Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43

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Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Co-Authored By:
                                     Mollie Lombardi, Chief Research Officer
                                              Sarah White, Founder and CEO

      SUMMER 2021

    Guide to Employee
    Well-Being
    Technology
    Bringing Together Physical, Mental,
    and Financial Wellness At Work

Sponsored By:
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Contents
Introduction................................................................................................................... 3

Evolution of Employee Well-Being................................................................... 5

Business Impact.......................................................................................................... 7
      Employee Experience..................... ............................................................................................................ . . . . . . . . 7

     Hiring and Recruiting.. ................................................................................................................................. . . . . . . . . 8

     Diversity and Inclusion............................................................................................................................... . . . . . . . . 8

     Compliance...................................................................................................................................................... . . . . . . . . 9

Key Features of The Employee Well-Being Tech Stack ..................... 10
      Physical Well-Being. . ................................................................................................................................... . . . . . . . . 11

     Mental/Emotional Well-Being............................................................................................................... . . . . . . . . 12

     Financial Well-Being. . ...................... ............................................................................................................ . . . . . . . . 15

     Personal Well-Being.. ....................... ............................................................................................................ . . . . . . . . 16

Selection.......................................................................................................................... 18
Conclusion...................................................................................................................... 21
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Introduction

      Employee well-being and wellness awareness
      have been growing in the past decade, but as 2020
      brought together global health concerns, social
      justice issues, and financial crises, growth has
      accelerated tremendously.

      As levels of job stress increase due to changing work conditions and anxiety has increased around
      finances and job security, our entire healthcare system has been overwhelmed with people suffering
      serious illnesses.

          66%
                               of respondents to the 2021 Aspect43 Buyer Insights study cite
                               the health of themselves, family, and friends as a top personal
                               concern in the coming year.

      An astounding two-thirds (66%) of respondents to the 2021 Aspect43 Buyer Insights study cite the health
      of themselves, family, and friends as a top personal concern for 2021. For many organizations, this reality
      has moved employee well-being from a nice-to-have to a must-have part of their overall people strategy.

      Even before the latest round of crises, many organizations started to recognize the impact of the self-
      perpetuating cycle of physical, financial, and emotional stress on work. One study found
      that workplace stress is linked to 70% of doctor visits and 85% of serious illnesses before the pandemic.1

                                       Physical             Financial     Emotional

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                      3
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Workplace stress isn’t only about the culture, leadership, and demands of the job but also about finances.
      How employees are compensated, and the benefits offered to them matter. As of February of 2021,
      finances were cited by 73% of respondents2 as the number one cause of stress in America. In the US, two-
      thirds of personal bankruptcies are due to medical issues, either because of medical bills themselves or
      loss of finances due to time away from work.3 Even families with health insurance fall victim to this when
      high deductible or out-of-pocket costs are used instead of more comprehensive healthcare plans of years
      past.

      A study by meQuilibrium found that over a third of respondents reported increases in their
      work-related stress levels between December 2019 and June 2020. In addition to increases in
      perceived stress, individuals also appear to be facing more significant challenges with related
      symptoms of stress such as sleep, motivation, burnout, and positivity. The rate at which
      members reported serious difficulties falling asleep and frequently being tired during the day
      was up about 9% during the same period.

      It is essential to give employees the support, tools, benefits,
      and programs to be present at work. The new generation
      of employee well-being technology is designed to
      address and help organizations support each of
      the key areas of wellness - Emotional, Physical,
      Personal, and Financial.

              In this guide, we will look at:
              1. The evolution of the employee well-being marketplace
              2. The business impact of employee well-being
              3. Insights while selecting or working with a well-being provider

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                     4
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Evolution of Employee Well-Being:
      From Wellness to Whole Person
      The origins of today’s employee well-being                 track participation. For companies, the inclusion in
      programs can be found rooted in employer cost              these programs was based on lowering statistical
      savings, which is not an uncommon place for most           health risks for the employer based on health
      employee programs to start. In the 1940s and               insurance costs.
      1950s, many organizations realized the negative
                                                                 Whatever the motives, the programs did positively
      impact of alcoholism on organizational safety and
                                                                 benefit the employees, but none addressed the
      productivity. This led to the formation of EAPs,
                                                                 overall well-being and whole-person health. Since
      or Employee Assistance Programs, to provide a
                                                                 the late 1990s, there has been increasing public
      resource that could help employees deal with their
                                                                 awareness and acceptance of discussions of mental
      addiction and improve business performance.
                                                                 health as well as physical health and the ways they
      Over the years, the EAP programs evolved into              intersect. As the 2010s emerged and social media
      a resource available to employees seeking help             usage became more widely used, there was a much
      for other kinds of addiction and mental health             more open dialogue around mental health and the
      problems. Providers started offering EAPs as a             impact it was having.
      service to employers, typically running as an 800
                                                                 From 1999 to 2014, the average annual suicide
      number employees could call for help. EAPs often
                                                                 rate in the US increased by 24%.4 By 2018, the
      stepped in in the face of workplace trauma, such
                                                                 loss of life by “deaths of despair” (drug overdoes,
      as accidents or incidents of workplace violence,
                                                                 alcoholism and suicide due to perceived long-term
      to help victims and survivors. While the help was
                                                                 social and economic outlook) had reached such
      individualized, the goal was really about protecting
                                                                 high levels that the average life expectancy declined
      the company. And for the most part, being referred
                                                                 for the third year in a row.5 The last time the life
      to an EAP resulted from something bad happening,
                                                                 expectancy dropped in such a way was 1915-1918 -
      not part of helping employees thrive.
                                                                 when the US was involved in World War 1.
      In the 1970s and 1980s, there was an increased
                                                                 Even people working full time didn’t feel like
      focus on physical health and exercise. Programs
                                                                 they had resources - financially, emotionally, and
      like weight loss meetings and smoking cessation
                                                                 physically to improve their lives.
      were becoming popular with many employers. As
      we progressed into the 1990s and early 2000s we            In particular, the links between stress, depression,
      started to see employers offering “challenges” or          and anxiety and issues like heart disease, chronic
      annual wellness checks in the office. Completing           pain, fatigue, and workplace safety became more
      programs might earn you a rebate on health care            widely known and openly discussed6. While the
      premiums, or successful participation would earn           impact of work stress was seen at all levels of the
      you free weight loss programs, gym memberships,            organization, the massive disparity in how the
      and even cash rewards. As the fitness craze hit full       stress impacted lower-income workers and those
      steam, third-party providers stepped in to help            from racial or ethnic minorities was being missed.7
      employers offer programs to help motivate and

