Employee Assistance Programs (EAPs) have been shown to effectively reduce absenteeism, workplace injury rates, and health-related productivity impairments. However, established measures for determining its impact on employee-level productivity have rarely been used, nor have studies employed biological measures of well-being. Drawing on the allostatic load theory, we examine the effects of an EAP on biological measures (heart rate, heart rate variability), established measures of health-related productivity (Workability Index, Health and Work Performance Questionnaire, Workplace Limitations Questionnaire), and absenteeism 4 weeks and 6 months after clients started to receive counseling. We conducted a quasi-experimental study comparing an EAP (n = 73) with a matched control group (n = 134) using propensity score matching. We found that an EAP improves health-related productivity 4 weeks and 6 months after enrolling in counseling, above and beyond changes in the control group. Biological measures changed in the hypothesized directions, but differences between the groups did not reach significance. Absenteeism did not change in the EAP group 6 months after enrolling in counseling. In an exploratory analysis, we found that individuals requiring many sessions in the first 4 weeks showed worse productivity outcomes, demonstrating a negative dose-response relationship. Our study provides an example of how to include biological measures in EAP research. It adds to the scientific evidence of the usefulness of EAP services in restoring employee-level productivity. We calculate that the marginal productivity improvements per employee using the EAP are as much as $15,600 per annum. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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员工援助计划对工作生产力、可工作性、缺勤以及智能手机心率和心率变异性测量的影响。


事实证明，员工援助计划 (EAP) 可以有效减少缺勤、工伤率以及与健康相关的生产力障碍。然而，很少使用确定其对员工生产力影响的既定措施，也没有研究采用幸福感的生物措施。借鉴非稳态负荷理论，我们研究了 EAP 对生物测量（心率、心率变异性）、健康相关生产力既定测量（工作能力指数、健康和工作绩效调查问卷、工作场所限制调查问卷）以及缺勤的影响客户开始接受咨询后 4 周和 6 个月。我们进行了一项准实验研究，使用倾向评分匹配将 EAP (n = 73) 与匹配的对照组 (n = 134) 进行比较。我们发现，在参加咨询后 4 周和 6 个月，EAP 提高了与健康相关的生产力，高于对照组的变化。生物学指标在假设的方向上发生了变化，但各组之间的差异并未达到显着性。在参加咨询 6 个月后，EAP 组的缺勤率没有变化。在一项探索性分析中，我们发现在前 4 周内需要多次训练的个体表现出较差的生产力结果，表现出负的剂量反应关系。我们的研究提供了如何将生物测量纳入 EAP 研究的示例。它增加了 EAP 服务在恢复员工生产力方面有用的科学证据。我们计算出，使用 EAP 的每位员工每年的边际生产率提高高达 15,600 美元。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。