The impact of digital health interventions on health-related outcomes in the workplace: A systematic review
Open accessAbstract
Background: The impact of employee health on productivity in the workplace is generally evidenced through absenteeism and presenteeism. Multicomponent worksite health programmes, with significant online elements, have gained in popularity over the last two decades, due in part to their scalability and low cost of implementation. However, little is known about the impact of digital-only interventions on health-related outcomes in employee groups. The aim of this systematic review was to assess the impact of pure digital health interventions in the workplace on health-related outcomes. Methods: Multiple databases, including MEDLINE, EMBASE, PubMed and PsycINFO, were used to review the literature using PRISMA guidelines. Results: Of 1345 records screened, 22 randomized controlled trial studies were found to be eligible. Although there was a high level of heterogeneity across these studies, significant improvements were found for a broad range of outcomes such as sleep, mental health, sedentary behaviours and physical activity levels. Standardized measures were not always used to quantify intervention impact. All but one study resulted in at least one significantly improved health-related outcome, but attrition rates ranged widely, suggesting sustaining engagement was an issue. Risk of bias assessment was low for one-third of the studies and unclear for the remaining ones. Conclusions: This review found modest evidence that digital-only interventions have a positive impact on health-related outcomes in the workplace. High heterogeneity impacted the ability to confirm what interventions might work best for which health outcomes, although less complex health outcomes appeared to be more likely to be impacted. A focus on engagement along with the use of standardized measures and reporting of active intervention components would be helpful in future evaluations.
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These findings align with previous research on digital health interventions.
“These findings align with previous research39,40, underscoring the potential for digital tools in managing chronic conditions and providing a foundation for future innovations in this field.”
From Impact of digital health interventions on glycemic control and weight management. (2025) · cites this paper as [39]
The Conclusions (page unavailable) say workplace digital health interventions show promise for improving employee health, supporting the general alignment with previous research and potential for digital tools. The review does not establish their effectiveness for managing chronic conditions specifically; its Discussion cautions that purely digital interventions may be inadequate for more complex health issues. (LLM, conf=0.84)
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“Keywords Digital health, workplace interventions, internet-based interventions, occupational health, systematic review, e-health, health promotion, workplace well-being Submission date: 7 January 2018; Acceptance date: 20 March 2018 Introduction Over the past two decades, the understanding of how employee health impac…”
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MethodChanging Behavior Using the Health Action Process Approach
Schwarzer, R., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.007 · Cited by 107 · see citing works
Karamagi, H. C., Muneene, D., Droti, B., Jepchumba, V., Okeibunor, J., Nabyonga‐Orem, J., Asamani, J. A., Traoré, M., & Kipruto, H. (2022) · Journal of Global Health · doi:10.7189/jogh.12.04090 · Cited by 89 · see citing works
Weber, S., Lorenz, C., & Hemmings, N. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02745 · Cited by 74 · see citing works
Electronic Health Records: A Critical Appraisal of Strengths and Limitations
Kataria, S., & Ravindran, V. K. (2020) · The Journal of the Royal College of Physicians of Edinburgh · doi:10.4997/jrcpe.2020.309 · Cited by 84 · see citing works
Gardner, B., Rebar, A. L., & Lally, P. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.041 · Cited by 69 · see citing works
Assessing the Clinical Robustness of Digital Health Startups: Cross-sectional Observational Analysis
Day, S., Shah, V., Kaganoff, S., Powelson, S., & Mathews, S. C. (2022) · Journal of Medical Internet Research · doi:10.2196/37677 · Cited by 57 · see citing works
Changing Behavior Using Social Cognitive Theory
Łuszczyńska, A., & Schwarzer, R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.003 · Cited by 71 · see citing works
Loughnane, C., Laiti, J., O’Donovan, R., & Dunne, P. J. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1536416 · Cited by 62 · see citing works
Moe-Byrne, T., Shepherd, J., Merecz-Kot, D., Sinokki, M., Naumanen, P., Hakkaart-van Roijen, L., & Van Der Feltz-Cornelis, C. (2022) · PLOS Digital Health · doi:10.1371/journal.pdig.0000123 · Cited by 55 · see citing works
“They explored the impact of digital interventions without further support from health professionals on health-related outcomes, and most of the interventions examined were not tailored to the individual employee [30,32,33].”
