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The Impact of Employee Wellness Programs

7 september 2021 uppdaterad 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

48664

Fas

  • Inte tillämpbar

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Beteende: Workplace wellness program
Multi-prong workplace wellness program, with components such as nutrition counseling, fitness challenges, and stress management workshops, including supports and incentives.
Inget ingripande: 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.
Inget ingripande: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Physical activity
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Blood pressure
Tidsram: 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
Tidsram: 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
Tidsram: Administrative records from 3 years spanning intervention
Duration of employment in days, from employment records
Administrative records from 3 years spanning intervention
Job performance
Tidsram: 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)
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Harvard School of Public Health (HSPH)

Samarbetspartners

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

Utredare

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

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 januari 2015

Primärt slutförande (Faktisk)

1 oktober 2018

Avslutad studie (Faktisk)

1 juni 2021

Studieregistreringsdatum

Först inskickad

23 maj 2017

Först inskickad som uppfyllde QC-kriterierna

24 maj 2017

Första postat (Faktisk)

30 maj 2017

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

9 september 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 september 2021

Senast verifierad

1 september 2021

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

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

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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