Wearables and well-being programs are here to stay. More and more companies are utilizing wearable fitness trackers as part of their health and well-being efforts.
Right now, some employers have the ability to look at the physical activity patterns of individuals who are using wearable devices in the workplace. Some devices even track the physical location of that employee anytime they are wearing the device.
This may not actually be happening. But the device data is being gathered, and employers have access to it. It is possible for some employers to tell if an employee has gone to church, a casino, or anywhere. Let’s say even…a competitors corporate office.
Soon, someone will likely claim that their employer fired them after using wearable technology to access private, personal information.
Any responsible employer would never think of doing this, but, with hundreds of companies around the United States, some are starting to move in that direction.
It may start off as an innocent attempt to give wellness incentives to those employees who go to a gym each day. But, by tracking their GPS location, but it wouldn’t take much for an employer to easily track the whereabouts of every employee at every minute of the day.
We have company leaders asking us to use wearable fitness devices and their GPS data to verify that employees are indeed going to a gym to work out. Using the GPS data and knowing the location of the gyms in the area, it is very easy to determine which employees have and have not been to a gym.
The data would also allow us to determine how long they were at the gym. Luckily, very few employers are taking this approach, but the potential for abuse of personal information is enormous.
You should know the current role wearables are taking in worksite well-being programs today. In contrast, you should also know what the potential is for these devices to do good and to do harm.
It is important to consider the pros and cons of wearable devices. In doing so, you’ll see exactly how and why worksite well-being programs are using wearable devices. At the end we’ll present case studies of actual companies and how they are using wearable devices to verify physical activity and motivate employees.
How Wearable Devices Work
Over the last few decades, people have used wearable devices to track and monitor increasing amounts of information. There are now small electronic devices that, when placed on your body, can measure data points and metrics. These items include: temperature, blood pressure, blood oxygen, sound, GPS location, elevation, physical movement, changes in direction, and the electrical activity of the heart, muscles, brain, and skin.
Let’s discuss the role of wearable fitness devices or trackers and how they’re used in well-being programs. There are over 400 different fitness trackers, not to mention, the cost for these devices can range from $50-$5000. The average cost of the typical fitness tracker is about $85. Their main feature are small electronic devices that can measure changes in acceleration . A small gyroscope measures changes in rotation by detecting movement in three directions.
With these and other microelectronic devices, the typical activity device can measure physical movement, use bioelectrical impedance and optical sensors to detect heart rate, use accelerometers to measure sleep quality, and use satellite and Wi-Fi signals to identify locations. Devices can even use algorithms to estimate the number of calories or steps expended in any activity.
Let’s Dive In
People typically wear them on the wrist to measure physical activity with some degree of accuracy. Most trackers are accurate to within 15 to 30% of actual. This means if the tracker said you walked one thousand steps your actual steps could have been between 700 and 1300 steps. They can estimate caloric expenditure to within +/-200 calories per day. Wearing the devices on your wrist though, limits their accuracy.
They play a balancing act between fashion and function. The device located on your wrist is easy to access and is fashionable, but less accurate.
Wrist worn devices are not much value if you ride bicycles. Riding 25 miles up and down a canyon is fabulous exercise, but a wearable device records very little of the activity. So, the lack of precision and the need to wear it on your wrist means that the devices, at their best, give somewhat accurate information for physical movement and location.
In terms of wearable devices accurately measuring heart rate and sleep quality, there are very few studies to demonstrate that they are both valid and reliable measures. The FDA has not approved any of them. They can give you ballpark estimates of sleep quality and heart rate.
The microelectronic components in these wearable devices are also found in today’s mobile phones. This begs the question, why do you need a wearable fitness device if you already have a mobile phone? And, which is more accurate, a wearable fitness device or your mobile phone?
In fact, the answer has more to do with cosmetics, fashion, and function than it does with accuracy. Most fitness devices and mobile phones contain exactly the same microelectronic components. Granted, there are lots of differences between devices. But, in general, your smart phone can measure your physical activity almost as well as your electronic device. In contrast, your phone is just not as convenient and doesn’t look nearly as cool.
