Study Shows Employees Offered Financial Incentives Were 33 Times More Likely to Participate in Wellness Programs

Employer-Based Financial Incentives Tied to Uptake of Telephone Health Coaching

Nov 07, 2014, 12:00 ET from The Obesity Society

BOSTON, Nov. 7, 2014 /PRNewswire-USNewswire/ -- New research shows that when employers offered financial incentives, employees were 33 times more likely to participate in telephone health coaching, and did so sooner, than employees without incentives. Telephone health coaching – one-on-one phone calls with a personal health coach – is one of myriad employee wellness programs that employers and insurers can offer today. With all that goes on in the workplace, employee wellness programs can sometimes go unnoticed; however this new research shows that adding an incentive can drastically change participation numbers, thus leading to a potential increase in overall health and a decrease in costs for health plans. The findings will be presented during an oral presentation on Friday, Nov. 7 at The Obesity Society Annual Meeting at ObesityWeekSM 2014 in Boston, Mass.

"While the jury is still out about whether workplace wellness programs improve health, the programs have great potential," said lead author Jason Block, MD, TOS Member and Assistant Professor at Harvard Medical School's Department of Population Medicine. "Our goal was to evaluate what motivates people to participate in these programs and what strategies companies and insurers can use to get everyone involved. Our data show that financial incentives clearly work to motivate participation in a health coach program."

From October 2010 to July 2013, researchers led by Dr. Block gathered data on adult members of one non-profit health plan.  They compared the uptake of a telephone health coaching program among the 16,961 members who received financial incentives to the 974,782 members who did not. Their research found that during the nearly 3 year follow-up period, 10% of the members with incentives began using the telephone health coaching, whereas only 0.3% of those without the incentives did so. Financial incentives were also strongly associated with how long it took members to begin using the program. Members who used the telephone health coaching typically had 6 - 7 interactions with a coach over an average duration of four months, where they discussed their lifestyle, assessed their health situation and concerns, and worked to develop specific health goals.

"The idea of using employer incentives to participate in health coaching is relatively new," says Eric Finkelstein, PhD, MHA, an Associate Research Professor in the Duke Global Health Institute at Duke University speaking on behalf of TOS. "This research gives us a solid foundation to build upon. The next step is to measure changes in these participants' health behaviors, and identify long-term success."

TOS agrees the workplace is one of the best places to encourage health habits and pledges support each June for National Employee Wellness Month.   

TOS also offers advice for companies looking to implement their own programs and encourages them to focus on incentives for participation, rather than penalties. In a TOS position statement released in 2013, TOS members examined the research in the area and made recommendations for employers when developing these programs, including:

  1. Structure programs to reward employees for engaging in healthy habits;
  2. Avoid the use of BMI as a basis for financial penalties or incentives;
  3. Ensure incentive programs are matched with health plans that cover evidence-based obesity treatment programs and medications;
  4. Focus programs on overall wellness for all employees, rather than only those affected by obesity or overweight, and;
  5. Create a supportive workplace environment that provides opportunities for healthy behaviors, such as healthy food options in the cafeteria and vending machines.

"Tackling obesity in the workplace requires a holistic approach with a focus on supporting employees in their health journey," continues Finkelstein. "Getting it right means workplaces that are encouraging healthy activities, employee cafeterias with healthy options, leaders who model healthy behavior and health plans that cover a wide range of treatments for obesity and overweight."

The full abstract on this study is available online.

About The Obesity Society (TOS) 
TOS is the leading scientific society dedicated to the study of obesity. TOS is committed to encouraging research on the causes, treatment, and prevention of obesity as well as to keeping the scientific community and public informed of new advances in the field. For more information please visit: www.obesity.org. Connect with TOS on social media: Twitter, Facebook and LinkedIn. Find TOS disclosures here

About ObesityWeek 2014
ObesityWeek is the premier, international event focused on the basic science, clinical application, prevention and treatment of obesity. TOS and the American Society for Metabolic and Bariatric Surgery (ASMBS) host the world's pre-eminent conference on obesity, ObesityWeek 2014, Nov. 2-7, at the Boston Convention and Exhibition Center in Boston, Mass. For the second year, both organizations hold their respective annual scientific meetings under one roof to unveil exciting new research, discuss emerging treatment and prevention options, and network and present. Connect and share with ObesityWeek on Twitter and Facebook, or by using #OW2014. 

SOURCE The Obesity Society



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