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.
Featured

Tools and guides
Decision-support for Communicating about Invisible Disabilities that are Episodic (DCIDE)
Published: December 13, 2024

At Work article
A new tool to help workers make health disclosure decision
IWH’s new tool, called DCIDE, is designed for workers with chronic and episodic conditions.
Published: December 9, 2024
Journal article
Journal article
Understanding the employment landscape in people with systemic sclerosis
Published: Journal of Rheumatology, June 2024

IWH in the media
Thriving while sick: mentorship platform helps chronically ill workers navigate workplace issues
In an article about an online platform that connects adults with chronic illnesses with mentors, freelance reporter Sanam Islam cites IWH research on workers' reluctance to disclose their chronic illnesses to access workplace support.
Published: The Globe and Mail, April 2024

Research Highlights
How do employment support programs impact the health of young adults with episodic disabilities?
The unpredictable and often invisible nature of episodic disabilities can make it challenging for workers to find and sustain employment while managing their fluctuating symptoms and work demands. For young adults navigating early career phases, these challenges may also have life-long impacts on their career progression and health. Researchers on an IWH study set out to investigate whether employment support programs for young adults with episodic disabilities may also impact their health.
Published: April 2024
Journal article
Journal article
Understanding the unmet accommodation needs of people working with mental or cognitive conditions: the importance of gender, gendered work, and employment factors
Published: Journal of Occupational Rehabilitation, January 2024
Journal article
Journal article
Impact of employment and income support interventions on the health of young adults with episodic disability: findings from a systematic review
Published: Scandinavian Journal of Work, Environment & Health, January 2024

IWH in the media
Supporting workers with chronic conditions
Report profiling the Job Demands and Accommodation Planning Tool (JDAPT) and its capacity to help worker's find accommodations without disclosing a condition to their employer.
Published: Canadian Centre for Occupational Health & Safety, May 2023

IWH in the media
Workplace health conversations are awkward: A new tool is here to help.
Todd Humber reports on discussions about chronic health accommodations at work, profiles the role of the Job Demands and Accommodation Planning Tool (JDAPT).
Published: OHS Canada, April 2023
Journal article
Journal article
Association of persistent pain with the incidence of chronic conditions following a disabling work-related injury
Published: Scandinavian Journal of Work, Environment & Health, April 2023
IWH Speaker Series
IWH Speaker Series
Unveiling the JDAPT: A new interactive tool to identify work-related support strategies for workers with chronic conditions and disability
Many workers with chronic physical and mental health conditions struggle when deciding whether to seek support from their workplace. The Job Demands and Accommodation Planning Tool (JDAPT) is designed to help address the complexity of disclosure decisions. Developed as part of a large research partnership, the JDAPT is an online, interactive tool that guides users through a series of simple questions about their job demands, job tasks and working conditions. In this presentation, Dr. Monique Gignac describes the JDAPT tool, its development, as well as data from two studies on the tool. She discusses the JDAPT’s potential to help workers by focusing on work solutions, not medical diagnoses and symptoms.
Published: March 2023

IWH in the media
Accommodation tools aims to bridge gaps between workers and employers
An article by Shane Mercer covering an interview with Monique Gignac about the newly released Job Demands and Accommodation Planning Tool (JDAPT) tool for workers, and the soon-to-be-released version of the tool for employers.
Published: Canadian Occupation Safety, March 2023