Digitalization and Employee Health and Well-Being During COVID-19
Abstract
1. Introduction
2. COVID-19 and Employee Health and Well-Being
3. Workplace Digitalization, COVID-19, and Employees’ Health and Well-Being
3.1. Digital Meetings
3.2. Digital Clearance
3.3. Digital Training
3.4. Organizational Support as a Mediator
4. Data and Methodology
4.1. Data
4.2. Variables
4.3. Estimation Strategy
5. Findings
5.1. Ordinal Generalized Structural Equation Modeling (GSEM)
5.2. Multinomial Generalized Structural Equation Modeling (GSEM)
5.3. Post Hoc Tests
6. Discussion
6.1. Policy Recommendations
- 1.
- Mental health should be a key part of teleworking policies
- 2.
- Telework policies should prioritize work–life balance (WLB)
- 3.
- A digital-first approach to prepare for future pandemics
6.2. Limitations and Future Research
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
| Dependent variable | (from 1 = very negative change to 5 = very positive change) |
| Employee Health & Well-being | Has there been a change in your general health and wellbeing since COVID-19 (27 February 2020)? |
| Independent variable | (Binary: 1 = Yes, 0 = No) |
| Digital Meeting (DM) | My work group implemented more frequent use of digital platforms for meetings during COVID-19 |
| Digital Clearance (DC) | My workgroup streamlined clearance processes(e.g., removing one or more steps in the approval process) |
| Digital Training (DT) | My workgroup increased access to online wellbeing platforms and wellbeing training during COVID-19 |
| Mediator variable | (From 1 = strongly disagree to 5 = strongly agree) |
| Organizational Support of Health & Well-being | (1) I am satisfied with the policies/practices in place to help me manage my health and wellbeing |
| (2) My agency does a good job of communicating what it can offer me in terms of health and wellbeing. | |
| (3) My agency does a good job of promoting health and wellbeing | |
| (4) I think my agency cares about my health and wellbeing. | |
| (5) I believe my immediate supervisor cares about my health and wellbeing. | |
| (6) I am satisfied with my agency’s efforts to maintain a safe environment at work. | |
| Scale Reliability coefficient from the Cronbach’s alpha = 0.9159 | |
| Control variables | |
| Job Satisfaction | Overall, I am satisfied with my job. (From 1 = strongly disagree to 5 = strongly agree) |
| Resources | My workgroup has the tools and resources we need to perform well (From 1 = strongly disagree to 5 = strongly agree) |
| Workload | What best describes your current workload? (1) Below capacity—not enough work. (2) Slightly below capacity—available for more work. (3) At capacity—about the right amount of work to do. (4) Slightly above capacity—lots of work to do. (5) Well above capacity—too much work |
| Agency Size | By number of Employees: 1 = Small (less than 251 employees), 2 = Medium (251–1000), 3 = Large (Over 1000). |
| Gender | Respondent’s gender: Male = 0; Female = 1 |
| Age | Respondent’s age: 1= Under 40 years old; 2 = Between 40 and 54 years old; 3 = 55 years or older |