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                           5
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
In the shadow of these conversations, the world of work was changing rapidly, and most organizations
      were struggling to manage the five generations in the workplace. What “used to work” we realized - never
      really did. Having seen their parents bring home work stress that impacted their family life, younger
      generations wanted a new relationship with work, which understood their needs holistically.

      Younger workers are more open than ever about asking for the support they need to be physically,
      mentally, and financially well to live the lives they wanted and
      do their work. This more connected approach and desire to
      change the narrative have seen the mid-2010s shift to a focus
      on mindfulness, meditation, and other programs designed to

                                                                                             63%
      reduce stress at work and for the person in general.

      This was the stepping stone to understanding the impact that
      work has on employees outside of work and caring for the                             of Americans lived
      whole person.                                                                     paycheck to paycheck
                                                                                       in October 2020, and 47%
      Financial well-being was the most recent piece of the puzzle.
                                                                                       were doing so before the
      Changing global economic conditions meant that individuals
                                                                                               pandemic.
      had more opportunities to increase debt for houses, cars, and
      education and participate in financial markets they had never
      been exposed to before. Current world market conditions
      have only increased financial stress and anxiety, which was
      already high. By October 2020, 63% of Americans say they have been living paycheck to paycheck since the
      Covid-19 pandemic hit. It is important to note that 47% were doing so before the pandemic.8 This focus on
      financial well-being has given rise to a whole host of new providers in the wellness industry, in addition to
      new offerings from traditional players.

      As organizations think through their investment in employee well-being, most will look at it with two
      essential outcomes that must always be balanced. One, the actual physical, mental, financial, and
      emotional health and stability of the humans working in your organization. Two, the ROI for organizations
      investing in these solutions. Both are important, but if your organization only cares about the dollars and
      cents of such an investment, employees will see through it, and you will not get the level of adoption to see
      a positive impact.

              Analyst Note: Don’t be Creepy

           Talking about someone’s health condition or           designed with these thoughts in mind. They are a
           mental state at work has long been considered a       third party and can promise employees anonymity
           faux pas. And plenty of employees would not feel      when seeking help. They can also provide managers
           comfortable talking about their financial issues,     training to help leaders point employees to
           home life, or addiction with an employer - not to     solutions without becoming a therapist or financial
           mention the uncomfortable conversations many          consultant. People want to be cared for at work, but
           managers would want to avoid. So how do you           they don’t want to feel like they are being watched.
           care for your employees’ well-being without being     Solution providers can help you be there for
           creepy? Many solution providers in this space are     employees without getting creepy.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                          6
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Business Impact
      It may seem to be an exaggeration to say that nothing could impact overall business performance more
      than employee well-being, but it isn’t. It is literally about ensuring that the humans who do the work of
      your business day after day and care for your customers, products, and services are as whole and healthy
      and ready to work as they can be when they show up. And that they can be whole and healthy at home as
      well.

           Around 120,000 people die each year from work-related stress, and work-
           related stress is responsible for about $190 billion per year - or about 5-8% of
           total US healthcare spending.9

      We all have personal experiences at times in our lives where worries about money or advancement at
      work or health emergencies distract us from getting things done. Multiply that out over every employee,
      and you can imagine how both day-to-day well-being and physical, mental, and financial crises can impact
      your business. Personal and family health and well-being, along with economic stability, were top of
      mind for around half of the respondents to the 2021 Aspect43 Buyer Insights study. Finding balance for
      themselves, their families, their employees, and the world around them are all top of mind for 2022.

      We look at the business impact in terms of overall performance and four key components of the employee
      lifecycle: Employee Experience, Hiring and Recruiting, Diversity and Inclusion, and Compliance.

                      Employee Experience
                      Well-being is core to the overall employee experience. Being physically and mentally
                      present at work is the foundation of learning, performance, and culture. Being distracted
                      by well-being issues means that none of the other investments you make in talent
                      management, learning, engagement, or reward and recognition will be as effective. This
                      is true for individual contributors and managers. Investment in well-being makes it easier
                      for managers to do the right things and supports them in getting people to the right
                      resources. It’s not about putting more onto managers’ plates; it’s about helping them shift
                      issues to the proper support.

                      Resilience is also key to well-being. Resilience and adaptability - the way individuals and
                      organizations respond to and thrive in times of change - are key cultural attributes tied to
                      overall performance. One study found that between December 2018 and December 2020,
                      companies with high levels of resilience outperformed the Dow Jones Industrial average by
                      116%.10 Resilience is a skill that can be learned, and it can help your organization’s culture
                      adapt to all circumstances.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                         7
Guide to Employee Well-Being Technology - Bringing Together Physical, Mental, and Financial Wellness At Work - Aspect 43
Hiring and Recruiting
                      Throughout the employee lifecycle, well-being has
                      a real impact. When it comes to hiring and recruiting,
                      your employer brand is everything, how you
                      treat people, your organizational culture, all
                      if it matters. And all of it is out there. People
                      share experiences online, particularly bad
                      experiences, so if you are known for having
                      a negative, cut-throat culture, that is the type
                      of candidate you will attract. And this isn’t
                      just about being “nice.” It’s about creating a
                      culture of respect and being a place where
                      individuals want to contribute. And never
                      forget that great employees attract more
                      of the same. They are your top recruiting
                      tool, so caring for them is hugely important.

                                The Limeade Institute found that employees who felt cared
                                for were likely to recommend their organization as a great
                                place to work 90% of the time compared to just 9% of those
                                who didn’t feel their company cared.11

                      Diversity and Inclusion
                      Employee well-being is about making people feel cared for in all parts of their lives.
                      The attitude that drives an organization to focus on well-being can also support overall
                      diversity and inclusion. And inclusion is the critical part of that phrase. You can count
                      people to try and “prove” diversity, but to include people is a value statement. It says we
                      recognize you come to work as a whole person and support your many facets.

                      When we look at the documented disparity and impact of financial inequality and stress on
                      people from minority backgrounds, it is clear that as a society and at work, we are missing
                      something in supporting them. Programs need to be created for all of your employees
                      - not just the college-educated white male from an upper-middle-class background that
                      doesn’t “need” that type of solution.

                      Providing the financial, physical, mental, and personal tools to enable employees from all
                      backgrounds the opportunity to come to work as a whole person - and ensuring we are
                      equitably paying them to do so - is fundamental.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                      8
GENDER AND AGE GAPS IN JOB STRESS

               Women have borne a more significant burden of the observed increase in job stress during the
               pandemic. Recent research found that while the rate of high job stress increased just 2% among
               men from December 2019 to June 2020, the number of women experiencing high job stress
               increased by nearly 20% over the same period. The young also appear to bear a disproportionate
               share of the burden. Studies indicate that those under 40 are experiencing disordered sleep,
               burnout, high stress, and decreased motivation at levels that far exceed the rate of these
               conditions among their older colleagues.12

                      Compliance
                      Physical and emotional wellness can play a huge role in compliance and safety. Physical
                      conditions like sleep apnea, chronic pain, or heartburn are common causes of sleep
                      issues, as are anxiety and depression. Insufficient sleep is a critical issue for productivity
                      and safety. The National Institute of Health found that overly sleepy employees are 70%
                      more likely to be involved in workplace accidents than colleagues who are not sleep-
                      deprived.13 And being sleep-deprived can contribute to physical issues like weight gain or
                      mental health issues like addiction. Programs that screen for sleep issues as part of overall
                      wellness are critical.

                      Compliance is also crucial in managing and rolling out these programs and why working
                      with a partner who specializes in them is vital for your organization.

                           Increases in disordered sleep, symptoms of burnout, and motivation
                           difficulties were also all markedly higher (1.9X to almost 30X) among
                           those who reported low employer support than among the well-
                           supported in a survey conducted by meQuilibrium.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                         9
Key Features of The Employee
      Well-Being Tech Stack
      When we talk about well-being, it can be really easy to get overwhelmed. This is a new tech stack for
      most organizations and one that makes them confront areas of work that they have traditionally liked to
      overlook.

      Selecting the right employee well-being technology is all about focusing on the services and functionality
      that matter most to your organization and understanding that you likely won’t find everything you want
      from one provider. Think about your employees and what may work for them. What is the “right” stack for
      a consulting organization with all college-educated employees and an average age of 36 will be different
      from a hospitality company with high turnover and a large hourly workforce. Both need solutions; they
      just need them in different priority orders.

      The purpose of the tech stack model is to give an overview of available technology for you to consider.
      This list is not inclusive of every technology that could exist in employee well-being categories - but
      highlights the ones that we see innovation and adoption in. This can be used as a starting point to
      understand the general landscape of well-being tech, divided into four main areas; physical, mental/
      emotional, financial, and personal.

