title: Comparison of the Utility of Two Assessments for Explaining and Predicting Productivity Change: Well-Being Versus an HRA.
abstract: OBJECTIVE
  To compare utility of employee well-being to health risk assessment (HRA) as predictors of productivity change.
  
  
  METHODS
  Panel data from 2189 employees who completed surveys 2 years apart were used in hierarchical models comparing the influence of well-being and health risk on longitudinal changes in presenteeism and job performance. Absenteeism change was evaluated in a nonexempt subsample.
  
  
  RESULTS
  Change in well-being was the most significant independent predictor of productivity change across all three measures. Comparing hierarchical models, well-being models performed significantly better than HRA models. The HRA added no incremental explanatory power over well-being in combined models. Alone, nonphysical health well-being components outperformed the HRA for all productivity measures.
  
  
  CONCLUSIONS
  Well-being offers a more comprehensive measure of factors that influence productivity and can be considered preferential to HRA in understanding and addressing suboptimal productivity.
authors.affiliation: Center for Health Research (Dr Gandy, Dr Coberley, Dr Pope, Dr Rula), Healthways, Inc, Franklin, Tennessee.
authors.forename: William M
authors.initials: WM
authors.lastname: Gandy
authors.forename: Carter
authors.initials: C
authors.lastname: Coberley
authors.forename: James E
authors.initials: JE
authors.lastname: Pope
authors.forename: Elizabeth Y
authors.initials: EY
authors.lastname: Rula
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D004526:Efficiency; D004644:Emotions; D005260:Female; D005544:Forecasting / Q000379:methods; D015438:Health Behavior; D006304:Health Status; D006305:Health Status Indicators; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D000069597:Presenteeism / Q000639:trends*; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult