title: Trends in Biometric Health Indices Within an Employer-Sponsored Wellness Program With Outcome-Based Incentives.
abstract: To evaluate changes in employees' biometrics over time relative to outcome-based incentive thresholds.
  
  
  
  Retrospective cohort analysis of biometric screening participants (n = 26 388).
  
  
  
  Large employer primarily in Western United States.
  
  
  
  Office, retail, and distribution workforce.
  
  
  
  A voluntary outcome-based biometric screening program, incentivized with health insurance premium discounts.
  
  
  
  Body mass index (BMI), cholesterol, blood glucose, blood pressure, and nicotine.
  
  
  
  Followed were participants from their first year of participation, evaluating changes in measures.
  
  
  
  On average, participants who did not meet the incentive threshold at baseline decreased their BMI (1%), glucose (8%), blood pressure (systolic 9%, diastolic 8%), and total cholesterol (8%) by year 2 with improvements generally sustained or continued during each additional year of participation.
  
  
  
  On average, individuals at high health risk who participated in a financially incentivized biometric assessment program improved their health indices over time. Further research is needed to understand key determinants that drive health improvement indicated here.
authors.affiliation: Nuna Inc, San Francisco, CA, USA patricia.lin.fu@gmail.com.
authors.forename: Patricia Lin
authors.initials: PL
authors.lastname: Fu
authors.affiliation: BTN Advisors, Fort Collins, CO, USA Dignity Health, San Francisco, CA, USA US HealthWorks, Valencia, CA, USA.
authors.forename: Kent L
authors.initials: KL
authors.lastname: Bradley
authors.affiliation: Zipongo Inc, San Francisco, CA, USA.
authors.forename: Sheila
authors.initials: S
authors.lastname: Viswanathan
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA Department of Urology, University of California San Francisco, San Francisco, CA, USA.
authors.forename: June M
authors.initials: JM
authors.lastname: Chan
authors.affiliation: Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard School of Public Health, Epidemiology, and Nutrition, Harvard Medical School, Boston, MA, USA.
authors.forename: Meir
authors.initials: M
authors.lastname: Stampfer
mesh_terms: D000328:Adult; D001699:Biometry; D001786:Blood Glucose; D001794:Blood Pressure; D015992:Body Mass Index; D002784:Cholesterol / Q000097:blood; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009538:Nicotine / Q000652:urine; D016272:Occupational Health; D015397:Program Evaluation; D012189:Retrospective Studies; D014481:United States; D017132:Workplace
chemical_list: D001786:Blood Glucose; D009538:Nicotine; D002784:Cholesterol
keywords: biometric screenings; employee incentive plans; employee wellness programs