                       Employee Well-Being Tech Stack
      Employee Well-Being Tech Stack

                            Physical Well-Being                                          Emotional Well-Being

                   Disease Screening/     Nutrition                                  Self-Care          Mindfulness &
                       Assessment        Programs                                      Tools             Meditation

                        Sleep                                                      Mental Health          Resilience
                                          Fitness
                     Management                                                     On Demand              Training

                                                          Well-Being
                                                           Platform
                                                           Social Connection
                       Financial        Earned Wage     Employee Communication                             Home
                                                                                    Family Care
                       Education           Access              Analytics                                Management

                     Investment &         Giving &                               Education Support/   Employee Resource
                      Retirement        Volunteerism                                 Consulting         Groups (ERGs)

                           Financial Well-Being                                           Personal Well-Being

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                            10
Physical Well-Being

      Physical well-being technologies and solutions are some of the most established in the overall well-being
      category. Sometimes these tools are available as part of the services offered by your health insurance
      provider. In order to help maintain health care costs, a focus on prevention has emerged. They may
      also be available as suites or stand-alone solutions focused on just one element of physical well-being.
      Physical wellness typically will focus on specific risk factors such as smoking cessation, diabetes care and
      prevention, overall physical fitness, and weight control.

      Many physical wellness programs focus on using technology like fitness trackers (like FitBit, the Apple
      Watch, etc.) Currently, about one in five Americans are using a fitness tracker.14 By tapping into this
      growing trend, these programs help individuals monitor behaviors and progress. Some employers
      provide devices, but most programs are designed to allow employees to use their own preferred device
      and integrate it with their employer’s health and wellness programs.

      Disease Screening/Assessment

      This technology delivers web or app-based quizzes or surveys to help individuals self-diagnose potential
      areas of concern regarding their health. Employees themselves must drive this kind of support. No one
      wants to feel like their employer is questioning or criticizing their personal health decisions. By letting
      people access these tools via technology, it can be easier for an individual to seek help or consider
      lifestyle changes that will improve their overall health.

      Based on these types of screening and assessments, providers can help guide employees to the right
      content based on their individual needs. Again, by using technology to put information at the fingertips
      of individuals who may be thinking about making changes to improve their health, you are more likely to
      find a receptive audience than a more general physical well-being program. Often these programs include
      written content or videos to help people understand their health concerns and risks, along with behavior
      modification programs.

      Technology is also used to create incentives and positive peer pressure to help make these changes stick.
      By tracking participation, companies or departments can post leader boards and run contests to help
      employees motivate each other. They can also award points or prizes based on participation. They can
      also provide support through social engagement by letting participants give “high fives” or other positive
      feedback for each other.

      Nutrition and Fitness

      Today many weight loss and fitness technology solutions center around biometric devices. These tools
      can help track steps, nutrition information, and sleep patterns to help individuals manage their health.
      Using biofeedback, these solutions can also offer personalized recommendations to improve nutrition
      impact, or built toward fitness goals, like getting your “10,000 steps” each day. Depending on goals and
      progress, these solutions can offer customized journeys to help individuals change habits and reduce
      their weight, build strength, and improve cardiovascular health.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                       11
This technology can track individual performance and offer tailored contests or challenges to help
      motivate groups across the organization to participate in behavior change initiatives around health and
      nutrition. Maintaining a healthy weight and fitness level is often considered the foundation of physical
      wellness. A fit and healthy workforce are more likely to result in fewer absences due to health issues and
      lower organizational healthcare costs.

      Sleep Management

      Web and app-based questionnaires and diagnostics designed to identify key sleep issues like apnea
      and insomnia can point employees to resources for help with these issues and provide sleep-related
      content to users. The rising recognition of sleep as a critical wellness issue has made it an essential part
      of many physical wellness programs. Sleep not only improves coordination and reflex response but helps
      with learning retention and improved mood. Research has shown that increases in disordered sleep,
      symptoms of burnout, and motivation difficulties were much higher (1.9X to almost 30X) among those
      who reported low employer support for physical and mental well-being than among the well-supported.15

                 Mental/Emotional Well-Being

      Mental and emotional well-being tools have become a focus not only for employers but for society at
      large. The rise of direct-to-consumer apps like TalkSpace (an online therapy provider) and social media
      connections to therapists through the likes of TikTok have made apps a go-to for mental health. Providers
      have tapped into this trend and are helping employers provide valid, science-based programs to improve
      employee mental health. An employee’s mental and emotional state can impact every aspect of their job
      performance at work and their life at home. It’s not surprising that over a third (34%) of organizations
      responding to the 2021 Aspect43 Buyer Insights study are seriously concerned about employee wellness
      and mental health.

      Self-Care Tools

      As with physical health, this technology delivers web or app-based quizzes or surveys to help individuals
      self-diagnose potential areas of concern regarding their mental and emotional health. These screenings
      can help individuals identify current issues such as depression and anxiety and their likelihood to
      experience some form of cognitive impairment in the near future. It is important to know that mental
      health screening should be done on an ongoing basis because while everyone is susceptible to varying
      degrees of cognitive impairment, they are not always permanent. And mental health issues don’t have to
      be a full-on clinical diagnosis. The level of assessment is meant to help guide employees to the right help
      at the time of need.

      This technology also includes insights about the individual that can tailor content on an ongoing basis
      to employees. Some solutions will customize the type of content based on user preferences, previous
      screening, assessment results, or even offer integration with other information sources like benefits
      selection to push appropriate content. For example, someone adding a child to their insurance may be

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                       12
sent parenting content. The goal is to offer the right content at the time of need.

      Many content-based technology platforms employ gamification or other aspects of consumer-facing
      technology to make their solutions and apps “sticky” to keep people coming back. Combining gaming with
      clinical psychology allows users of some such apps like those offered by Equoo to learn and practice skills
      that can help them ease anxiety in everyday life. Many other mental health content providers focus on
      drip-feeding self-care content, much like marketers do to external customers, which can help employees
      learn new habits and change behaviors that might not serve them well.

      Mindfulness and Meditation

      Mindfulness technology gives employees access to tools and guided programs designed to help them
      refocus, reduce stress, and be more productive both personally and professionally. They allow the
      employee to decide the area of focus and use tools such as meditation and guided breathing to alleviate
      stress in the moment and bring a personal sense of calm that can improve decision-making and
      productivity. This may be part of an overall wellness program or as short interventions in the moment
      of stress.

              Analyst Note: The Power of Breath

           Breathing is the most natural thing in the world, but learning
           how to harness the power of the breath can make a positive
           difference in your physical and emotional health. Slowing
           your breathing rate and focusing on it for as little as
           60 seconds can slow your heart rate, lower blood
           pressure, alleviate fear and anxiety, and allow for
           better emotional control. You can prove it to yourself
           right now by closing your eyes and taking three deep
           breaths. Many providers now offer breathing-
           based apps or content to help employees reap
           these benefits for their mental health.

      Mental Health On Demand

      Individual therapy or counseling can be expensive and
      time-consuming, but both individual practitioners and large
      healthcare organizations have started to see the benefits
      of on-demand mental health services. By answering a few
      questions about yourself and your situation, these tools will
      match individuals to a therapist and set up an appointment for a
      virtual session. This allows an individual to access mental health

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                      13
providers from much wider geography, which means that it may take hours to get an appointment versus
      weeks. Employees can do a session on a lunch break or after work without commuting to a doctor’s
      office. In addition, lowering the barriers to access means more people are likely to take advantage of this
      important help when they need it.

      Resilience Training

      Resilience training programs are focused, science-based, technology-enabled programs to help develop
      individual and organizational resilience. Through apps or web-based tools, individuals can self-guide
      through content and behavioral change designed to build resilience. Many solutions also offer team-
      based programs that help give teams a common language to talk about their work styles and emotions,
      allowing them to work together better and allowing leaders to understand their teams better. These
      solutions can aggregate individual data around stress, burnout, change readiness, and other critical
      issues for managers without exposing personal information. This kind of insight and reporting can help
      leaders get out in front of the organizational problems instead of just reacting to them.

      The Mayo Clinic defines resilience as “your ability to adapt well and recover quickly after stress, adversity,
      trauma or tragedy.”16 Resilience is essential to individuals and organizations in today’s world. Many of us
      think of resilience as an innate characteristic, but it is a capacity that can be increased through attention,
      and amplified through practice and focus. Many resilience training apps and programs help individuals
      practice their resilience skills, like gratitude, for just minutes a day, which can have a significant overall
      impact on individual and team performance. Providers focus on helping employees improve resilience at
      home and work.

      EAP

      EAP technology was the beginning of the corporate well-being market. These solutions began with call
      centers or on-site counselors that could refer employees to resources to help with addiction or other
      mental health issues. Typically, however, these resources were a place of last resort, and the perception
      has often been that seeking help from an EAP meant your boss or employer would find out. EAP
      programs tend to be responsive as opposed to preventative. When employees used them, the “free” 4, 6,
      or 8 sessions were rarely enough to help manage the issue.

      Unfortunately, buying an EAP solution is where many organizations have stopped regarding mental and
      emotional well-being. Research has shown that 79% of organizations have an EAP in place, but in 2019,
      usage was below 10%.17 A 2021 study found that usage was up by 70%18, which may sound impressive,
      but that level of growth would still place use below 17%. However, it shows that organizations are seeing
      an increase in the need for mental health support and will still utilize traditional EAP services.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                         14
Financial Well-Being

      Financial well-being tools are one of the latest additions
      to the employee well-being marketplace. These solutions
      help organizations respond to growing personal
      financial problems in a way that doesn’t feel invasive or
      embarrassing to employees. Often, part of these solutions’
      benefit is that they are developed and run by a third party,
      so individuals don’t feel like they are bringing their financial
      issues into work. Employees and managers are saved from
      the embarrassment of talking about money issues and
      helps eliminate money problems as a significant distraction
      for individuals.

      The problems for many employees when it comes to their
      financial well-being are genuine. In the US today, 6 in 10
      adults listed work and money as a significant source of
      stress19, and if faced with a $500 emergency, roughly 8 out
      of 10 report they would not be able to cover the cost.20
      Financial stress at work is a growing concern for individuals
      and employers and can contribute to stress-related physical
      and mental health problems.

