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| ID | Type | Description | Link |
|---|---|---|---|
| R01AG050701 | U.S. NIH Grant/Contract | View source | |
| 73730 | Other Grant/Funding Number | Robert Wood Johnson Foundation | |
| 2016-06638 | Other Grant/Funding Number | Abdul Latif Jameel Poverty Action Lab |
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| Name | Class |
|---|---|
| University of Illinois at Urbana-Champaign | OTHER |
| University of Chicago | OTHER |
| National Institutes of Health (NIH) | NIH |
| Robert Wood Johnson Foundation |
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Workplace wellness programs have become a $6 billion industry and are widely touted as a way to improve employee well-being, reduce health care costs by promoting prevention, and increase workplace productivity. Yet, there is little rigorous evidence available to support these claims, partly because the voluntary nature of these programs means that participants may differ from nonparticipants for reasons unrelated to the causal effects of the wellness program. The investigators will implement a randomized control trial to identify the effects of incentives on wellness program participation, produce causal estimates of the effect of wellness programs on health outcomes, determine what kinds of employees benefit from wellness programs the most, and test for the presence of peer effects in wellness participation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | The control group takes a baseline survey, and thereafter has minimal interaction with the project, until a follow-up biometric screening is conducted during the one-year follow-up. | |
| A25 | Experimental | Group A25 is offered no compensation for completing a biometric screening and HRA, and low compensation for each completed wellness course in the fall or spring of the study. Interventions: Workplace Wellness Program, Biometric Screening/HRA - No compensation, Wellness Activities - low compensation |
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| A75 | Experimental | Group A75 is offered no compensation for completing a biometric screening and HRA, and high compensation for each completed wellness course in the fall or spring of the study. Interventions: Workplace Wellness Program, Biometric Screening/HRA - No compensation, Wellness Activities - high compensation |
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| B25 | Experimental | Group B25 is offered moderate compensation for completing a biometric screening and HRA, and low compensation for each completed wellness course in the fall or spring of the study. Interventions: Workplace Wellness Program, Biometric Screening/HRA - moderate compensation, Wellness Activities - high compensation |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Workplace Wellness Program | Behavioral | Treatment group members will then be offered the opportunity to participate in a biometric screening and health risk assessment (biometric screening + HRA), and -- conditional on completing an biometric screening + HRA -- up to two, semester-long wellness programs. Treatment group members will be offered varying levels of cash reward for completing the biometric screening + HRA (none, moderate, high), and an additional cash reward for completing each wellness activity (low, high), for a total of 6 treatment cells. Follow-up surveys and biometric screenings will be administered one year later, among a subset of control and treatment group members. |
| Measure | Description | Time Frame |
|---|---|---|
| Wellness Program participation | Completion of biometric screening, HRA, wellness activities | First year of study |
| Wellness Program participation | Completion of biometric screening, HRA, wellness activities | Second year of study |
| Selection into treatment by baseline health spending | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Average monthly spending prior to the intervention is measured via administrative health claims data. | 13 months prior to study |
| Selection into treatment by self-reported health | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Self-reported health is measured as excellent, good, average, or poor. | Baseline measure |
| Selection into treatment by gender | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Gender is measured in administrative HR records. | Baseline measure |
| Selection into treatment by Age | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Age is grouped into three categories: younger than 37, age 37 to 49, age 50 or higher. | Baseline measure |
| Selection into treatment by race |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Damon Jones, PhD | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Chicago | Chicago | Illinois | 60605 | United States |
Our study will collect detailed data on human subjects and perform several analyses using these data. These data will include self-reported survey data, biometric data, employer administrative data, and health care insurance claims data. Because our data are confidential and include protected health information, we can only share a de-identified version of the data. A statement is included on the study's informed consent form to secure participant's consent to make the de-identified data available to outside researchers. We will also provide replication code that will allow individuals to replicate all of our results. The public use version of our data and replication code for our analyses will be posted publicly on our study's website, which will be hosted at www.nber.org, as well as on the PI's websites.
Data will become available by July 2020, and will be available indefinitely.
De-identified data, not linked across outcomes, will be available to download publicly. De-identified data, linked across outcomes, which is necessary for replication, will be available via a secure computer terminal at the National Bureau of Economic Research.
| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 18, 2024 | |
| Reset | Feb 14, 2024 |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 22, 2020 |
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| OTHER |
| Abdul Latif Jameel Poverty Action Lab | OTHER |
| W.E. Upjohn Institute for Employment Research | UNKNOWN |
| National Institute on Aging (NIA) | NIH |
Our primary analysis compares outcomes between a control group and six (6) treatment groups. Our secondary analysis compares pre-determined characteristics across members of the treatment group who adopt the intervention and those who do not.
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Professionals who implement the biometric screenings, health risk assessments, and wellness courses do no know the exact treatment group of study participants.
