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The Impact of Employee Wellness Programs

7. september 2021 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

48664

Fase

  • Ikke aktuelt

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.
Atferdsmessig: 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 inngripen: 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 inngripen: 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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Harvard School of Public Health (HSPH)

Samarbeidspartnere

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

Etterforskere

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

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. januar 2015

Primær fullføring (Faktiske)

1. oktober 2018

Studiet fullført (Faktiske)

1. juni 2021

Datoer for studieregistrering

Først innsendt

23. mai 2017

Først innsendt som oppfylte QC-kriteriene

24. mai 2017

Først lagt ut (Faktiske)

30. mai 2017

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. september 2021

Siste oppdatering sendt inn som oppfylte QC-kriteriene

7. september 2021

Sist bekreftet

1. september 2021

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

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

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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