A1 Refereed original research article in a scientific journal

Uptake and engagement with digital mental health in the workplace: A mixed-methods analysis of the EMPOWER trial




AuthorsPeeters, Stijn B.; de Mul, Marleen; Thielen, Frederick W.; Sinokki, Marjo; Staszewska, Kaja; Salvador-Carulla, Luis; Lukersmith, Sue; Olaya, Beatriz; Hakkaart-van Roijen, Leona

PublisherElsevier BV

Publication year2026

Journal: Internet interventions

Article number100911

Volume43

eISSN2214-7829

DOIhttps://doi.org/10.1016/j.invent.2026.100911

Publication's open availability at the time of reportingOpen Access

Publication channel's open availability Open Access publication channel

Web address https://doi.org/10.1016/j.invent.2026.100911

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/509013271

Self-archived copy's licenceCC BY

Self-archived copy's versionPublisher`s PDF


Abstract

This study examined contextual factors influencing the uptake and use of the EMPOWER digital mental health platform, implemented in small and medium-sized enterprises and public agencies in Spain, Poland, Finland, and the United Kingdom. The platform was developed within an EU-funded project to promote workplace mental health and evaluated in a randomised controlled trial assessing its effectiveness and cost-effectiveness. A mixed-methods design was applied combining logistic regression analyses of baseline employee data with qualitative semi-structured interviews exploring barriers and facilitators to engagement. Results indicated that successful uptake was supported by strong employer involvement, a positive workplace culture, clear communication of benefits and data privacy, tailoring of content to employee needs, and available technical support. Barriers included insufficient communication, limited organisational support, lack of allocated time for use, unclear instructions, and concerns about anonymity. Employers often expressed reluctance to take responsibility for facilitating implementation, reflecting low organisational readiness. While the platform itself was generally regarded as user-friendly, its integration into daily workplace practices was inconsistent, with many employees using it outside of working hours. In conclusion, effective and sustainable implementation of digital workplace mental health interventions requires more active stakeholder engagement, clearer and sustained communication strategies, and alignment with organisational policies and structures. Addressing these contextual factors is essential for maximising uptake and ensuring that digital health platforms such as EMPOWER achiever their intended impact in supporting mental health at work.


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Funding information in the publication
The research leading to these results has received funding from the European Union's Horizon 2020 Research and Innovation Programme under Grant Agreement No. 848180 and the National Health and Medical Research Council of Australia (APP1195937). B.O. is supported by the Miguel Servet (CP20/00040) contract, funded by the Instituto de Salud Carlos III and co-funded by the European Union (ERDF/ESF, “Investing in your future”.


Last updated on 13/02/2026 10:52:16 AM