Effects of Personal Technology Driven Workplace Wellbeing Intervention Programme on Wellbeing, Productivity (Presenteeism) and Absenteeism - an Intervention Study

Study Overview
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Brief Summary
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In this study the effects of a technology-driven workplace wellbeing intervention programme on employees' wellbeing, productivity (presenteeism) and absenteeism will be studied with the help of mobile applications and remotely conducted questionnaires, different wellbeing intervention periods and HRV based measurements.

Detailed Description
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The objectives of this study are: To study the effects of a data driven adaptive workplace wellbeing intervention programme on productivity (presenteeism) and absenteeism of the employees. To study the effects of data driven adaptive workplace wellbeing interventions on employees' physical health measures and wellbeing. The secondary objective also includes studying whether the programme generates measurable financial savings. This study is an intervention study where eligible participants will be offered a technologically delivered health promotion intervention which is personalized to their needs both in terms of content and timing within the 12-month intervention period. The outcomes are compared against their pre-intervention levels at both individual and group level. The study has no control group as it is not acceptable for the participating companies to offer participation only to part of their employees based on randomization due to expected positive impact of the intervention. The lack of the control group will be taken into account while analyzing and interpreting the study results. The 12-month intervention period consists of access to Firstbeat Life (HRV & movement measurement based wellbeing service), Aava Medical's Aisti wellbeing assessment and four types of online coaching programmes plus option of no coaching. Every participant has continuous access to Firstbeat Life and Aisti during the entire intervention programme and may use them at any time they so desire. In addition, participants will use the Coachbeat mobile app which is used to instruct and communicate with the participants, to fill in all the study questionnaires at given times, and to promote use of Firstbeat Life and Aisti at given points of the study. Baseline measurements and measurements after 4 and 8 months give recommendations for participation to the online coaching based on Firstbeat Life and Aisti wellbeing assessment. The participants can choose the coaching program based on the recommendation or their own interest. They can participate several coaching programmes during the study. Each coaching programme lasts approximately 3 months.

Official Title
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Effects of Personal Technology Driven Workplace Wellbeing Intervention Programme on Wellbeing, Productivity (Presenteeism) and Absenteeism - an Intervention Study

Conditions
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Occupational Stress, Occupational Burnout

Intervention / Treatment
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* Behavioral: Psychological health and flexibility
* Behavioral: Work ability
* Behavioral: Sleep and recovery
* Behavioral: Healthy lifestyle
* Other: No coaching


