Effect of job maintenance training program for employees with XXXX - a randomized controlled trial on self-efficacy, job satisfaction, and fatigue.

@entity1 @entity102 @entity3777 @entity158
OBJECTIVE: Employees with a chronic physical condition may be hampered in job performance due to physical or cognitive limitations, @entity158 , fatigue, psychosocial barriers, or because medical treatment interferes with work. This study investigates the effect of a group-training program aimed at job maintenance. Essential elements of the program are exploration of work-related problems, communication at the workplace, and the development and implementation of solutions. METHODS: @entity1 with chronic physical diseases were randomly assigned to the intervention (N=64) or the control group (N=58). @entity1 were eligible for the study if they had a chronic physical disease, paid employment, experienced work-related problems, and were not on long-term 100% sick leave. Primary outcome measures were self-efficacy in solving work- and disease-related problems (14-70), job dissatisfaction (0-100), fatigue (20-140) and job maintenance measured at 4-, 8-, 12- and 24-month follow-up. We used GLM repeated measures for the analysis. RESULTS: After 24 months, loss to follow-up was 5.7% (7/122). Self-efficacy increased and fatigue decreased significantly more in the experimental than the control group [10 versus 4 points (P=0.000) and 19 versus 8 points (P=0.032), respectively]. Job satisfaction increased more in the experimental group but not significantly [6 versus 0 points (P=0.698)]. Job maintenance was 87% in the experimental and 91% in the control group, which was not a significant difference. Many @entity1 in the control group also undertook actions to solve work-related problems. CONCLUSIONS: Empowerment training increases self-efficacy and helps to @entity3777 , which in the long term could lead to more job maintenance. Better understanding of ways to deal with work-related problems is needed to develop more efficient support for employees with a @entity102 .