      Financial Education

      Using technology to deliver education alongside other
      financial information like pay statements or retirement
      statements is critical to help employees make better
      financial choices. Web and app-based content are essential, but technology that proactively delivers
      education can be even more critical. A significant portion of wealth inequality has to do with how we
      teach (or, how we DON’T teach) people about money. If you don’t come from generational wealth, it’s
      unlikely that you have had much exposure to financial literacy by the time you graduate high school.
      Providing employees not only with financial benefits but insights and education about financial options
      and decision-making can significantly impact their near-term and long-term financial success.

      Earned Wage Access

      Earned wage access technology allows individuals to access a percentage of their wages for hours
      worked before the traditional payday. These tools help calculate wages earned, provide an interface for
      individuals to request cash, and solutions like cash cards or payment transfers to move wages into the
      hands of employees. The ability to access earned wages will impact workers who may have otherwise

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                  15
turned to payday loans or other high-interest programs. There has been significant growth of this
      employee benefit in the United States and Europe, and the global pandemic has only increased demand.
      The ability to access earned wages immediately has been called the most essential benefit in the post-
      COVID-19 world.21 It can also be a competitive advantage in businesses like retail or hospitality, where
      faster access to pay, tips, and commissions can make you a desirable employer.

      Student Loan Repayment

      Much like the technology used to manage retirement fund matching, recent legislative changes have
      allowed US employers to make student loan payments for employees. These tools manage participation,
      handle payments, and calculate taxation impact for the individual and the employer. These kinds of
      programs are helping employers serve the needs of younger employees who have lots of school debt and
      would rather pay that off than start saving for retirement just yet.

      Giving and Volunteerism
      These solutions focus on automating individual employee giving and making it easier for employees to
      help direct corporate giving. A big part of financial education is about deciding how you want to spend
      your money, and for many people, this goes beyond taking care of their own basic needs and extends
      into the causes they believe in and want to support. Through tools that help employees make ongoing
      or one-time donations to important causes, and easily applying for matching funds that many employers
      offer, employers get more visibility into programs they are already funding anyway.

      These tools also contribute to your organization’s employer brand by bringing focus to your corporate
      citizenship. It increases exposure for causes your organization supports, and with tools that help manage
      corporate volunteer programs, help employees feel a connection to the organization. This technology
      facilitates paycheck deduction of financial giving and the associated tax benefits through integration with
      payroll and time and attendance solutions. And if your organization allows employees to donate hours to
      charitable causes, they can track those hours in your timekeeping system for reporting purposes.

                Personal Well-Being

      Solutions that fall under personal wellness have to do less with work-related issues than they do with
      providing support at home to alleviate life stress from time spent working and commuting and worrying
      about issues at home.

      Family Care

      Apps to coordinate family care are central to this offering. From interviewing and selecting providers to
      managing payment, these solutions take the frustration out of care. Moving beyond just child care, more
      and more providers are seeing the need for all kinds of family care for children, senior adults, or family
      members with special needs. It can also include emergency backup care. By providing a safe environment

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                      16
for an employee’s loved ones, organizations are helping those workers to eliminate a huge source of
     stress and guilt that may be impairing their work performance.

     Home Management

     Much like the tools used to support family care, these apps help users pick, pay, and schedule the
     help they need. Users can screen the skills and qualifications of providers and pay them securely and
     compliantly. Busy families have many priorities, and no matter who makes up an employee’s family,
     solution providers can offer assistance from scheduling plumbers and finding an HVAC repair service to
     pet sitting to house cleaning. This isn’t just about management perks, it’s about taking genuine care of
     families and acknowledging the impact that work has on an employee’s family.

     Education Support / Consulting

     These tools help organizations manage and administer programs like tuition reimbursement, ongoing
     education incentives, and even help with tutors and college counseling for family members. Individuals
     and parents often spend a considerable amount of time focused on education for themselves or family
     members. Again these solutions are there to make it easier for organizations and individuals to use the
     programs your company may have in place and improve the performance of employees by providing
     solutions that are meaningful to them.

     Employee Resource Groups

     Better known as ERGs, these groups are self-led by members of the organization that share some kind of
     affinity. From support for different groups seeking to improve their careers to groups centered around
     common causes or life-stages, many well-being providers can provide a technology framework to help
     them find and connect with other members.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                  17
Selection
       There are many types of solutions in the well-being tech stack. What is important in selection is not to
       pick all of them but to design the right mix of tools and technologies that respond to your organization’s
       needs and your employees.

       If you aren’t sure where to start, start by listening. Ask your employees what is missing for them. Look at
       engagement survey results and find out if people feel heard, supported, or have their needs met. Also,
       well-being is deeply personal. Don’t look for instant results and overnight success. Look for sustained
       use. And keep asking questions and listening to your employees while allowing them to manage their
       own journey with the tools.

       While there are many considerations when selecting technology partners for employee well-being,
       specific core capabilities are important to look at no matter what tools your organization is considering.