All you have to do to get accurate fitness data with your smart phone is to download one of the many free apps available. These apps takes advantage of the electronic components in your phone to track and monitor your activity. The problem is you have to have your phone with you while you’re exercising, which is not always ideal.
What are the Pros and Cons of Wearable Technology in the Workplace?
Pros
In 2024, wearable devices are the slightly more accurate and considerably more fashionable cousins of the earlier pedometers and accelerometers that we used to wear on our hips.
Today’s activity trackers are also pretty good at measuring physical movement through space. They are fun to wear, and they provide opportunities to track our movement over time. This means they are useful if we want to set a goal and track our progress. Also, they help us validate how much activity were actually getting.
In some ways, they may even encourage physical activity as we strive to reach our goals. Perhaps one of the biggest benefits of these wearable devices is the coolness factor. However, designers created them as both activity trackers and fashion accessories.. The styles, colors, brands, and designs make today’s devices a lot sexier than previous ones. People today often perceive wearing a wearable device as a status symbol.
Cons
On the other hand, there’s a downside to these devices. First, the cost of the devices can be substantial. Second, you have to wear the device for it to work. And third, you have to keep the battery charged. We faced these same problems with pedometers 20 years ago. And, like pedometers, we have very little evidence that wearable devices today have any effect on physical activity behavior.
These are tracking devices. They help us estimate our movement through space. There’s no evidence that they change behaviors. Given the limitations of measuring physical activity, they do a pretty decent job of actually tracking movement, but now there’s the question of data security data access.
We can safely say that today’s wearable devices are all web-connected. We and others, possibly without consent, can access this data.
Many different populations use wearable devices today, which is no surprise. No longer is it just the young, fit, and wealthy within our societies utilizing the devices. The single biggest problem consumers report is that after a few months the data provided by the tracker becomes mundane.
Habits form after you’ve tracked physical activity for months, and the data gleaned from the tracker is just another carbon copy of the previous day’s data. Boredom sets in for most people who are using trackers. This is one of the top reasons people abandon them after a few months. Here is the most current evidence we have on how quickly people stop using their wearable devices.
Be that as it may, we have other devices in our lives that are like wearable fitness trackers. When was the last time you actually took a close look at the tachometer on your dashboard?
The tachometer gives precise measures of how many rotations per minute your engine is making. Almost every dashboard has a tachometer; as you rev the engine you see the revolutions per minute going up.
Tracking rpm’s is not something any of us care about, nevertheless, almost every car has a tachometer. These tachometers take up valuable dashboard space to give you lots of information you care nothing about. Having a tachometer is sometimes like having a wearable device. In some ways, it is amazing technology that’s looking for a problem to solve, but the information provided can become stale.
Common Complaints
Previous users of wearable devices have complained for various reasons including:
- Being are easy to lose
- Breaking
- Not actually being waterproof (despite manufacturer’s claims)
- Sometimes are difficult to sync with your smart phone
- Batteries don’t last long enough
- Not being very attractive
- Being uncomfortable to wear
- And, at the end of the day, not providing much material benefit.
Many of you reading this blog have a wearable device. Most people with a wearable device are already quite fit. Most people stop using them after 12 months. Are you one of them?
What We Know About Wearable Devices
Today’s wearable devices are sexier than ever. While they use much of the same technology that we’ve had for decades, but they apply the data in more innovative ways. The ease of fitness trackers enables us to do one thing well: track physical activity. This is why people call them fitness trackers.
They enable us to use reasonably valid measures to quantify how much movement we do in space each day. Devices don’t necessarily help us adopt and maintain healthy behaviors. But, they can help us monitor our progress, track our progress towards goals, and remind us to be more active when were falling short. The strength of fitness related wearable devices is in their ability to track and monitor activity.
Three Ways Wearables and Well-being Programs Can Function
A few worksites have embraced the wearable device craze. As a result, they have handed out a wearable device to every one of their employees. There are several different approaches to using wearable devices in the workplace:
1. The One and Done Approach
The “one and done” approach to using wearables is when an employer purchases or offers wearable devices to all their employees.
