Wellness Program Outreach and Effectiveness

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorMassachusetts Institute of Technology

About this trial

The investigators will conduct a randomized controlled trial to evaluate the impact of an outreach campaign designed to increase engagement with Pack Health, a Quest Diagnostics wellness program providing individual health coaching for weight management and diabetes prevention. While employee wellness and disease-management programs have the potential to improve wellbeing and reduce healthcare costs, their effectiveness is often undermined by low engagement and selection bias in participant comparisons. This study will test whether an outreach approach that auto-enrolls eligible individuals-employees and their spouses/domestic partners-into the program, with the option to opt out, can increase engagement and improve health outcomes compared to the standard invitation-based approach.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provided informed consent.

Employees/spouses/domestic partners over the age of 18

High waist circumference (>35 inches for women and >40 inches for men)

High triglycerides (≥150 mg/dl)

Disqualifiers

1. Anyone under the age of 21. They will not be part of the study and will receive messages as if they were in the control group.

Anorexia nervosa

Bulimia nervosa

Binge-eating disorder

Trial design

Design model

Parallel

Treatments tested in this trial

  • Opt-out framing

    Behavioral

    Outreach notifies those eligible that they are enrolled in the program and invites them to start participating.

  • Opt-in framing

    Behavioral

    Eligible participants are invited to enroll

Treatment groups

2,000 Participants
are divided into 2 treatment groups
Group A: Opt-in OutreachActive comparator 1 intervention
Group B: Opt-out OutreachExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Probability of Engagement initiation

The outcome is whether participants begin the program at some point during the Annual Risk Assessment year.

Time frame
12 months

Secondary outcomes

1

Probability of Engagement level

Number of modules completed during the Annual Risk Assessment year.

Time frame
12 months
2

Probability of Retention at end of annual-risk-assessment year

Indicator the person is working for the firm on August 31, 2025

Time frame
12 months
3

Annual Risk Assessment Measures: HbA1c

HbA1c the following year's Annual Risk Assessment

Time frame
24 months
4

Annual Risk Assessment Measures: Weight

Weight measured in the following year's Annual Risk Assessment

Time frame
24 months

Other outcomes

1

Probability of full program engagement

Indicator for completing 9 modules during the Annual Risk Assessment year.

Time frame
12 months
2

Probability of membership in the top 5% of healthcare claims

Indicator that the person is in the right tail of the distribution of claims.

Time frame
12 months
3

Probability of membership in the top 1% of healthcare claims

Indicator that the person is in the right tail of the distribution of claims.

Time frame
12 months
4

Mean number of Inpatient visits

Number of inpatient visits during the Annual Risk Assessment year.

Time frame
12 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Massachusetts Institute of Technology

Lead sponsor

University of Illinois at Urbana-Champaign

Collaborator

Quest Diagnostics-Nichols Insitute

Collaborator