       Consumerized Experiences. Simply put, this is all about how technology looks and feels. In the tech
       world, we call it the UI (User Interface) or the UX (User Experience). The only thing you should care
       about is if it is simple and easy for your employees to use.
       73% of respondents to the 2021 Aspect43 Buyer Insights study
       cited usability as a top selection criterion for HR technology.
       When you evaluate the technology, remember to think about
       it from the perspective of the employee, a manager, a payroll
       administrator, a finance leader, and an executive for the
       insights and reporting.
                                                                                        73%
                                                                                 of respondents to the 2021
       An easy way to evaluate any HR product for the employee                    Aspect43 Buyer Insights
       is to think of it in terms of any app you might download onto             study cited usability as a
                                                                                 top selection criterion for
       your phone. Any employee-facing tech should be that easy to
                                                                                       HR technology.
       use and not require a lot (if any) training. If a vendor disagrees,
       it is likely because they have not put much thought into the
       user experience. Making technology simple to use, valuable
       and secure is the key to a great consumer and employee
       experience.

       Personalization. If we take consumerized technology one step further, we get personalization. It is
       already driving consumer experience on sites like Netflix and Amazon, where content is served up based
       on what is known about the user. In an organization, it’s about taking what we know about employees
       and delivering content specific to who they are, their role, and what they are likely to need to do in
       the product. One of the difficulties with HR tech software in recent years is the tendency to confuse
       standardization with personalization. Having a consistent, secure, equitable process for every aspect of

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                       18
HR is necessary but not sufficient. The ability to use that standard process
      and data to surface usable insights and power personalized journeys through
      these processes is key to genuinely modern HR technology.

      Physical and mental health and financial well-being are very personal topics,
      so any feeling of mass marketing or generic messaging will likely go unheard.
      It’s important to meet individuals where they are, with just-in-time information
      when looking for help.

      Analytics. You may see this referred to as reporting or metrics, but analytics
      is simply about putting together information to allow for easy review and to
      find insights. Reporting is a top frustration with HR technology, cited by 65%
      of organizations responding to the 2021 Aspect43 Buyer Insights study. The
      entire goal of HR technology and automation is to make processes more
      efficient and then use the data from these processes to drive better data-
      driven decision-making. Basic reporting is a minimum requirement of HR
      technology today, as is some level of custom reporting accessible to your
      organization without engaging your vendor.

      Social Connection. A big part of well-being is seeing yourself as belonging
      to a group. While much of well-being is highly personal, knowing you are
      “normal” and feeling seen are also important. A sense of recognition for
      your whole self can contribute to this sense of inclusion and pride. The most
      successful solutions leverage their well-being platforms as this kind of hub,
      which is increasingly important as teams are spread across the globe. We
      continue to see remote workers as a significant portion of the workplace. Look
      for solution providers that address this need.

      Employee Communication. This important element of well-being was one
      of the most prominent support for many organizations during the 2020-
      2021 global pandemic. Providers had created a destination for information
      related to how organizations responded to health issues, no matter what
      part of the organization people were coming from. Many solutions also
      offered direct lines of communication between leaders and employees. As
      many organizations stick with remote or hybrid work models, this sort of
      communication will remain essential.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                           19
CASE-IN-POINT

               A large disaster-response and temporary housing provider found unexpected benefits from their
               HCM platform during the Covid-19 pandemic. While the organization was used to helping others
               in crisis, when dealing with it themselves, the ability to rapidly shift to employees working from
               home while maintaining social connection and a sense of stability was a welcome outcome. One
               of the organization’s HR leaders said, “Our UKG solution helped us provide a welcome level of
               normalcy for our people in a not-so-normal year.”

       Keep in Mind:

       1. Employee well-being is about a focus on the whole person. It requires organizations to
          acknowledge and accept the humanity of their employees and their leaders. Whatever solutions you
          choose to put in place to support your well-being efforts, remember that they are the backbone of
          your overall employee experience and will not be sustainable if not backed up by your culture and
          leadership. If you are not authentic in how you approach these efforts, they will only be viewed as lip
          service and you will not see sustained results.

       2. Make sure employee well-being is focused on the employees. Employees may have very different
          needs and perceptions around what is causing them stress at work and home. Different demographics
          will have different needs as well. Be sure to listen as you implement these programs and adjust as you
          ensure relevance to all employees.

       3. Find solution partners that push your organization forward. Ensure they have access to research
          and content that will not just deliver the same old solutions in a pretty package. Use partners with a
          science-based approach, a forward-thinking approach to consumer technology, and align with your
          organization’s culture.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                      20
Conclusion
      Companies are realizing that the new world of work is requiring new approaches.
      The relationship with well-being is a natural extension of the engagement and
      recognition programs that have already started to address the individual at
      work. This new approach allows ways to help people bring their whole selves
      to work - not just bring the parts of themselves that would be productive
      and not inconvenience anyone else too much. For the most part in the past,
      organizations have been happy to ignore the entire realities of their employees’
      lives, expecting them to show up at work, keep their problems to themselves,
      and perform.

      What we ignored is the “messier” side of people - the parts struggling with
      mental or physical illness, the parts worried about child care or elder care, the
      parts managing debt and financial insecurity, or struggling with addiction - we
      missed the fact that these human issues were hurting our organizations.

