Pashoja, Arlinda Cerga 
ORCID: https://orcid.org/0000-0002-7029-947X, Giovanis, Eleftherios, Ozdamar, Oznur, Aust, Birgit, Cresswell-Smith, Johanna, Leduc, Caleb, Sinesi, Andrea, Piña, Carolina, Van Audenhove, Chantal, Qirjako, Gentiana, Ross, Victoria, Kenneally, Margaret, Reich, Hanna, Coppens, Evelien, da Conceição, Virgínia, Torner, Helena Pardina, Mustafa, Sevim, Purebl, György, O’ Connor, Ainslie, Bucker, Joana, Riva, Silvia ORCID: https://orcid.org/0000-0003-2153-0169, Perez T. Seyen, Alexandra, Arensman, Ella and Lobo, Pedro
(2026)
Systematic review update of organisational-level mental healthpromotion interventions: evidence from healthcare, construction, andtelework-based mobile work settings.
International Archives of Occupational and Environmental Health, 99 (10).
DOI: https://doi.org/10.1007/s00420-025-02193-0
Abstract
Objective This systematic review evaluates the effectiveness of organisational-level mental health promotion interventionsin healthcare, construction, and Telework and ICT-based Mobile (TICTM) work, focusing on burnout, depression, anxiety,stress, and overall mental well-being.
Methods Following PRISMA 2020 guidelines and registered with PROSPERO (CRD42024541652), we searched PubMedMedline, Scopus, Web of Science, and EBSCOHost Medline. Studies were included if they assessed organisational-levelinterventions targeting mental health outcomes, used quantitative methods with control groups, and applied validated mea-surement tools. Eligible publications were those appearing between 10 July 2021 and 30 June 2024 for healthcare and 17May 2022 and 30 June 2024 for construction, reflecting the cut-off dates of our previous reviews, and between 1 January2014 and 30 June 2024 for TICTM. Included studies were appraised for quality using the Quality Assessment Tool for Quan-titative Studies (QATQS), and findings were synthesised using a narrative synthesis approach.
Results Six controlled trials (four randomised, two non-randomised) met the inclusion criteria. The four healthcare-sectorstudies each reported significant improvements in at least one primary mental health outcome-burnout, depression, or stress.The construction-sector study found a short-term reduction in stress at 12 months, but this was not sustained at 24 months.The single TICTM study reported improvements in positive affect, a component of psychological well-being.
Conclusion This update confirmed our previous findings, showing that evidence on organisational-level interventionsremains strongest in healthcare, where most studies reported improvements in at least one mental health outcome, whilestudies in construction and TICTM settings remain scarce. Only one study each was found for the construction sector and theTICTM setting, confirming the lack of organisational-level interventions for better mental health in sectors and settings otherthan healthcare. Due to this limited evidence base, no general trends can be identified. Nevertheless, the few studies suggestthat organisational-level mental health promotion interventions have the potential to improve mental health outcomes indiverse settings when appropriately adapted to sector-specific conditions.