BackgroundWarner, L. M., & French, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.032 · Cited by 53 · see citing works
Changing Behavior Using Ecological Models
Salmon, J., Hesketh, K. D., Arundell, L., Downing, K. L., & Biddle, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.017 · Cited by 51 · see citing works
Waddell, A., Kunstler, B., Lennox, A., Pattuwage, L., Grundy, E. A. C., Tsering, D., Olivier, P. L., & Bragge, P. (2023) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.4087 · Cited by 49 · see citing works
“Digital channels included websites containing health information, SMS and smart phone applications (45).”
BackgroundStara, V., Santini, S., Kropf, J., & D'Amen, B. (2020) · Journal of Medical Internet Research · doi:10.2196/17809 · Cited by 42 · see citing works
“Several studies demonstrated that technology can be very effective in promoting healthy lifestyles among older workers [23,29,39], but they often neglected the psychological and relational aspects of working in old age.”
BackgroundAssociation between Irregular Meal Timing and the Mental Health of Japanese Workers
Tahara, Y., Makino, S., Suiko, T., Nagamori, Y., Iwai, T., Aono, M., & Shibata, S. (2021) · Nutrients · doi:10.3390/nu13082775 · Cited by 48 · see citing works
“For implementing health management in workplaces, an integrated health intervention system should be developed with scientific evidence, including the results of this study [4].”
BackgroundEppes, E. V., Augustyn, M., Gross, S. J., Vernon, P., Caulfield, L. E., & Paige, D. M. (2022) · Journal of Medical Internet Research · doi:10.2196/40934 · Cited by 51 · see citing works
“Digital interventions are often low cost and relatively easy for public health organizations to implement compared with in-person interventions [8].”
Ponzo, S., Wickham, A. P., Bamford, R., Radović, T., Zhaunova, L., Peven, K., Klepchukova, A., & Payne, J. L. (2022) · Digital Health · doi:10.1177/20552076221145852 · Cited by 46 · see citing works
“Digital health interventions (DHI), such as internetbased resources and mobile apps, have become increasingly popular in the workplace due to their scalability, availability, and anonymity.(37,38) The latter aspect, anonymity, is particularly relevant for interventions addressing issues that are still surrounded by hi…”
BackgroundJoseph-Shehu, E. M., Ncama, B. P., Mooi, N. M., & Mashamba-Thompson, T. P. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029872 · Cited by 48 · see citing works
Cameron, G., Mulvenna, M. D., Ennis, E., O’Neill, S. M., Bond, R., Cameron, D., & Bunting, A. (2024) · JMIR Mental Health · doi:10.2196/67785 · Cited by 45 · see citing works
“Howarth et al [22] found that studies targeting one specific outcome, rather than multifactorial, were more effective.”
Changing Behavior Using Self-Determination Theory
Hagger, M. S., Hankonen, N. E., Chatzisarantis, N. L. D., & Ryan, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.008 · Cited by 49 · see citing works
Fischer, F. (2020) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-020-03143-6 · Cited by 41 · see citing works
Impact of digital health interventions on glycemic control and weight management.
