Purpose: To evaluate the results of a workplace wellness program that incorporates gamification principles.
Design: In this prospective cohort study, the participation rate and observed health outcomes were evaluated after approximately 2 years.
Setting and participants: All permanent employees (n = 775) of a national company located in Canada were eligible to participate.
Intervention: The wellness program included web-based challenges (team or individual) incorporating gamification strategies to improve exercise, nutrition, weight reduction, and mental health management behaviors.
Measures and analysis: The primary outcomes were employee participation rates. The secondary pre-specified outcomes were the sustained benefits of the program on physical and mental health measures.
Results: Participation rates in the health screenings were 78% (baseline), 54% (year 1), and 56% (year 2). Participation in the 4 team web-based challenges ranged from 33% to 68% with 76% to 86% of participants tracking their activity on at least half of the days. After 2 years, there were significant clinical improvements in systolic blood pressure (-1.3mm Hg), total cholesterol/high-density lipoprotein (HDL) ratio (-0.14), glycated haemoglobin (HbA1c; -0.1%), weekly physical activity (+264 Metabolic Equivalents [METs]), perceived stress score (-17%), insomnia severity index (-16%), general fatigue (-10%), and reductions in the cardiovascular age gap (-0.3 years). Greater benefits occurred among employees at higher risk.
Conclusions: Workplace wellness programs that evolve over time and focus primarily on fun and competitive challenges may support long-term participation, behavior change, and sustained improvements in clinical outcomes.
Keywords: challenges; employee health; exercise; fatigue; gamification; mental health; nutrition; sleep; stress management; web-based; workplace wellness.
Effect of a Workplace Wellness Program on Employee Health and Economic Outcomes: A Randomized Clinical Trial.JAMA. 2019 Apr 16;321(15):1491-1501. doi: 10.1001/jama.2019.3307. JAMA. 2019. PMID: 30990549 Free PMC article. Clinical Trial.
The Measurable Benefits of a Workplace Wellness Program in Canada: Results After One Year.J Occup Environ Med. 2018 Mar;60(3):211-216. doi: 10.1097/JOM.0000000000001240. J Occup Environ Med. 2018. PMID: 29200188
Impact of a workplace physical activity tracking program on biometric health outcomes.Prev Med. 2017 Dec;105:135-141. doi: 10.1016/j.ypmed.2017.09.002. Epub 2017 Sep 8. Prev Med. 2017. PMID: 28890355
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. Agency for Healthcare Research and Quality (US). 2017. PMID: 29364620 Free Books & Documents. Review.
Evidence Brief: The Effectiveness Of Mandatory Computer-Based Trainings On Government Ethics, Workplace Harassment, Or Privacy And Information Security-Related Topics.2014 May. In: VA Evidence Synthesis Program Evidence Briefs [Internet]. Washington (DC): Department of Veterans Affairs (US); 2011–. VA Evidence Synthesis Program Evidence Briefs. 2011–. PMID: 27606391 Free Books & Documents. Review.
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Health promotion at the workplace setting: a protocol for a systematic review of effectiveness and sustainability of current practice in low-income and middle-income countries.BMJ Open. 2019 May 22;9(5):e027050. doi: 10.1136/bmjopen-2018-027050. BMJ Open. 2019. PMID: 31122984 Free PMC article.