| Level of Job Classification | 1 = APS 1–6; 2 = Executive Level (EL) 1–2; 3 = Senior Executive Service (SES). |
| DV1 (Original) | Freq. | Percent | DV2 (Collapsed) | Freq. | Percent |
|---|---|---|---|---|---|
| 1. very negative | 2787 | 2.85 | 1. negative | 30,730 | 31.44 |
| 2. negative | 27,943 | 28.59 | |||
| 3. no change | 46,254 | 47.33 | 2. no change | 46,254 | 47.33 |
| 4. positive | 16,851 | 17.24 | 3. positive | 20,742 | 21.22 |
| 5. very positive | 3891 | 3.98 | |||
| Total | 97,726 | 100.00 | Total | 97,726 | 100.00 |
| IV | DV: Health & Well-Being | Coef. | Bootstrap se | z | P > |z| | [95% CI] | |
|---|---|---|---|---|---|---|---|
| Digital Meeting (DM) | Level 2 | 0.0848 | 0.0040 | 21.29 | 0.000 | 0.0770 | 0.0926 |
| Level 3 | 0.1209 | 0.0054 | 22.59 | 0.000 | 0.1104 | 0.1313 | |
| Digital Clearance (DC) | Level 2 | 0.0400 | 0.0028 | 14.39 | 0.000 | 0.0346 | 0.0455 |
| Level 3 | 0.0570 | 0.0038 | 14.89 | 0.000 | 0.0495 | 0.0646 | |
| Digital Training (DT) | Level 2 | 0.1533 | 0.0053 | 29.02 | 0.000 | 0.1429 | 0.1637 |
| Level 3 | 0.2186 | 0.0068 | 32.07 | 0.000 | 0.2053 | 0.2320 | |

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| Variable | Mean | Std. Dev. | Min | Max | VIF |
|---|---|---|---|---|---|
| Health and Well-being (DV1) | 2.90 | 0.85 | 1.00 | 5.00 | |
| Health and Well-being (DV2) * | 1.89 | 0.72 | 1.00 | 3.00 | |
| Digital Meeting (DM) | 0.86 | 0.34 | 0.00 | 1.00 | 1.07 |
| Digital Clearance (DC) | 0.17 | 0.37 | 0.00 | 1.00 | 1.05 |
| Digital Training (DT) | 0.34 | 0.47 | 0.00 | 1.00 | 1.14 |
| Organizational Support (HC:PCA) | 0.00 | 2.07 | −7.34 | 3.14 | 1.56 |
| HC1 | 3.76 | 0.90 | 1.00 | 5.00 | |
| HC2 | 3.77 | 0.90 | 1.00 | 5.00 | |
| HC3 | 3.74 | 0.93 | 1.00 | 5.00 | |
| HC4 | 3.58 | 1.04 | 1.00 | 5.00 | |
| HC5 | 4.15 | 0.91 | 1.00 | 5.00 | |
| HC6 | 3.89 | 0.90 | 1.00 | 5.00 | |
| Job Satisfaction | 3.82 | 0.92 | 1.00 | 5.00 | 1.51 |
| Resources | 3.59 | 1.01 | 1.00 | 5.00 | 1.36 |
| Workload | 3.68 | 0.93 | 1.00 | 5.00 | 1.1 |
| Agency Size ** | 1.02 | ||||
| 1_Small | 0.04 | 0.20 | 0.00 | 1.00 | |
| 2_Med | 0.09 | 0.29 | 0.00 | 1.00 | |
| 3_Large | 0.87 | 0.34 | 0.00 | 1.00 | |
| Female *** | 0.62 | 0.49 | 0.00 | 1.00 | 1.03 |
| Age | 1.02 | ||||
| <40 | 0.38 | 0.49 | 0.00 | 1.00 | |
| 40–54 | 0.44 | 0.50 | 0.00 | 1.00 | |
| >=55 | 0.17 | 0.38 | 0.00 | 1.00 | |
| Level of Job | 1.11 | ||||
| 1_APS 1–6 | 0.67 | 0.47 | 0.00 | 1.00 | |
| 2_EL 1–2 | 0.31 | 0.46 | 0.00 | 1.00 | |
| 3_SES | 0.02 | 0.16 | 0.00 | 1.00 |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health and Well-being (DV1) (1) | 1 | ||||||||||||
| Health and Well-being (DV2) (2) | 0.958 * | 1 | |||||||||||
| Digital Meeting (DM) (3) | 0.018 * | 0.012 * | 1 | ||||||||||
| Digital Clearance (DC) (4) | 0.054 * | 0.053 * | 0.032 * | 1 | |||||||||
| Digital Training (DT) (5) | 0.071 * | 0.064 * | 0.174 * | 0.159 * | 1 | ||||||||
| Organizational Support (HC:PCA) (6) | 0.243 * | 0.221 * | 0.143 * | 0.093 * | 0.271 * | 1 | |||||||
| Job Satisfaction (7) | 0.222 * | 0.203 * | 0.113 * | 0.079 * | 0.166 * | 0.529 * | 1 | ||||||
| Resources (8) | 0.164 * | 0.154 * | 0.048 * | 0.095 * | 0.135 * | 0.431 * | 0.427 * | 1 | |||||
