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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 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]
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Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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
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