcomes in participants. CDSMP is one of the most widely used self-management education programs in the United States and has been identified by the Centers for Disease Control and Prevention (CDC) and the Administration on Aging (AoA), among others, as an effective program.   Results of a meta-analysis found small to moderate significant and sustained effects in psychological health and health behaviors, including improvements in energy, fatigue, and self-rated health at 4-6 months and improved cognitive symptom management and pain at 9-12 months.  It is plausible that the improvements gained through CDSMP participation may translate into positive employment impact, but this has not been empirically tested.
The primary goal of this study is to gather data on the impact of CDSMP on work-related outcomes in addition to the health-related outcomes that have been traditionally studied.

Project Objectives

  • Test the effects of the CDSMP on employment and health outcomes among lower-wage working adults 40-64 years of age.
  • Explore the extent to which outcomes are modified by select socio-demographic, chronic condition, and work-related factors.
  • Conduct an economic evaluation of CDSMP to estimate the value of the program to employers, the healthcare system, and state government.
  • Assess factors associated with the reach of CDSMP among lower-wage workers using social marketing strategies designed to overcome program engagement and participation challenges that exist in this population.

Principal Investigator

Shawn Kniepp, Ph.D., RN, ANP-BC, APHN-BC, FAANP
School of Nursing
University of North Carolina at Chapel Hill

Back to CDC-Funded Science