Participation Criteria
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Eligibility Criteria
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The initial target population consists of generally healthy employees of selected employer companies from information intensive industries and jobs. Inclusion Criteria: Signed written informed consent Adequate Finnish or English1 language skills to comprehend study-related instructions and questionnaires. The services and contents are available only in Finnish and English. Exclusion Criteria: Planned absenteeism from work during the study with >3mth duration Use of cardiac pacemaker or history of atrial fibrillation No access to compatible mobile phone History of a major cardiovascular event (myocardial infarction, coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), stroke, or transient ischemic attack) within the previous 6 months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: This is a pre-post type intervention study where baseline measurements are made at 0 months from the study start and follow up measurements are made at 4, 8 ,12, 24 and 36 months.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Study group<br>All the participants will be in the same group and have the same intervention programmes options to choose from. | Behavioral: Psychological health and flexibility<br>* A remote coaching programme concentrating on psychological health and flexibility<br>Behavioral: Work ability<br>* A remote coaching programme concentrating on work ability<br>Behavioral: Sleep and recovery<br>* A remote coaching programme concentrating on sleep and recovery<br>Behavioral: Healthy lifestyle<br>* A remote coaching programme concentrating on healthy lifestyle<br>Other: No coaching<br>* Participants also have the option to choose no coaching for the coming 3 month period.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The change in work productivity loss (presenteeism) by WLQ | The change in work productivity loss (presenteeism) is assessed by repeating Work Limitations Questionnaires (WLQ). WLQ results are on a scale from 0 to 100 where 0 means no limitations to work (=best result) and 100 means the most limitations to work (=worst result) | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in work productivity loss (presenteeism) by HPQ | The change in work productivity loss (presenteeism) is assessed by repeating Health and Work Performance Questionnaires (HPQ). HPQ scale goes from 0 to 10 where 10 means the best health and work performance. | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in work ability | The change in work ability is assessed by repeating work ability index (WAI) questionnaires. WAI scores are on a scale from 7 to 49 points where 7 is the poorest and 49 is the best work ability. | 0, 12, 24 and 36 months from start | 
| The change in sick-leaves (absenteeism) by absenteeism records | The change in sick-leaves (absenteeism) are assessed via employer absenteeism records | 0, 12, 24 and 36 months from start | 
| The change in sick-leaves (absenteeism) by HPQ | The change in sick-leaves (absenteeism) are assessed via repeating Health and Work Performance Questionnaires (HPQ). HPQ scale goes from 0 to 10 where 10 means the best health and work performance. | 0, 12, 24 and 36 months from start | 
| The change in sick-leaves (absenteeism) by WAI | The change in sick-leaves (absenteeism) are assessed via repeating work ability index (WAI) questionnaires. WAI scores are on a scale from 7 to 49 points where 7 is the poorest and 49 is the best work ability. | 0, 12, 24 and 36 months from start | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The change in autonomic nervous system function and health behaviors based on HRV | The change in autonomic nervous system function and health behaviors is assessed by HRV (heart rate variability) | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in autonomic nervous system function and health behaviors based on measured stress/recovery | The change in autonomic nervous system function and health behaviors is assessed by measured stress/recovery. Stress & recovery balance is scored on a scale from 0 to 100 in Firstbeat Life service (100 is the best score) | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in autonomic nervous system function and health behaviors based on measured sleep | The change in autonomic nervous system function and health behaviors is assessed by measured sleep. Sleep is scored on a scale from 0 to 100 in Firstbeat Life service (100 is the best score) | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in autonomic nervous system function and health behaviors based on measured physical activity | The change in autonomic nervous system function and health behaviors is assessed by measured physical activity. Physical activity is scored on a scale from 0 to 100 in Firstbeat Life service (100 is the best score) | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in autonomic nervous system function and health behaviors based on measured physical fitness | The change in autonomic nervous system function and health behaviors is assessed by measured physical fitness as assessed by VO2Max | 0, 4, 8, 12, 24 and 36 months from start | 
| The change in depression and mood by BBI-15 | The change in depression and mood are assessed by Bergen Burnout Indicator (BBI-15). BBI-15 result is on a scale from 0 to 100 where scores from 0 to 74 mean no burnout and scores from 95 to 100 mean severe burnout. | 0 and 12 months from start | 
| The change in self-reported questionnaire measures | Self-reported questionnaire measures are mental wellbeing, physical health, sleep and recovery, financial situation, social relationships, work-related information etc. in the Aisti Index wellbeing assessment. Aisti assessment gives results on a scale from 0 to 100 (100 is best) for each area of life. | 0, 12, 24 and 36 months from start | 
| The change in blood pressure | The change in blood pressure is measured between the start and the end of the 12 month intervention period. | 0 and 12 months from start | 
| The change in weight | The change in weight is measured between the start and the end of the 12 month intervention period. | 0 and 12 months from start | 
| The change in waist circumference | The change in waist circumference is measured between the start and the end of the 12 month intervention period. | 0 and 12 months from start | 
| The change in neck circumference | The change in neck circumference is measured between the start and the end of the 12 month intervention period. | 0 and 12 months from start | 
| Return of investment (ROI) | Return of investment (ROI) is calculated through absenteeism statistics and self-reported presenteeism. | 0, 12, 24 and 36 months from start | 
| Company's financial performance | Company's financial performance is evaluation is based on reported revenue and profit. | 0, 12, 24 and 36 months from start | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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workplace, wellbeing, intervention, absenteeism, presenteeism, stress, burnout