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The Impact of Employee Wellness Programs

7. september 2021 opdateret af: Zirui Song, Harvard School of Public Health (HSPH)
There is great public and private interest in the use of workplace wellness programs to reduce health care spending, improve health outcomes, and enhance productivity for employees. However, there is little rigorous evidence on the effects of wellness programs. This study partners with a large multi-state U.S. employer (BJ's Wholesale Club) and an experienced wellness vendor (Wellness Workdays) to evaluate a multi-prong workplace wellness program, including components such as nutrition counseling, fitness challenges, and stress management workshops. The wellness program will be delivered by a team of experts including Registered Dieticians, and will include financial rewards for participation. The program will be available to employees in initially 20 of BJ's 200 worksites, and later expanded to 25 worksites. These worksites have been randomly selected, allowing a randomized controlled trial evaluation of the effects of the wellness program. Data will be collected on a wide array of outcomes from multiple sources, including on-site biometric screenings and surveys, employment records, and health insurance claims for employees at both treatment and control worksites.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

48664

Fase

  • Ikke anvendelig

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Employed in one of BJ's clubs during the period of the intervention

Exclusion Criteria:

  • Not employed in one of BJ's clubs during the period of the intervention

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Treatment
Employees at treatment worksites will be given access to workplace wellness programming. Participation by employees will be voluntary, but all employees at treatment sites will be considered as part of the treatment group. Employees will also be invited to complete on-site biometric assessments and questionnaires. Data from secondary data sources (including employment records and health insurance claims) will be collected for employees at all BJ's worksites.
Adfærdsmæssigt: Workplace wellness program
Multi-prong workplace wellness program, with components such as nutrition counseling, fitness challenges, and stress management workshops, including supports and incentives.
Ingen indgriben: Primary Control
Employees at primary control worksites will be invited to complete on-site biometric assessments and questionnaires, but will not have access to the workplace wellness programming. Data from secondary data sources (including employment records and health insurance claims) will be collected for employees at all BJ's worksites.
Ingen indgriben: Secondary Control
Employees at secondary control worksites will not participate in in-person screenings or questionnaires, and will not have access to workplace wellness programming. Data from secondary data sources (including employment records and health insurance claims) will be collected for employees at all BJ's worksites.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Physical activity
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Regular exercise, number of hours sitting per day, and actively managing weight, as indicated in responses to survey questions
Primary data collected at 18 months and 30 months after initiation of intervention
Obesity
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Body Mass Index>=30, calculated from measured height and weight
Primary data collected at 18 months and 30 months after initiation of intervention
Absenteeism
Tidsramme: Administrative records from 3 years spanning intervention
Number of sick or personal days as a share of total days employed, from employment records
Administrative records from 3 years spanning intervention
Health care spending
Tidsramme: Administrative records from 3 years spanning intervention
Dollars spent on health care for employees covered by employer-sponsored insurance, from claims records
Administrative records from 3 years spanning intervention

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Blood pressure
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Systolic blood pressure, measured
Primary data collected at 18 months and 30 months after initiation of intervention
Depression
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Unmanaged depression, as indicated in responses to survey questions
Primary data collected at 18 months and 30 months after initiation of intervention
Tenure
Tidsramme: Administrative records from 3 years spanning intervention
Duration of employment in days, from employment records
Administrative records from 3 years spanning intervention
Job performance
Tidsramme: Administrative records from 3 years spanning intervention
Numerical performance rating from annual review, from employment records
Administrative records from 3 years spanning intervention
Health care spending (i.e. dollars spent)
Tidsramme: Administrative records from 3 years spanning intervention
Dollars spent on health care and prescription drugs for employees covered by employer-sponsored insurance, decomposed into spending on inpatient, outpatient, emergency department, and prescription drugs, from claims records
Administrative records from 3 years spanning intervention
Health care utilization (i.e. number of doctor visits, hospitalizations, or medications)
Tidsramme: Administrative records from 3 years spanning intervention
Health care encounters and prescription drugs for employees covered by employer-sponsored insurance, decomposed into inpatient, outpatient, emergency department, and prescription drugs, from claims records
Administrative records from 3 years spanning intervention
Nutrition management
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Affirmative engagement in active efforts to improve nutrition, as indicated in responses to survey questions
Primary data collected at 18 months and 30 months after initiation of intervention
Stress management
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Unmanaged stress and stress at work, as indicated in responses to survey questions
Primary data collected at 18 months and 30 months after initiation of intervention
Screenings and exams
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Percent of recommended tests received, as indicated in responses to survey questions
Primary data collected at 18 months and 30 months after initiation of intervention
Tobacco use
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Smoking, as indicated in responses to survey questions
Primary data collected at 18 months and 30 months after initiation of intervention
Health and wellbeing
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Short form 8 (SF-8) physical and mental summary scores, as indicated in responses to survey questions. Each question of the SF-8 uses a 5- or 6-point Likert scale. Its standardized scoring system combines responses into a score that can be interpreted as a continuous variable (analogous to a 0-100 scale), with higher scores denoting better self-reported health.
Primary data collected at 18 months and 30 months after initiation of intervention
Blood glucose
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Blood glucose, measured
Primary data collected at 18 months and 30 months after initiation of intervention
Cholesterol
Tidsramme: Primary data collected at 18 months and 30 months after initiation of intervention
Total cholesterol and high-density lipoprotein (HDL), measured
Primary data collected at 18 months and 30 months after initiation of intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Harvard School of Public Health (HSPH)

Samarbejdspartnere

University of Chicago
National Institute on Aging (NIA)
Abdul Latif Jameel Poverty Action Lab
Robert Wood Johnson Foundation

Efterforskere

  • Ledende efterforsker: Zirui Song, MD, PhD, Harvard Medical School (HMS and HSDM)

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. januar 2015

Primær færdiggørelse (Faktiske)

1. oktober 2018

Studieafslutning (Faktiske)

1. juni 2021

Datoer for studieregistrering

Først indsendt

23. maj 2017

Først indsendt, der opfyldte QC-kriterier

24. maj 2017

Først opslået (Faktiske)

30. maj 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. september 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. september 2021

Sidst verificeret

1. september 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • Wellness 14-3141
  • R01AG050329 (U.S. NIH-bevilling/kontrakt)
  • P30AG012810 (U.S. NIH-bevilling/kontrakt)
  • 72611 (Andet bevillings-/finansieringsnummer: Robert Wood Johnson Foundation)
  • AEARCTR-0000586 (Registry Identifier: American Economic Association Trial Registry)

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