Veluvali, A., Dehghani Zahedani, A., Hosseinian, A., Aghaeepour, N., McLaughlin, T., Woodward, M., DiTullio, A., Hashemi, N., & Snyder, M. P. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01430-7 · Cited by 39 · see citing works
Planning and Implementation Intention Interventions
Rhodes, R. E., Grant, S. J., & de Bruijn, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.039 · Cited by 41 · see citing works
Attitudes and Persuasive Communication Interventions
Hamilton, K., & Johnson, B. T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.031 · Cited by 40 · see citing works
Changing Behavior Using Habit Theory
Orbell, S., & Verplanken, B. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.013 · Cited by 39 · see citing works
Changing Behavior: A Theory- and Evidence-Based Approach
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.001 · Cited by 39 · see citing works
Tarrant, M., Haslam, C., Carter, M., Calitri, R., & Haslam, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.044 · Cited by 37 · see citing works
Cunningham, A. C., Prentice, C., Peven, K., Wickham, A. P., Bamford, R., Radović, T., Klepchukova, A., Fomina, M., Cunningham, K., Hill, S. E., et al. (2024) · JMIR mhealth and uhealth · doi:10.2196/54124 · Cited by 41 · see citing works
“…that the observed improvements in health and well-being may have been driven by interaction with community-based tools such as Flo’s Secret Chats, which could help individuals normalize their menstrual cycle experiences and decrease feelings of loneliness or social exclusion [29,30,33,73,74].”
BackgroundMethodInfluentialChanging Behavior Using Integrated Theories
Hagger, M. S., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.015 · Cited by 39 · see citing works
Paganin, G., & Simbula, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179366 · Cited by 37 · see citing works
Changing Behavior Using the Transtheoretical Model
DiClemente, C. C., & Graydon, M. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.010 · Cited by 31 · see citing works
Murei, A., Kamika, I. A., & Momba, M. N. B. (2023) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2023.167484 · Cited by 31 · see citing works
Blake, H., Lai, B., Coman, E., Houdmont, J., & Griffiths, A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16183451 · Cited by 32 · see citing works
“There is modest evidence that digital-only interventions have a positive impact on health-related outcomes in the workplace; a review of 22 randomised controlled trials showed that significant improvements were found for a broad range of health outcomes including SB and PA levels [29].”
BackgroundResultMänttäri, S. K., Oksa, J., Lusa, S., Korkiakangas, E. E., Punakallio, A., Oksanen, T., & Laitinen, J. H. (2020) · Scandinavian Journal of Public Health · doi:10.1177/1403494820917532 · Cited by 31 · see citing works
“Wearable technology, such as activity monitors or fitness trackers, was not used in enhancing work ability by increasing PA although interventions using computer, mobile and wearable technologies appear to be effective in improving health and reducing sedentary behaviour [41].”
BackgroundChanging Behavior Using the Health Belief Model and Protection Motivation Theory
Orbell, S., Zahid, H., & Henderson, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.004 · Cited by 32 · see citing works
E-Mentoring to Address Youth Health: A Systematic Review
Kaufman, M. R., Levine, D., Casella, A., & DuBois, D. L. (2021) · Adolescent Research Review · doi:10.1007/s40894-021-00172-3 · Cited by 30 · see citing works
“Research referenced in chapters and prior literature reviews pertinent to e-mentoring were also reviewed for potential relevance (Howarth et al., 2018; Lindsay et al., 2018).”
Lee, V. V., Vijayakumar, S., Ng, W. Y., Lau, N. Y., Leong, Q. Y., Ooi, D. S. Q., Su, L. L., Lee, Y. S., Chan, S., Blasiak, A., et al. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00924-6 · Cited by 30 · see citing works
“Among nonclinical populations, DHIs have been shown to facilitate healthy behavior change in a variety of domains, including sleep, physical activity, diet and tobacco use 6 – 8 .”
