The Role of Managers in Employee Wellness Programs: A Mixed-Methods Study

Abstract

Purpose:

The purpose of this study is to evaluate managers’ barriers and facilitators to supporting employee participation in the Washington State Wellness program.

Design:

Exploratory sequential mixed methods.

Setting:

Four Washington State agencies located in Olympia and Tumwater, Washington.

Participants:

State employees in management positions (executive, middle, and line), whose job includes supervision of subordinates and responsibility for the performance and conduct of a subunit or group.

Methods:

We interviewed 23 managers and then used the results to create a survey that was fielded to all managers at the 4 agencies. The survey response rate was 65% (n = 607/935).

Analysis:

We used qualitative coding techniques to analyze interview transcripts and descriptive statistics to summarize survey data. We used the Total Worker Health framework to organize our findings and conclusions.

Results:

Managers support the wellness program, but they also face challenges with accommodating employees’ participation due to workload, scheduling inflexibility, and self-efficacy to discuss wellness with direct reports. About half the managers receive support from the manager above them, and most have not received training on the wellness program.

Conclusion:

Our findings point to several strategies that can strengthen managers’ role in supporting the wellness program: the provision of training, targeted messages, formal expectations, and encouragement (from the manager above) to support employees’ participation.