| Workload (9) | −0.051 * | −0.055 * | 0.077 * | −0.052 * | −0.010 * | −0.080 * | 0.026 * | −0.170 * | 1 | ||||
| Agency Size (10) | 0.003 | 0.003 | −0.076 * | 0.059 * | −0.069 * | −0.050 * | −0.017 * | 0.003 | −0.032 * | 1 | |||
| Female (11) | −0.005 | −0.010 * | −0.012 * | 0.065 * | 0.092 * | 0.030 * | 0.048 * | 0.040 * | −0.001 | 0.004 | 1 | ||
| Age (12) | 0.017 * | 0.020 * | −0.024 * | 0.014 * | 0.045 * | 0.012 * | −0.007 * | −0.027 * | 0.036 * | 0.038 * | −0.020 * | 1 | |
| Level of Job (13) | −0.024 * | −0.027 * | 0.156 * | −0.080 * | 0.022 * | 0.060 * | 0.095 * | −0.038 * | 0.214 * | −0.082 * | −0.104 * | 0.083 * | 1 |
| Health & Well-Being (5 Levels) | Health & Well-Being (3 Levels) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Coef. | S.E. | P > |Z| | [95% CI] | Coef. | S.E. | P > |Z| | [95% CI] | |||
| Health & Well-being (N) | ||||||||||
| Digital Meeting (DM) | −0.102 *** | 0.018 | 0.000 | −0.137 | −0.066 | −0.107 *** | 0.018 | 0.000 | −0.143 | −0.072 |
| Digital Clearance (DC) | 0.114 *** | 0.017 | 0.000 | 0.081 | 0.147 | 0.120 *** | 0.017 | 0.000 | 0.088 | 0.153 |
| Digital Training (DT) | −0.010 | 0.014 | 0.462 | −0.036 | 0.017 | −0.004 | 0.014 | 0.770 | −0.031 | 0.023 |
| Organizational Support (HC:PCA) | 0.164 *** | 0.004 | 0.000 | 0.156 | 0.171 | 0.146 *** | 0.004 | 0.000 | 0.139 | 0.154 |
| Job Satisfaction | 0.284 *** | 0.008 | 0.000 | 0.268 | 0.301 | 0.260 *** | 0.008 | 0.000 | 0.244 | 0.277 |
| Resources | 0.071 *** | 0.007 | 0.000 | 0.057 | 0.085 | 0.071 *** | 0.007 | 0.000 | 0.057 | 0.085 |
| Workload | −0.072 *** | 0.007 | 0.000 | −0.086 | −0.059 | −0.073 *** | 0.007 | 0.000 | −0.086 | −0.059 |
| Agency Size | 0.033 * | 0.013 | 0.010 | 0.008 | 0.058 | 0.029 * | 0.013 | 0.025 | 0.004 | 0.055 |
| Female | −0.108 *** | 0.013 | 0.000 | −0.132 | −0.083 | −0.114 *** | 0.013 | 0.000 | −0.139 | −0.089 |
| Age | 0.074 *** | 0.008 | 0.000 | 0.058 | 0.091 | 0.073 *** | 0.008 | 0.000 | 0.057 | 0.090 |
| Level of Job | −0.145 *** | 0.012 | 0.000 | −0.168 | −0.121 | −0.146 *** | 0.012 | 0.000 | −0.170 | −0.123 |
| Organizational Support (HC:PCA) (n) | ||||||||||
| Digital Meeting (DM) | 0.592 *** | 0.018 | 0.000 | 0.556 | 0.628 | 0.592 *** | 0.018 | 0.000 | 0.556 | 0.628 |
| Digital Clearance (DC) | 0.279 *** | 0.017 | 0.000 | 0.246 | 0.313 | 0.279 *** | 0.017 | 0.000 | 0.246 | 0.313 |
| Digital Training (DT) | 1.071 *** | 0.013 | 0.000 | 1.044 | 1.097 | 1.071 *** | 0.013 | 0.000 | 1.044 | 1.097 |
| _cons | −0.924 *** | 0.017 | 0.000 | −0.958 | −0.891 | −0.924 *** | 0.017 | 0.000 | −0.958 | −0.891 |
| cut1 | −2.707 | 0.064 | −2.832 | −2.582 | 0.054 | 0.062 | −0.067 | 0.176 | ||
| cut2 | 0.174 | 0.062 | 0.053 | 0.294 | 2.259 | 0.062 | 2.136 | 2.381 | ||
| cut3 | 2.384 | 0.062 | 2.263 | 2.506 | ||||||
| cut4 | 4.291 | 0.064 | 4.166 | 4.416 | ||||||
| var(e.HC_pca) | 3.907 | 0.017 | 3.873 | 3.941 | 3.907 | 0.017 | 3.873 | 3.941 | ||
| Health & Well-Being (3 Levels) | |||||
|---|---|---|---|---|---|
| Coef. | S.E. | P > |Z| | [95% CI] | ||
| 1. Health & Well-being (N) | (base outcome) | ||||
| 2. Health & Well-being (N) | |||||
| Digital Meeting (DM) | −0.300 *** | 0.023 | 0.000 | −0.346 | −0.255 |