The Physical Activity Wearables in the Police Force (PAW-Force) study: acceptability and impact
Buckingham, S. A., Morrissey, K., Williams, A. J., Price, L., & Harrison, J. (2020) · BMC Public Health · doi:10.1186/s12889-020-09776-1 · Cited by 31 · see citing works
Understanding Digital Work and its Use in Organizations from a Literature Review
Wibowo, S., Deng, H., & Duan, S. X. (2022) · Pacific Asia journal of the Association for Information Systems · doi:10.17705/1pais.14302 · Cited by 29 · see citing works
Alkish, I., Iyiola, K., Alzubi, A. B., & Aljuhmani, H. Y. (2025) · Sustainability · doi:10.3390/su17104365 · Cited by 35 · see citing works
Changing Behavior by Changing Environments
Marteau, T. M., Fletcher, P. C., Hollands, G. J., & Munafo, M. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.014 · Cited by 27 · see citing works
Ethische Fragen von Digital Public Health
Marckmann, G. (2020) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-019-03091-w · Cited by 27 · see citing works
Haile, C., Kirk, A. F., Cogan, N. A., Janssen, X., Gibson, A., & MacDonald, B. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165763 · Cited by 27 · see citing works
The association between digitalization and mental health: The mediating role of wellbeing at work
Sun, J., Shen, H., Ibn-ul-Hassan, S., Riaz, A., & Domil, A. E. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.934357 · Cited by 27 · see citing works
Design, Implementation, and Evaluation of Behavior Change Interventions: A Ten-Task Guide
Abraham, C., & Denford, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.019 · Cited by 26 · see citing works
Changing Behavior Using the Reflective-Impulsive Model
Deutsch, R., & Strack, F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.012 · Cited by 28 · see citing works
The Interplay Between Poor Sleep and Work-Related Health
Fietze, I., Rosenblum, L., Salanitro, M., Ибатов, А. Д., Eliseeva, M. V., Penzel, T., Brand, D., & Westermayer, G. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.866750 · Cited by 29 · see citing works
The Role of Aesthetics in Intentions to Use Digital Health Interventions
Denison‐Day, J., Muir, S., Newell, C., & Appleton, K. M. (2023) · PLOS Digital Health · doi:10.1371/journal.pdig.0000274 · Cited by 24 · see citing works
Dyadic Behavior Change Interventions
Scholz, U., Berli, C., Lüscher, J., & Knoll, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.043 · Cited by 23 · see citing works
Chen, Q., Zhang, Y., & Li, H. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1268599 · Cited by 24 · see citing works
“Regular employees had significantly higher knowledge and practice scores than other occupations, which could derive from more exposure to health-related information through employee health programs (30).”
BackgroundDeveloping Behavior Change Interventions
Hankonen, N. E., & Hardeman, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.021 · Cited by 26 · see citing works
Rothman, A. J., Klein, W. M. P., & Sheeran, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.020 · Cited by 25 · see citing works
Health status in the era of digital transformation and sustainable economic development
Bocean, C. G., & Vărzaru, A. A. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12498-y · Cited by 22 · see citing works
“Integrating digital technologies into medical education enables students and healthcare professionals to acquire the necessary skills and knowledge more interactively and efficiently [10, 19, 20].”
Imagery, Visualization, and Mental Simulation Interventions
Hagger, M. S., & Conroy, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.033 · Cited by 22 · see citing works
Changing Behavior Using the Common-Sense Model of Self-Regulation
Cameron, L. D., Fleszar‐Pavlović, S. E., & Khachikian, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.005 · Cited by 23 · see citing works
Economides, M., Bolton, H., Male, R., & Cavanagh, K. (2022) · JMIR Formative Research · doi:10.2196/34032 · Cited by 21 · see citing works
Kawadler, J. M., Hemmings, N. R., Ponzo, S., Morelli, D., Bird, G., & Plans, D. (2020) · JMIR Formative Research · doi:10.2196/18067 · Cited by 20 · see citing works
Engagement of Stakeholders in the Design, Evaluation, and Implementation of Complex Interventions
Hudson, J. L., Moon, Z., Hughes, L. D., & Moss-Morris, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.024 · Cited by 20 · see citing works
Schroeer, C., Voß, S., Jung‐Sievers, C., & Coenen, M. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.713159 · Cited by 22 · see citing works
“Digital interventions also become increasingly popular due to easy implementation, cost-effectiveness, and remote accessibility (50).”
BackgroundParks, A. M., Duffecy, J. L., McCabe, J. E., Breman, R. B., Milgrom, J., Hirshler, Y., Gemmill, A. W., Segre, L. S., Felder, J. N., & Uscher‐Pines, L. (2022) · JMIR Pediatrics and Parenting · doi:10.2196/35320 · Cited by 20 · see citing works
“Several digital trials across our study teams had above-average retention rates [31,32].”