The hope is that the employees will be more educated about their current levels of physical activity. Acting as a catalyst to use the data from the devices to become more active. Sometimes they hand out the wearable devices for free (which is a mistake). Other times, they do some cost sharing with employees, providing a large discount or offsetting the cost. Employers acquire and distribute the devices, hoping for the best.
The only bit of information that the employer has with this approach is that they did something nice for their employees. Hopefully, this was something they all enjoyed. Hopefully the device will somehow help their workforce become more physically active. Target Corporation recently used this approach.
2. Wearables as Incentives
Health and well-being programs can use wearable devices by using the wearable devices as incentives. When employees participate in a comprehensive wellness program, they often earn points or get rewards for their healthy behaviors. Employers could hand out a wearable device as one of the incentives or rewards.
The practice of handing out health-related rewards for wellness-related activities is a pretty common approach to helping create a healthy culture at work. WellSteps has a variety of employer groups who like to hand out wearable devices as small incentives, or rewards for doing healthy behaviors. This brings us to the third use of wearable devices and worksite settings, which is activity tracking.
3. Activity Tracking
In short, today’s wearable devices are data collection tools. They gather binary data on changes in movement, direction, location, and even skin temperature. The challenge for worksite well-being programs is how to acquire and use this data.
For individuals, it’s quite easy: the wearable device beams data to a mobile app or a computer website. From there, the employee can see what their activity rates have been, monitor their heart rate, and look at calories expended in activity.
Individuals observe and use their own data. The other approach requires that someone else gather the wearable device data. And there are two ways that this can happen. Most manufacturers of wearable devices will create a small software package called an API. This API software collects and manages data from the device through other systems.
Most often, this requires some considerable computer programming. But an employer, if they wanted to, could create a computer platform that would read individual employees’ wearable device data and upload that data to a computer were the entire amount of information could be evaluated in individual or aggregate form.
Here is where the potential for abuse from wearable devices rears its ugly head. It comes down to who has the wearable device data and how it is used.
A few employers actually have well-being data platforms that have the ability to gather data from wearable devices. These platforms, created by employers, mean that the employer has access to both individual and aggregate data from any employee’s wearable device.
The jury is still out on whether or not fitness-related data is considered private health information. It is unknown if using individual fitness data is a violation of HIPAA. However, any employer that is gathering wearable fitness device data from its employees is just asking for trouble.
Any terminated employee could possibly point to the fact that their employer had been tracking their movement and location through wearable device data. Employers who have access to personal fitness device data are just making themselves a target for future litigation. Even if you claim that you are only using data in aggregate form, you still have access to individual, personalized data – and that’s the problem.
4. Crunching Wearable Data Using a 3rd Party
Generally, the other way the data can be used is by a third party company or well-being vendor. This data is used to write the computer software needed to gather and manage employee wearable fitness data. A vendor’s well-being platform is nothing more than a bunch of software that can be used to gather wearable device data and make aggregate reports.
Having wearable device data be collected by a third party removes the employer from any potential liability. This is where an outside vendor can actually protect the employer. This is possible because they prevent the employer from having access to individual data.
How Can Wearables Help Organizations?
It was never my intention to discourage the use of wearable devices in the workplace. On the contrary, they can be an effective tool in any comprehensive well-being program. My goal was to give you an honest, research-backed appraisal of what wearable devices can and cannot do and how they can be feasibly used in well-being programs.
Many WellSteps clients are currently using wearable devices as part of their well-being efforts. We encourage this approach, so long as it is done correctly. Here’s a summary of how many of our clients are using wearable devices.
Furthermore, to help motivate employees to adopt and maintain healthy behaviors, most employers offer some form of incentive. These programs aim to reward participation in healthy behavior promoting activities. Many programs like to give incentive points based on physical activity.
The challenge is how to assess whether or not the employees of actually been active. This is where wearable devices are particularly effective, because they are activity trackers.
Any WellSteps participant can either go to their program center or use the WellSteps app to connect any wearable device to their own personal data files. This allows employees to sync their device with their personal data.
Each day, data from the device is automatically uploaded to their data file. There, they can track points, track steps, determine how many calories have been spent, and a whole host of other activities that can be accomplished with the data.
