Influence of Incentive Design and Organizational Characteristics on Wellness Participation and Health Outcomes.
Document Type
Article
Publication Title
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine
Abstract
OBJECTIVE: To explore how changing incentive designs influence wellness participation and health outcomes.
METHODS: Aggregated retrospective data were evaluated using cluster analysis to group 174 companies into incentive design types. Numerous statistical models assessed between-group differences in wellness participation, earning incentives, and over-time differences in health outcomes.
RESULTS: Four incentive design groups based on requirements for earning incentives were identified. The groups varied in support for and participation in wellness initiatives within each company. All four design types were associated with improved low density lipoprotein (LDL) (P < 0.01), three with improved blood pressure (P < 0.001), and two with improved fasting glucose (P < 0.03). No incentive plan types were associated with improved body mass index (BMI), but designs predominantly focused on health outcomes (eg, Outcomes-Focused) exhibited a significant increase over time in BMI risk.
CONCLUSION: Incentive design and organizational characteristics impact population-level participation and health outcomes.
First Page
874
Last Page
882
DOI
10.1097/JOM.0000000000002005
Publication Date
10-1-2020
Recommended Citation
Grossmeier J, Mangen DJ, Anderson DR, Gingerich SB, Mitchell RJ, Imboden MT, Kaplan GD, Gascon GM, Serxner SA, Bodak T. Influence of Incentive Design and Organizational Characteristics on Wellness Participation and Health Outcomes. J Occup Environ Med. 2020 Oct;62(10):874-882. doi: 10.1097/JOM.0000000000002005. PMID: 32826550.