      Human beings are complex, and all of us deal with these issues. From a bad cold
      keeping you in bed to a chronic illness like MS, we all have health issues. From
      buying a car to deciding what bill gets paid and what is skipped, to crushing
      levels of student loans and personal debt due to a divorce, medical care, or being
      underpaid by our employer, we’ve all experienced financial stress. Or from a bad
      day when pressure made us snap at colleagues and family members to social
      anxiety or cyclical bouts of clinical depression, we have all dealt with the impact
      of mental health on our lives and work. As the world has brought more of the
      outside world - natural disasters, political unrest, health crises - into our jobs it
      has made gaps in well-being programs evident and highlighted the importance
      of focusing on whole-person health to create resilient organizations that don’t
      just survive but come out better than before.

      Investing in your employees as whole people is not only the right thing to do
      as humans, it has real economic benefits too, as illustrated throughout this
      paper. Some organizations struggle with the “softer” elements of the employer/
      employee relationship, so even if the idea of mental health or financial education
      is a struggle for your company, there is plenty of research to support ROI. But
      the real benefit of supporting all aspects of your employees is that it will help
      bring whole humans into focus, flaws, struggles, brilliance, dedication, and all.
      There are so many reasons that your organization’s investment in people is not
      complete without addressing whole-person wellness as part of that strategy.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                21
Aspect43 believes the biggest influencers in HR technology should be the people that use it and the
      companies that build it. We designed our research group to improve HR tech by giving practitioners a voice
      through our buyer and market research, targeted focus groups, and roundtables and providing all of our
      market education for free to practitioner teams. Our strategic services group partners with solution providers
      and investors focused on building a new generation of work technology through better products, stronger go-
      to-market, positioning, and growth strategies that move the future of work forward.

                                       Mollie Lombardi
                                       Chief Research Officer, Aspect43

                                       Mollie Lombardi is a top industry analyst with extensive experience gathering
                                       and interpreting new data, but she also moves beyond the numbers,
                                       translating them into real decisions and actionable insights. She has
                                       interviewed & surveyed tens of thousands of organizations, and her dedication
                                       to creating better conversations between buyers and sellers of HR Tech drives
                                       her work. She has appeared in Fast Company, The Wall Street Journal, Inc.,
                                       and other industry trade publications. She has also presented at HR Events
                                       globally. Prior to Aspect43, Mollie has held leadership roles at industry analyst
                                       firms including Brandon Hall and The Aberdeen Group.

                                       Sarah White
                                       Founder and CEO, Aspect43

                                       Sarah White is an industry veteran with a passion to improve how people
                                       buy, sell and use technology at work. Her first start-up, focused on vendor
                                       education and selection, was acquired in 2006 and helped educate more than
                                       750 companies on buying new software. Since then, she has continued to focus
                                       on improving the market - working with more than 300 vendor and investment
                                       teams, publishing dozens of analyst reports and new frameworks, and speaking
                                       on HR, Recruiting & Technology at events around the world. Prior to Aspect43
                                       she has held executive leadership and principal level roles at Cornerstone,
                                       Bersin, Clear Company (formerly HRMDirect), and founded Accelir Insights.

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                             22
About Our Sponsors

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Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                             23
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      1.   https://s3-eu-west-1.amazonaws.com/stressorg/Corporate-Wellbeing-Solutions-2016.pdf

      2.   https://www.cnbc.com/select/73-percent-of-americans-rank-finances-as-the-number-one-stress-in-life/

      3.   https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2018.304901

      4.   https://www.nytimes.com/2016/04/22/health/us-suicide-rate-surges-to-a-30-year-high.html

      5.   https://www.bloomberg.com/news/articles/2019-06-20/latest-suicide-data-show-the-depth-of-u-s-
           mental-health-crisis

      6.   https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-symptoms/art-20050987

      7.   https://www.sciencedaily.com/releases/2018/01/180108101333.htm#:~:text=Stress%20is%20also%20
           known%20to,drug%20use%20and%20physical%20inactivity.

      8.   https://highlandsolutions.com/blog/survey-reveals-spending-habits-during-covid-19

      9.   https://workplacementalhealth.org/making-the-business-case

      10. https://go.mequilibrium.com/resilience-imperative_ebook.html

      11. Limeade Institute, 2019

      12. https://www.mequilibrium.com/resources/

      13. https://www.ncbi.nlm.nih.gov/books/NBK19958/

      14. https://www.pewresearch.org/fact-tank/2020/01/09/about-one-in-five-americans-use-a-smart-watch-or-
          fitness-tracker/

      15. https://www.mequilibrium.com/

      16. https://www.mayoclinic.org/tests-procedures/resilience-training/about/pac-20394943

      17. https://www.shrm.org/hr-today/news/hr-magazine/winter2019/pages/companies-seek-to-boost-low-us-
          age-of-employee-assistance-programs.aspx

      18. https://hrexecutive.com/number-of-the-day-eap-reliance

      19. https://www.apa.org/news/press/releases/stress/2019/stress-america-2019.pdf

      20. https://highlandsolutions.com/blog/survey-reveals-spending-habits-during-covid-19

      21. https://www.benefitnews.com/opinion/earned-wage-access-the-most-important-benefit-in-a-post-covid-
          19-world

Guide to Employee Well-Being Technology | © Aspect43, LLC 2021                                                    24
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