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| B75 | Experimental | Group B75 is offered moderate compensation for completing a biometric screening and HRA, and high compensation for each completed wellness course in the fall or spring of the study. Interventions: Workplace Wellness Program, Biometric Screening/HRA - moderate compensation, Wellness Activities - high compensation |
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| C25 | Experimental | Group C25 is offered high compensation for completing a biometric screening and HRA, and low compensation for each completed wellness course in the fall or spring of the study. Interventions: Workplace Wellness Program, Biometric Screening/HRA - high compensation, Wellness Activities - high compensation |
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| C75 | Experimental | Group C75 is offered high compensation for completing a biometric screening and HRA, and high compensation for each completed wellness course in the fall or spring of the study. Interventions: Workplace Wellness Program, Biometric Screening/HRA - high compensation Wellness Activities - high compensation |
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| Biometric Screening/HRA - No Compensation | Behavioral | The biometric test will measure: (1) anthropometrics such as height, weight, and waist circumference (to assess obesity and overweight status); (2) resting blood pressure (to assess hypertension); (3) blood glucose (to assess diabetes risk); and (4) total, LDL, and HDL cholesterol levels, total cholesterol ratio, and triglycerides (to assess risk of cardiovascular disease). The HRA is a survey designed to identify areas of health improvement, by asking a series of questions related to wellness, health status, nutrition, healthy activities, desire to improve health, preventative health measures. The HRA is also pre-populated with biometric information from the screening. Upon completion, participants are given customized feedback on areas of improvement. No compensation for completion. |
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| Biometric Screening/HRA - Moderate Compensation | Behavioral | The biometric test will measure: (1) anthropometrics such as height, weight, & waist circumference (to assess obesity and overweight status); (2) resting blood pressure (to assess hypertension); (3) blood glucose (to assess diabetes risk); & (4) total, LDL, and HDL cholesterol levels, total cholesterol ratio, and triglycerides (to assess risk of cardiovascular disease). The HRA is a survey designed to identify areas of health improvement, by asking a series of questions related to wellness, health status, nutrition, healthy activities, desire to improve health, preventative health measures. The HRA is also pre-populated with biometric information from the screening. Upon completion, participants are given customized feedback on areas of improvement. Moderate compensation for completion. |
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| Biometric Screening/HRA - High Compensation | Behavioral | The biometric test will measure: (1) anthropometrics such as height, weight, and waist circumference (to assess obesity and overweight status); (2) resting blood pressure (to assess hypertension); (3) blood glucose (to assess diabetes risk); and (4) total, LDL, and HDL cholesterol levels, total cholesterol ratio, and triglycerides (to assess risk of cardiovascular disease). The HRA is a survey designed to identify areas of health improvement, by asking a series of questions related to wellness, health status, nutrition, healthy activities, desire to improve health, preventative health measures. The HRA is also pre-populated with biometric information from the screening. Upon completion, participants are given customized feedback on areas of improvement. High compensation for completion. |
|
| Wellness Activities - Low Compensation | Behavioral | Courses are designed by the UI Wellness Center and include an Active Living class; self-paced online health challenges in physical activity, weight management, and healthy eating; a weight management class; a tobacco cessation hotline; a stress management class; a Tai Chi class; and a chronic disease management class. Low compensation for each class. |
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| Wellness Activities - High Compensation | Behavioral | Courses are designed by the UI Wellness Center and include an Active Living class; self-paced online health challenges in physical activity, weight management, and healthy eating; a weight management class; a tobacco cessation hotline; a stress management class; a Tai Chi class; and a chronic disease management class. High compensation for each class. |
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The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Race is measure via administrative HR records, as white or nonwhite. |
| Baseline measure |
| Selection into treatment by salary quartile | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Salary, measured by administrative HR records, is coded into 1st, 2nd, 3rd, and 4th quartile. | Baseline measure |
| Selection into treatment by self-reported health utilization | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Health care utilization is measured by survey, with yes/no variable for: ever having been screened, prescription drug use, physician/ER visit in prior year, hospital visit in the past year. | Baseline measure |
| Selection into treatment by smoking status | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Smoking status is measured via survey, with yes/no variables for: current smoker of cigarettes, current smoker of other product, former smoker, never smoker. | Baseline measure |
| Selection into treatment by chronic condition | The investigators will compare the average observable characteristics of participants, relative to treatment non-participants. Chronic condition is measured via baseline survey, and coded as a yes/no variable. | Baseline measure |
| Health Insurance Spending | Spending as measured in health insurance claims data | 12 months and 24-30 months following study |
| Employment and Productivity | Promotion, job termination, sick leave, attitude toward management, index of these variables | 12 months and 24-30 months following study |
| Health Status and Behaviors | Marathon participation, gym visits, health screening | 12 months and 24-30 months following study |
| Height | Biometric health measures collected one year after study. Height is measured in feet and inches. | 1 year following study, 2 years following study |
| Weight | Biometric health measures collected one year after study. Weight is measured in pounds and ounces. | 1 year following study, 2 years following study |
| Waist circumference | Biometric health measures collected one year after study. Circumference is measured in inches. | 1 year following study, 2 years following study |
| Resting blood pressure | Biometric health measures collected one year after study. Blood pressure is measured in mm Hg. | 1 year following study, 2 years following study |
| Blood glucose | Biometric health measures collected one year after study. Blood glucose is measured in mg/dL. | 1 year following study, 2 years following study |
| Cholesterol levels | Biometric health measures collected one year after study. Cholesterol is measured mg/dL. We measure lipids: LDL, HDL, and triglycerides. | 1 year following study, 2 years following study |
| Apr 22, 2020 |
| Prot_SAP_000.pdf |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 18, 2024 | Feb 14, 2024 |
| ID | Term |
|---|---|
| D018570 | Risk Assessment |
| ID | Term |
|---|---|
| D012306 | Risk |
| D011336 | Probability |
| D013223 | Statistics as Topic |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012308 | Risk Management |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D015991 | Epidemiologic Measurements |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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