Uri Gneezy, B., Kajackaite, A., & Meier, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.036 · Cited by 20 · see citing works
Shi, B., Li, G., Wu, S., Ge, H., Zhang, X., Chen, S., Pan, Y., & He, Q. (2024) · Journal of Medical Internet Research · doi:10.2196/58174 · Cited by 18 · see citing works
“In contrast to our findings, Howarth et al [93] evaluated the impact of a workplace digital health intervention on health-related outcomes and found that it could improve participants’ sleep quality.”
García-Pérez-de-Sevilla, G., Guido, O. B., la Cruz, M. D. L. P. D., Fernández, A. B., Alejo, L. B., Goercke, M. I. R., & Pérez, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182212198 · Cited by 19 · see citing works
“However, according to a recent systematic review, there is modest evidence regarding the effectiveness of virtual interventions in the workplace on health-related outcomes [23].”
BackgroundMiller, I., Peake, E., Strauss, G., Vierra, E., Koepsell, X., Shalchi, B., Padmanabhan, A., & Lake, J. (2023) · JMIR Formative Research · doi:10.2196/43260 · Cited by 19 · see citing works
Weight Reduction Interventions Using Digital Health for Employees with Obesity: A Systematic Review
Lee, Y., Lee, N. Y., Lim, H. J., & Sung, S. (2022) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s384450 · Cited by 19 · see citing works
“The previous review has reported that digital-only health interventions for employees in the workplace have a positive impact on health-related outcomes.(23) However, to our knowledge, no systematic review has been conducted on the development and implementation of weight-reduction interventions using digital health f…”
BackgroundMin, A., & Hong, H. C. (2022) · Safety and Health at Work · doi:10.1016/j.shaw.2022.12.001 · Cited by 23 · see citing works
User engagement with organizational mHealth stress management intervention – A mixed methods study
Kowalski, L., Finnes, A., Koch, S., & Bujacz, A. (2024) · Internet Interventions · doi:10.1016/j.invent.2023.100704 · Cited by 20 · see citing works
“The use of mobile health (mHealth) – mobile technology designed to support health - may aid in addressing these challenges, showing great potential as effective alternatives for implementing interventions within an organizational context (Howarth et al., 2018; Phillips et al., 2019).”
BackgroundMacDonald, B., Gibson, A., Janssen, X., & Kirk, A. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17124538 · Cited by 18 · see citing works
“Although digital interventions can be effective on their own [42], it may be important that they are also adaptable and flexible in design, so that they can be added easily into existing programming by individual companies.”
BackgroundRuiter, R. A. C., Crutzen, R., de Leeuw, E., & Kok, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.018 · Cited by 17 · see citing works
Effectiveness of eHealth Interventions Targeting Employee Health Behaviors: Systematic Review
Sevic, A., Hashemi, N. S. P., Thørrisen, M. M., Strømstad, K., Skarpaas, L. S., Storm, M., & Brønnick, K. (2023) · Journal of Medical Internet Research · doi:10.2196/38307 · Cited by 17 · see citing works
“Regarding eHealth interventions targeting employees, Howarth et al [36] published a review of 22 randomized controlled trials (RCTs) focusing on the impact of purely digital interventions on health-related outcomes in the workplace.”
Healthcare System Digital Transformation across Four European Countries: A Multiple-Case Study
Fonda, F., Galazzi, A., Chiappinotto, S., Justi, L., Frydensberg, M. S., Boesen, R. L., Macur, M., Andrés, E., Reixach, E., & Palese, A. (2023) · Healthcare · doi:10.3390/healthcare12010016 · Cited by 16 · see citing works
Changing Behavior Using Social Identity Processes
Reynolds, K. J., Branscombe, N. R., Subašić, E., & Willis, L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.016 · Cited by 17 · see citing works
Bell, O. J., Flynn, D., Clifford, T., West, D. J., Stevenson, E., & Avery, L. (2023) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-023-01425-1 · Cited by 17 · see citing works
“These behaviours may further explain why men access mental health services following prolonged periods of displaying symptoms and why one in four men will drop out of management regimens [39].”