Employees can sync directly with the device itself or they can link to one a free aps such as Google Fit and have the data downloaded from there. The WellSteps platform offers employees an extremely easy way to automatically upload their activity data from their device to their program center and easily earn rewards for wearable devices.
Employee Benefits
- Employees get points for being active. Their employer has solid data to verify that their employees are indeed being active.
- Confidence that their data is accurate and point tracking is quick and efficient.
- Tracking capabilities to log their progress, set goals, add nutrition data, and compete with other employees in team-based competitions.
- Encrypted data stored in a safe place that cannot be accessed by their employer.
The WellSteps data platform makes it extremely easy to gather and manage wearable device data. This goes for any employee and any wearable device.
Currently, the WellSteps platform also allows employees to use a wearable device if they have one or to manually enter their physical activity data if they don’t. They get credit for being physically active, but that also means that the data is self-reported.
How Does This Work In The Real World?
So, here’s how Cleveland State University uses wearable devices. They have established a well-being incentive program that provides points for physical activity.
Some points are awarded to those employees who average 2500 steps a day or who exercise for 20 minutes a day. Even more points (and greater rewards) are given to those employees who average 5000 steps a day or who are active for 40 minutes a day.
Almost half of the employees at Cleveland State University have their own wearable device. Of those devices, 58% are FitBits, and 4% are from the Jawbone device or are using data from Map My Fitness. The rest of the employees use the same WellSteps tracker to manually input the physical activity data.
The Superior Court of California is a WellSteps client that also uses wearable data to monitor physical activity among teams. In the Get Your Move On campaign, teams compete with each other based on the amount of physical activity they complete. The activity is tracked and reported by their own wearable devices synced to the WellSteps platform. Click here for more information about the Get Your Move On campaign and other WellSteps behavior change initiatives that integrate wearable technology in the workplace.
Additionally, in this company employees can use wearable devices and have their data synced or they can manually enter the data for the physical activity if they don’t have a wearable device. But, both of these case studies use the “bring your own device” approach to monitoring physical activity.
Finally, employees love the team competition, and the wearable devices allow them to sync their data and see live comparisons between teams. In both of these cases, the wearable device is used to monitor and report physical activity either for the awarding of incentives or for the tracking of activity between teams.
A Healthy Dose of Perspective
If you consider everything that needs to be done to have an effective and comprehensive worksite well-being program, it is easy to see how wearable devices in the workplace can have a small place at the wellness table.
When you think about the most important components of a well-being program, it’s hard to ignore the impact of biometric screening and effective follow-up, health risk appraisal feedbacks, behavior change campaigns and challenges, healthy culture change, health coaching, nutrition programs, preventative screenings, and the strength that incentives can have in helping employees adopt and maintain healthy behaviors.
Given all the different components of a well-being program, what should be the role of wearable devices?
At this point, wearable devices are really good at tracking and monitoring physical activity. Since that is what they do so well, well-being programs should use wearable devices to do just that. Unfortunately, we have some clients who want their well-being program to be nothing but a wearable device program.
This is great until six months in when the devices become stale and employees are looking around and asking, “what do we do now?”. Well-being programs are much more in-depth and much more transformative than we’ll ever be able to get from a wearable fitness device alone.
Wearables and Well-being Programs Best Practices
Over the years, we’ve seen well-being programs start to depend more and more on wearable devices. In short, here are the most important things we’ve learned in the last decade.
- Employees need skin in the game. Don’t give devices out for free. Wearables will have more value and be used longer if employees have to pay part of the cost.
- Understand from the beginning that wearable devices are not behavior change tools. Wearable devices are activity trackers.
- Wearable devices are fun, but the initial excitement will wear off and device use will often become stale.
- Encourage BYOD (bring your own device): it’s cheaper.
- Offer rewards for wearable devices, incentivizing employees for regular physical activity and other healthy behaviors.
- Only use vendor data platforms; to be safe, employers should never gather and use wearable fitness data.
- Employers should never use or access individual data.
- Wearable devices can be a fun, small part of a larger wellness effort.
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