Chronic conditions and work
Chronic conditions refer to diseases and health conditions that last a long time and generally progress slowly. Although they can occur at any age, they become more common later in life. They are often invisible, sometimes episodic (i.e. they come and go) and often characterized by fluctuating symptoms that leave people disabled one day and functional the next. Examples of chronic diseases include arthritis, diabetes, chronic pain, depression and fibromyalgia. IWH research in this area focuses on the effects of chronic disease on work participation and productivity, as well as the effectiveness of job accommodations, benefits and other programs to ensure workers with chronic disease can stay at, or return to, work.
Tools and guides
Job Demands and Accommodation Planning Tool (JDAPT)
This tool identifies job demands that are difficult for a worker with a chronic, potentially episodic, health condition and suggests personalized accommodation ideas tailored to these demands that can help the worker continue to work comfortably, safety and productively.
Published: March 2023
IWH in the media
How employers can support employees with psoriatic conditions
Sadie Janes reports on research about workers with psoriatic conditions, including Arif Jetha's research, presented at Canadian Arthritis Research Conference.
Published: Benefits Canada, February 2023
Journal article
Journal article
Experiential aspects of employment and their relationship with work outcomes: a cross-sectional study using a novel measure of participation in workers with and without physical disabilities
Published: Disability and Health Journal, February 2023
Journal article
Journal article
A sensibility assessment of the Job Demands and Accommodation Planning Tool (JDAPT): a tool to help workers with an episodic disability plan workplace support
Published: Journal of Occupational Rehabilitation, January 2023
Journal article
Journal article
How does job insecurity and workplace activity limitations relate to rheumatic disease symptom trajectories in young adulthood? A longitudinal study
Published: Arthritis Care & Research, January 2023
Journal article
Journal article
2021 EULAR points to consider to support people with rheumatic and musculoskeletal diseases to participate in healthy and sustainable paid work
Published: Annals of the Rheumatic Diseases, January 2023
IWH in the media
Older employees reluctant to ask for support: study
When it comes to asking for support on the job, either due to health or family-related reasons, a deep hesitation is present among older workers, John Dujay reports.
Published: Canadian HR Reporter, November 2022
IWH Speaker Series
IWH Speaker Series
What do workplaces need to know to help older workers stay on the job? A qualitative study of older workers’ disclosure decisions
Historic labour shortages are affecting every Canadian job sector. Many workers aged 50 years or more want to work longer, often beyond the traditional retirement age. However, we understand little about the different workplace support needs they may have and whether workers choose to share their needs with others—especially given the negative stereotypes that often surround older workers. In this presentation, Dr. Monique Gignac shares insights from her study on older workers’ workplace support needs and disclosure decisions. She highlights how workplaces can help older workers stay on the job, regardless of whether they disclose their needs.
Published: September 2022
Research Highlights
Examining the link between job insecurity, work limitations and persistent symptoms among young adults with rheumatic disease
Young adults with rheumatic disease who reported high work activity limitations were also more likely to report persistent high levels of pain, fatigue and active rheumatic disease symptoms. Those who experienced job insecurity were more likely to report persistent pain and active disease symptoms. That's according to an IWH follow-up study conducted over 27 months.
Published: August 2022
Journal article
Journal article
Workers' activity profiles associated with predicted 10-year cardiovascular disease risk
Published: Journal of the American Heart Association, June 2022