BackgroundNicolson, G., Hayes, C. B., & Darker, C. D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179292 · Cited by 15 · see citing works
“The findings also add to the literature suggesting the positive mental health impact of digital workplace interventions [95].”
ResultA scoping review of digital workplace wellness interventions in low- and middle-income countries
Thai, Y. C., Sim, D., McCaffrey, T. A., Ramadas, A., Malini, H., & Watterson, J. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282118 · Cited by 15 · see citing works
Angelis, M. D., Volpi, L., Giusino, D., Pietrantoni, L., & Fraboni, F. (2024) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2024.2313892 · Cited by 18 · see citing works
“The inherent reachability of these applications and their sizable and sustained effects are key factors driving users toward them (Howarth et al., 2018, 2019; Lecomte et al., 2020).”
Kechagias, E. P., Papadopoulos, G. A., & Rokai, I. (2024) · Administrative Sciences · doi:10.3390/admsci14060131 · Cited by 15 · see citing works
“The literature has consistently shown that health matters such as absenteeism and presenteeism—employees physically at the work-place but underperforming on the job due to illness—are significantly associated with both workforce health and well-being (Howarth et al. 2018).”
BackgroundGarcía-Pérez-de-Sevilla, G., Guido, O. B., la Cruz, M. D. L. P. D., Fernández, A. B., Alejo, L. B., Martínez, M. M., & Pérez, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147510 · Cited by 15 · see citing works
“No randomized clinical trial has been found reporting a telematic intervention at the workplace that manages to increase PA levels [49,50] and to date, none carried out during the COVID-19 pandemic lockdown is described in the literature.”
BackgroundWebb, T. L., & de Bruin, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.037 · Cited by 14 · see citing works
An umbrella review of efficacy of digital health interventions for workers
Iwakura, M., Ozeki, C., Jung, S., Yamazaki, T., Miki, T., Nohara, M., & Nomura, K. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01578-2 · Cited by 18 · see citing works
Blended Health Coaching for Work-linked Couples: Coaches’ Intervention Fidelity and Empathy Matter!
Busch, C., Dreyer, R., & Janneck, M. (2022) · Coaching | Theorie & Praxis · doi:10.1365/s40896-022-00065-9 · Cited by 14 · see citing works
Robinson, N., Connolly, J., Suddrey, G., & Kavanagh, D. J. (2023) · International Journal of Social Robotics · doi:10.1007/s12369-023-01054-5 · Cited by 13 · see citing works
“Digital interventions in mental healthcare have shown clinical benefits for anxiety and depression for young adults and adolescents [25, 28], as well as for specialist domains such as within the workplace [30].”
Merolli, M., Hinman, R. S., Lawford, B. J., Choo, D., & Gray, K. M. (2021) · JMIR Research Protocols · doi:10.2196/25177 · Cited by 13 · see citing works
“However, the authors noted the continued highly heterogeneous nature of digital health research as well as difficulties in examining digital health use because of the lack of standardized measures for reporting on key active components of DHIs [27].”
BackgroundYeager, C. M., & Benight, C. C. (2022) · JMIR Mental Health · doi:10.2196/35048 · Cited by 12 · see citing works
“This supports previous short-term research that failed to find a relationship between engagement and outcomes [75-77] and underscores the importance of understanding and targeting the mechanisms of action between engagement and outcomes to improve DMHI efficacy.”
