Incentives, Program Configuration, and Employee Uptake of Workplace Wellness Programs

Objectives: The aim of this study was to determine the effect of wellness program configurations and financial incentives on employee participation rate. Methods: We analyze a nationally representative survey on workplace wellness programs from 407 employers using cluster analysis and multivariable regression analysis. Results: Employers who offer incentives and provide a comprehensive set of program offerings have higher participation rates. The effect of incentives differs by program configuration, with the strongest effect found for comprehensive and prevention-focused programs. Among intervention-focused programs, incentives are not associated with higher participation. Conclusions: Wellness programs can be grouped into distinct configurations, which have different workplace health focuses. Although monetary incentives can be effective in improving employee participation, the magnitude and significance of the effect is greater for some program configurations than others.

[1]  J. Dinardo,et al.  Wellness incentives in the workplace: cost savings through cost shifting to unhealthy workers. , 2013, Health affairs.

[2]  Nathan A. Barleen,et al.  The Effectiveness of a Health Promotion Program After 3 Years: Evidence From the University of Minnesota , 2012, Medical care.

[3]  L. Klautzer,et al.  Can We Legally Pay People for Being Good? A Review of Current Federal and State Law on Wellness Program Incentives , 2012, Inquiry : a journal of medical care organization, provision and financing.

[4]  Christine Eibner,et al.  Systematic review of the impact of worksite wellness programs. , 2012, The American journal of managed care.

[5]  S. Colby,et al.  Barriers to participation in a worksite wellness program , 2010, Nutrition research and practice.

[6]  Jessica Grossmeier,et al.  The Role of Incentive Design, Incentive Value, Communications Strategy, and Worksite Culture on Health Risk Assessment Participation , 2009, American journal of health promotion : AJHP.

[7]  Donald Fetterolf,et al.  Incentives and Other Factors Associated With Employee Participation in Health Risk Assessments , 2008, Journal of occupational and environmental medicine.

[8]  Jennifer Childress,et al.  Results of the 2004 National Worksite Health Promotion Survey. , 2008, American journal of public health.

[9]  Ron Z. Goetzel,et al.  Promising Practices in Employer Health and Productivity Management Efforts: Findings From a Benchmarking Study , 2007, Journal of occupational and environmental medicine.

[10]  D. Edington,et al.  Financial Costs Due to Excess Health Risks Among Active Employees of a Utility Company , 2006, Journal of occupational and environmental medicine.

[11]  S. Aldana,et al.  Financial impact of a comprehensive multisite workplace health promotion program. , 2005, Preventive medicine.

[12]  Neil Klar,et al.  Using Theory to Understand the Multiple Determinants of Low Participation in Worksite Health Promotion Programs , 2001, Health education & behavior : the official publication of the Society for Public Health Education.

[13]  S. C. Johnson.  Hierarchical clustering schemes , 1967, Psychometrika.

[14]  S. Mattke,et al.  Managing manifest diseases, but not health risks, saved PepsiCo money over seven years. , 2014, Health affairs.

[15]  Dmitry Khodyakov,et al.  Workplace Wellness Programs Study , 2013 .

[16]  Victoria A. Andersen,et al.  Step ahead a worksite obesity prevention trial among hospital employees. , 2010, American journal of preventive medicine.

[17]  A. Burdorf,et al.  International Journal of Behavioral Nutrition and Physical Activity Determinants of Participation in Worksite Health Promotion Programmes: a Systematic Review , 2009 .