skip to main content


Title: What do Workplace Wellness Programs do? Evidence from the Illinois Workplace Wellness Study*
Abstract Workplace wellness programs cover over 50 million U.S. workers and are intended to reduce medical spending, increase productivity, and improve well-being. Yet limited evidence exists to support these claims. We designed and implemented a comprehensive workplace wellness program for a large employer and randomly assigned program eligibility and financial incentives at the individual level for nearly 5,000 employees. We find strong patterns of selection: during the year prior to the intervention, program participants had lower medical expenditures and healthier behaviors than nonparticipants. The program persistently increased health screening rates, but we do not find significant causal effects of treatment on total medical expenditures, other health behaviors, employee productivity, or self-reported health status after more than two years. Our 95% confidence intervals rule out 84% of previous estimates on medical spending and absenteeism.  more » « less
Award ID(s):
1730546
NSF-PAR ID:
10204044
Author(s) / Creator(s):
; ;
Date Published:
Journal Name:
The Quarterly Journal of Economics
Volume:
134
Issue:
4
ISSN:
0033-5533
Page Range / eLocation ID:
1747 to 1791
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. null (Ed.)
    This work in progress research paper characterizes mental wellness in engineering at five institutions across the Western United States to better understand what mental health issues most affect the broader engineering student community. Anecdotal evidence has long suggested that stress and certain mental wellness issues are particularly acute in the field of Engineering, and some recent research has shown elevated rates of mental wellness issues at different institutions around the country. This paper presents the results of a previously validated mental health survey conducted with first- and second-year students at several universities. The results of this work include screening rates for major mental health issues (e.g. DSM diagnosable) and moderate mental health issues as captured by the Kessler 6 screening instrument; screening rates for depressive, anxiety, and eating disorders as measured by the Patient Health Questionnaire (PHQ); and screening rates for post-traumatic stress disorder (PTSD) as measured by the Primary-Care Post Traumatic Stress Disorder (PC-PTSD) instrument. This work also includes a preliminary analysis of screen rates by demographic groups so that educators and academic facilitators may be better aware of the types of challenges that face a diverse engineering student populace. Overall, we find that 28.4% percent of respondents potentially suffer from a diagnosable mental health condition as measured by Kessler 6. We also find that an additional 55.2% of students screen positive for moderate psychological distress. Breaking measurements down by demographic groups, we find that female respondents, particularly those from historically excluded ethnic groups and races, show elevated rates of Panic and PTSD disorders when compared to the male population. 
    more » « less
  2. null (Ed.)
    This work in progress research paper characterizes mental wellness in engineering at five institutions across the Western United States to better understand what mental health issues most affect the broader engineering student community. Anecdotal evidence has long suggested that stress and certain mental wellness issues are particularly acute in the field of Engineering, and some recent research has shown elevated rates of mental wellness issues at different institutions around the country. This paper presents the results of a previously validated mental health survey conducted with first– and second–year students at several universities. The results of this work include screening rates for major mental health issues (e.g. DSM diagnosable) and moderate mental health issues as captured by the Kessler 6 screening instrument; screening rates for depressive, anxiety, and eating disorders as measured by the Patient Health Questionnaire (PHQ); and screening rates for post-traumatic stress disorder (PTSD) as measured by the Primary-Care Post Traumatic Stress Disorder (PC-PTSD) instrument. This work also includes a preliminary analysis of screen rates by demographic groups so that educators and academic facilitators may be better aware of the types of challenges that face a diverse engineering student populace. Overall, we find that 28.4% percent of respondents potentially suffer from a diagnosable mental health condition as measured by Kessler 6. We also find that an additional 55.2% of students screen positive for moderate psychological distress. Breaking measurements down by demographic groups, we find that female respondents, particularly those from historically excluded ethnic groups and races, show elevated rates of Panic and PTSD disorders when compared to the male population. 
    more » « less
  3. Purpose This study aims to focus on the experiences of biomedical science students nearing the end of their doctoral programs and the factors that influence their well-being. In addition to identifying general challenges, the study aims to expand understanding of how interactions with principal investigators (PIs) can influence students’ well-being and engagement in wellness practices. Design/methodology/approach This qualitative study presents an analysis of interview data collected from 90 trainees five years after beginning their graduate programs. All were participants in a larger mixed-methods, longitudinal study. Emergent themes and a codebook were established after reviewing interview transcripts and completing memos. Codes were applied to data, and reports were generated to confirm and challenge early interpretations. Findings Participants described four key factors that influenced their well-being: perceived work/life balance; managing progress on research; program completion and job search; and overall faculty relationships. While relationships with PIs could be a source of stress, participants more often described how both interactions with, and observations of their PIs could amplify or mitigate their ability to manage other stressors and overall sense of well-being. Originality/value While researchers in the USA have increasingly considered the factors impacting graduate student mental health, there has been less of an emphasis on wellness and well-being. Furthermore, there has been less attention to how PIs contribute, in positive and negative ways, to these outcomes. This study offers insight into well-being at a specific timepoint, considering dynamics unique to wellness and well-being in the later stages of doctoral training. 
    more » « less
  4.  
    more » « less
  5. Chronic stress has been associated with a variety of pathophysiological risks including developing mental illness. Conversely, appropriate stress management, can be used to foster mental wellness proactively. Yet, there is no existing method that accurately and objectively monitors stress. With recent advances in electronic-skin (e-skin) and wearable technologies, it is possible to design devices that continuously measure physiological parameters linked to chronic stress and other mental health and wellness conditions. However, the design approach should be different from conventional wearables due to considerations like signal-to-noise ratio and the risk of stigmatization. Here, we present a multi-part study that combines user-centered design with engineering-centered data collection to inform future design efforts. To assess human factors, we conducted an n=24 participant design probe study that examined perceptions of an e-skin for mental health and wellness as well as preferred wear locations. We complement this with an n=10 and n=16 participant data collection study to measure physiological signals at several potential wear locations. By balancing human factors and biosignals, we conclude that the upper arm and forearm are optimal wear locations. 
    more » « less