BackgroundOlaya, B., Feltz-Cornelis, C. M. V. D., Roijen, L. H., Merecz‐Kot, D., Sinokki, M., Naumanen, P., Shepherd, J., van Krugten, F. C. W., de Mul, M., Staszewska, K., et al. (2022) · Digital Health · doi:10.1177/20552076221131145 · Cited by 11 · see citing works
Critical and Qualitative Approaches to Behavior Change
Chamberlain, K., & Lyons, A. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.030 · Cited by 12 · see citing works
Virgillito, D., & Ledda, C. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1718474 · Cited by 15 · see citing works
Maximizing User Engagement with Behavior Change Interventions
Yardley, L., Morrison, L. G., Müller, I., & Bradbury, K. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.025 · Cited by 11 · see citing works
Effectiveness of a Water Intake Program at the Workplace in Physical and Mental Health Outcomes
Luo, Y., Hsu, C. C., Lin, K. J., Fu, S., Chen, J. R., & Lai, C. (2022) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580221085778 · Cited by 11 · see citing works
“Nonetheless, studies implementing interventions in the workplace designed to manipulate health-related behaviors have often demonstrated well-being status improvements and further reductions in absenteeism and improved presenteeism among participants.(13) Modern equipment, such as digital interventions and application…”
BackgroundHerold, M., Simbula, S., & Gallucci, M. (2024) · Current Psychology · doi:10.1007/s12144-024-06534-z · Cited by 13 · see citing works
“At the same time, digital technologies are embracing our everyday life (Howarth et al., 2018 ; Liesa-Orús et al., 2020 ), and organizations have profited from digital technologies in various ways, such as reducing labour and production costs (Skoumpopoulou et al., 2018 ), a more remarkable ability…”
Digital Health Education for Chronic Lung Disease: Scoping Review
Sun, C., Dai, H., van der Kleij, R., Li, R., Wu, H.-P., Hallensleben, C., Willems, S. H., & Chavannes, N. H. (2025) · Journal of Medical Internet Research · doi:10.2196/53142 · Cited by 12 · see citing works
Benefits and Limitations of Implementing Mental Health Apps Among the Working Population
Jones, N. M., Johnson, M., Sathappan, A. V., & Torous, J. B. (2021) · Psychiatric Annals · doi:10.3928/00485713-20210112-01 · Cited by 11 · see citing works
Yeh, P. T., Kennedy, C. E., Minamitani, A., Baggaley, R. C., Shah, P., Verster, A. D., Luhmann, N., Mello, M. B., & Macdonald, V. (2022) · Journal of Medical Internet Research · doi:10.2196/40150 · Cited by 11 · see citing works
“These findings are broadly similar to those of other systematic reviews of digital health interventions with diverse health topics and populations [41-43].”
Digi-Exist: Eine digitale Plattform zur Gesundheitsförderung für junge Unternehmen
Ducki, A., Behrendt, D., Boß, L., Brandt, M., Janneck, M., Jent, S., Kunze, D., Lehr, D., Nissen, H., & Wappler, P. (2019) · Springer eBooks · doi:10.1007/978-3-662-59044-7_22 · Cited by 11 · see citing works
Brodie, A. M., Pavey, T., Newton, C. J., & Sendall, M. C. (2021) · PLoS ONE · doi:10.1371/journal.pone.0255225 · Cited by 11 · see citing works
“Of particular relevance to the time-pressured road transport industry, the burgeoning availability of smartphone technology and wireless internet access means digital technologies such as apps can be easily integrated into tools already used by the workplace and adapted to workers’ current state and context [33, 34].”
Background
- Authors
- Howarth, A., Quesada, J., Silva, J., Judycki, S., & Mills, P. R.
- Affiliations
- St George's, University of London (GB)
- Cigna (United States) (US)
- Cigna, Global Well-being Solutions Ltd, UK
- Whittington Hospital (GB)
- Corresponding author
- Howarth, Ana
- Venue
- DIGITAL HEALTH
- Publisher
- SAGE Publications
- Published
- 2018-01
- Volume
- 4
- Pages
- 2055207618770861-2055207618770861
- ISSN
- 2055-2076 (ISSN-L)
- PMC
- PMC6016571
- OpenAlex
- W2800263550
- Cited by
- 240
- References
- 64
- Citations by year
- 2026: 16 · 2025: 40 · 2024: 33 · 2023: 27 · 2022: 36 · 2021: 18 · 2020: 63 · 2019: 7
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Digital Health (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- digital health interventions, workplace health, employee health, absenteeism, presenteeism, sleep, mental health, sedentary behavior, physical activity, user engagement, attrition
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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