Long-Term Cost-Effectiveness and Return-on-Investment of a Mindfulness-Based Worksite Intervention: Results of a Randomized Controlled Trial
Open accessAbstract
Objectives The aim of this study was to conduct a cost-effectiveness and return-on-investment analysis comparing a mindfulness-based worksite intervention to usual practice. Methods Two hundred fifty-seven governmental research institute employees were randomized to the intervention or control group. Intervention group participants received an eight-week mindfulness training, e-coaching, and supporting elements. Outcomes included work engagement, general vitality, job satisfaction, work ability, and costs. Cost-effectiveness analyses were conducted from the societal and employer's perspective, and a return-on-investment analysis from the employer's perspective. Results After 12 months, a significant but not clinically relevant adverse effect on work engagement was found (-0.19; 95% confidence interval: -0.38 to -0.01). There were no significant differences in job satisfaction, general vitality, work ability, and total costs. Probabilities of cost-effectiveness were low (≤0.25) and the intervention did not have a positive financial return to the employer. Conclusion The intervention was neither cost-saving nor cost-effective. Poor e-coaching compliance might partly explain this result.
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Four different research articles have been included that analyzed distinct cost-effectiveness parameters; however, these studies included different parameters, so no analysis of these factors was performed.
“In this review, four different research articles (Hartfiel et al., 2017; Singh et al., 2016, 2020; van Dongen et al., 2016) have been included that analyzed distinct cost-effectiveness parameters. However, these studies included different parameters, so that no analysis of these factors was performed.”
From Mindfulness-Based and Mindfulness-Informed Interventions at the Workplace: A Systematic Review and Meta-Regression Analysis of RCTs (2023) · cites this paper as van Dongen et al., 2016
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- Authors
- van Dongen, J. M., van Berkel, J., Boot, C. R. L., Bosmans, J. E., Proper, K. I., Bongers, P. M., van der Beek, A. J., van Tulder, M. W., & van Wier, M. F.
- Affiliations
- Netherlands Organisation for Applied Scientific Research (NL)
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2016-06
- Volume
- 58
- Issue
- 6
- Pages
- 550-560
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2416335275
- Cited by
- 36
- References
- 47
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 7 · 2018: 3 · 2017: 1
- FWCI
- 4.92
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- other-oa
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion)
- TNO Repository (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- mindfulness training, workplace interventions, cost-effectiveness, return on investment, e-coaching, work engagement, job satisfaction, vitality, work ability, employer costs, research institute staff
- MeSH terms
- Adult, Cost-Benefit Analysis, Female, Health Promotion, Humans, Male, Middle Aged, Netherlands, Occupational Health Services, Workplace, Mindfulness
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