| Digital Clearance (DC) | −0.004 | 0.021 | 0.843 | −0.046 | 0.038 |
| Digital Training (DT) | −0.231 *** | 0.017 | 0.000 | −0.265 | −0.197 |
| Organizational Support (HC:PCA) | 0.143 *** | 0.005 | 0.000 | 0.134 | 0.152 |
| Job Satisfaction | 0.262 *** | 0.010 | 0.000 | 0.242 | 0.281 |
| Resources | 0.079 *** | 0.009 | 0.000 | 0.062 | 0.096 |
| Workload | −0.150 *** | 0.008 | 0.000 | −0.167 | −0.134 |
| Agency Size | 0.105 *** | 0.016 | 0.000 | 0.074 | 0.137 |
| Female | −0.163 *** | 0.016 | 0.000 | −0.194 | −0.132 |
| Age | 0.271 *** | 0.011 | 0.000 | 0.250 | 0.292 |
| Level of Job | −0.081 *** | 0.015 | 0.000 | −0.110 | −0.051 |
| _cons | −0.514 *** | 0.076 | 0.000 | −0.662 | −0.365 |
| 3. Health & Well-being (N) | |||||
| Digital Meeting (DM) | −0.097 ** | 0.030 | 0.001 | −0.156 | −0.039 |
| Digital Clearance (DC) | 0.193 *** | 0.025 | 0.000 | 0.144 | 0.241 |
| Digital Training (DT) | 0.033 | 0.020 | 0.106 | −0.007 | 0.073 |
| Organizational Support (HC:PCA) | 0.204 *** | 0.006 | 0.000 | 0.193 | 0.216 |
| Job Satisfaction | 0.360 *** | 0.013 | 0.000 | 0.334 | 0.386 |
| Resources | 0.098 *** | 0.011 | 0.000 | 0.077 | 0.120 |
| Workload | −0.074 *** | 0.011 | 0.000 | −0.095 | −0.053 |
| Agency Size | 0.020 | 0.019 | 0.291 | −0.017 | 0.058 |
| Female | −0.146 *** | 0.019 | 0.000 | −0.184 | −0.108 |
| Age | 0.065 *** | 0.013 | 0.000 | 0.039 | 0.091 |
| Level of Job | −0.232 *** | 0.019 | 0.000 | −0.268 | −0.195 |
| _cons | −1.590 *** | 0.095 | 0.000 | −1.775 | −1.405 |
| Organizational Support (HC:PCA) (n) | |||||
| Digital Meeting (DM) | 0.592 *** | 0.018 | 0.000 | 0.556 | 0.628 |
| Digital Clearance (DC) | 0.279 *** | 0.017 | 0.000 | 0.246 | 0.313 |
| Digital Training (DT) | 1.071 *** | 0.013 | 0.000 | 1.044 | 1.097 |
| _cons | −0.924 *** | 0.017 | 0.000 | −0.958 | −0.891 |
| Var (e.HC_pca) | 3.907 | 0.017 | 3.873 | 3.941 | |
| 2. Health & Well-Being | 3. Health & Well-Being | |||
|---|---|---|---|---|
| Direct Effect | Indirect Effect+ | Direct Effect | Indirect Effect+ | |
| Digital Meeting (DM) | −0.300 *** | 0.085 *** | −0.097 ** | 0.121 *** |
| Digital Clearance (DC) | −0.004 | 0.040 *** | 0.193 *** | 0.057 *** |
| Digital Training (DT) | −0.231 *** | 0.153 *** | 0.033 | 0.218 *** |
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Ha, H.; Raghavan, A.; Demircioglu, M.A.; Hur, H. Digitalization and Employee Health and Well-Being During COVID-19. Adm. Sci. 2026, 16, 156. https://doi.org/10.3390/admsci16030156
Ha H, Raghavan A, Demircioglu MA, Hur H. Digitalization and Employee Health and Well-Being During COVID-19. Administrative Sciences. 2026; 16(3):156. https://doi.org/10.3390/admsci16030156
Chicago/Turabian StyleHa, Hyesong, Aarthi Raghavan, Mehmet Akif Demircioglu, and Hyunkang Hur. 2026. "Digitalization and Employee Health and Well-Being During COVID-19" Administrative Sciences 16, no. 3: 156. https://doi.org/10.3390/admsci16030156
APA StyleHa, H., Raghavan, A., Demircioglu, M. A., & Hur, H. (2026). Digitalization and Employee Health and Well-Being During COVID-19. Administrative Sciences, 16(3), 156. https://doi.org/10.3390/admsci16030156

