Any long-term condition or disability requiring ongoing management for =12 months. Other
Conditions
Interventions
Study design and randomisation
This is a two-arm cluster randomised controlled feasibility trial, with the organisation as the unit of randomisation. At least eight UK organisations will be recruited
Sponsors
Loughborough University
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. For employers, organisations from any sector with =10 employees with no existing processes or policies that conflict with Co-Manage (e.g., an alternative self-management support programme). 2. Any individual worker aged =18 years with any long-term condition or disability requiring ongoing management for =12 months. To enable assessment of the primary outcome, participants must have been employed for at least 12 months prior to the start of the intervention. 3. Managers supporting workers with any LTC or disability. 4. All participants must be able access to the internet and be able to understand English sufficiently to provide informed consent, complete online questionnaires, and use Co-Manage.
Exclusion criteria
Exclusion criteria: 1. Organisations with <2% of workers that have taken sick/disability leave (primary outcome) in the past 12 months, making it difficult to demonstrate potential impact of Co-Manage. 2. Worker participants who are <18 years of age, do not have a long-term condition/disability requiring ongoing management for =12 months, have been in their current employment for <12 months prior to the start of the intervention, and/or are unable to provide informed consent or participate in study procedures (e.g., due to cognitive or language barriers that cannot be reasonably accommodated).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of sick/disability leave days (total days and discrete absence spells). Data will be collected at baseline from organisational records* for workers only in a 12-month period prior to intervention start and up to 12-months from study consent. *All worker participants will be asked during the consent process whether the research team can request their employer records. If they do not consent, or if they report that they have not disclosed their long-term condition/disability to their employer, we will instead collect self-report absence data via online surveys. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcomes as of 12/03/2026: Feasibility-related outcomes: Study uptake measured by proportion of organisations that are willing to be randomised, and the proportion of participants (workers and managers) that agree to participate against the recruitment target. We will also record any missing data from organisational records, and how many participants complete the data collection at all time-points. We will record information on individual participants who may drop-out of the study and, where possible, reasons for withdrawals. Research outcome measures: The following self-reported outcomes for workers will be taken at all time points (baseline, 3, and 6 months) via online surveys: 1. Work-based attendance: Turnover/work exit, intention to leave, ill-health/disability retirement. 2. Work-health balance: Work Ability Index. 3. Work productivity/ impairment: Work Productivity and Activity Impairment Questionnaire; Job satisfaction. 4. Work engagement: Utrecht Work Engagement Scale-3 Item. 5. Communication: Workplace Health Communication Scale; Communication satisfaction; Manager satisfaction 6. Self-efficacy: Work Self-efficacy Scale. 7. Job crafting: Short Broad Job Crafting Scale. 8. Work adjustments: Adjustments implemented in the workplace. 9. Autonomy: Basic Psychological Needs Satisfaction at Work - Autonomy Sub-scale. 10. Wellbeing: Utrecht Burnout Scale, Exhaustion sub-scale only; World Health Organization-Five Well-Being Index. 11. Self-management: Self-Efficacy to Manage Chronic Disease scale. 12. Disclosure: Disclosure of health/disability status to organisation. 13. Health-related quality of life: EuroQoL-5DL (EQ-5DL). 14. Health resource use: Modular resource-use measure (ModRUM). We will also collect questionnaire data from manager participants, as well as lead stakeholders (e.g. director of human resources). Measures will assess intervention readiness (baseline only), expectations of the Co-Manage programme using the Intervention Prepa | — |
Countries
England, United Kingdom
Contacts
Public ContactDavid William Maidment
Outcome results
None listed