Abstract
Introduction: In the United States (U.S.), the COVID-19 pandemic accelerated the incorporation of telework at academic institutions, but its effect on employee well-being has been insufficiently studied. This study aimed to identify telework-related risk factors and assesses their associations with employee well-being during the pandemic.
Methods: This repeated cross-sectional survey was conducted at a large U.S. based health sciences university in two waves: the first wave survey was conducted in May 2020 (n=1,648) and the second wave survey in October 2020 (n=932). Survey-weighted logistic regressions were used to estimate the associations of telework-related risk factors with poor well-being, measured by the 5-item World Health Organization (WHO) Well-Being Index.
Results: Loneliness and personal health and safety concerns were associated with poor well-being in both waves. The effect of loneliness on poor well-being was amplified when employees needed support, indicating an interaction. Faculty were less likely to have poor well-being than staff personnel in the second wave.
Conclusions: Telework may have advantages, but adverse effects are common. Employment policies should address the telework-related risk factors to improve employee well-being for future public health pandemics.
References
The White House [Internet]. 2021 [cited 2023 Nov 1]. Notice on the Continuation of the National Emergency Concerning the Coronavirus Disease 2019 (COVID-19) Pandemic. Available from: https://www.whitehouse.gov/briefing-room/presidential-actions/2021/02/24/notice-on-the-continuation-of-the-national-emergency-concerning-the-coronavirus-disease-2019-covid-19-pandemic/
McDowell CP, Herring MP, Lansing J, Brower CS, Meyer JD. Associations Between Employment Changes and Mental Health: U.S. Data From During the COVID-19 Pandemic. Front Psychol. 2021;12:631510. doi: 10.3389/fpsyg.2021.631510
Order of County Judge Lina Hidalgo [Internet]. Harris County, Texas; 2023 [cited 2023 Nov 2]. Available from: https://agenda.harriscountytx.gov/2020/03-24-20StayHomeWorkSafe.pdf
Shih KK, Anderson AE, Brown J, Schuren N, Lyles MY, Williams J, et al. Stay Home, Work Safe: Attitudes and Beliefs of Members of a Department of Palliative Care, Rehabilitation, and Integrative Medicine Regarding Remote Work during the COVID-19 Pandemic. J Palliat Med. 2022 May;25(5):757-767. doi: 10.1089/jpm.2021.0343.
Parent-Lamarche A, Boulet M. Employee well-being in the COVID-19 pandemic: The moderating role of teleworking during the first lockdown in the province of Quebec, Canada. Work. 2021;70(3):763–75. doi: 10.3233/WOR-205311.
Galanti T, Guidetti G, Mazzei E, Zappalà S, Toscano F. Work From Home During the COVID-19 Outbreak: The Impact on Employees’ Remote Work Productivity, Engagement, and Stress. J Occup Environ Med. 2021;63(7):e426-e432. doi: 10.1097/JOM.0000000000002236.
U.S. Office of Personnel Management [Internet]. [cited 2025 Apr 14]. What is the difference between Telework and Remote work? - OPM.gov. Available from: https://www.opm.gov/frequently-asked-questions/telework-faq/remote-work/what-is-the-difference-between-telework-and-remote-work/
Brynjolfsson E, Horton J, Ozimek A, Rock D, Sharma G, TuYe HY. COVID-19 and Remote Work: An Early Look at U.S. Data [Internet]. Cambridge, MA: National Bureau of Economic Research; 2020 Jun; p. w27344. Report No. w27344. Available from: http://www.nber.org/papers/w27344.pdf
Saad L, Ben W. Remote work persisting and trending permanent [Internet]. Gallup; 2021 Oct [cited 2023 Nov 2]. Available from: https://news.gallup.com/poll/355907/remote-work-persisting-trending-permanent.aspx
Barone Gibbs B, Kline CE, Huber KA, Paley JL, Perera S. Covid-19 shelter-at-home and work, lifestyle and well-being in desk workers. Occup Med (Lond). 2021;71(2):86-94. doi: 10.1093/occmed/kqab011.
Xiao Y, Becerik-Gerber B, Lucas G, Roll SC. Impacts of Working From Home During COVID-19 Pandemic on Physical and Mental Well-Being of Office Workstation Users. J Occup Environ Med. 2021;63(3):181–90. doi: 10.1097/JOM.0000000000002097.
Diener E, Seligman ME. Beyond Money: Toward an Economy of Well-Being. Psychol Sci Public Interest. 2004;5(1):1-31. doi: 10.1111/j.0963-7214.2004.00501001.x.
Lyubomirsky S, King L, Diener E. The benefits of frequent positive affect: does happiness lead to success? Psychol Bull. 2005;131(6):803-55. doi: 10.1037/0033-2909.131.6.803.
Stiehl E, Jones-Jack NH, Baron S, Muramatsu N. Worker well-being in the United States: Finding variation across job categories. Prev Med Rep. 2018;13:5-10. doi: 10.1016/j.pmedr.2018.10.006. .
Wang X, Hegde S, Son C, Keller B, Smith A, Sasangohar F. Investigating Mental Health of U.S. College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study. J Med Internet Res. 2020;22(9):e22817. doi: 10.2196/22817. .
Heidt A. Heeding the happiness call: why academia needs to take faculty mental health more seriously. Nature. 2023 Feb 13. doi: 10.1038/d41586-023-00419-0.
Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on College Students' Mental Health in the United States: Interview Survey Study. J Med Internet Res. 2020;22(9):e21279. doi: 10.2196/21279.
Setiawan KB, Hikmawati I, Wardani DPK, Juanita J. Differences in elderly stress levels before Covid-19 vaccination: History of exposure to Covid-19 reduces stress before vaccination. Vacunas. 2023;24(2):135-140. doi: 10.1016/j.vacun.2022.10.005.
Ka?ucka S, Kuside? E, G?owacka A, Oczo? P, Grzegorczyk-Karolak I. Pre-Vaccination Stress, Post-Vaccination Adverse Reactions, and Attitudes towards Vaccination after Receiving the COVID-19 Vaccine among Health Care Workers. Vaccines (Basel). 2022;10(3):401. doi: 10.3390/vaccines10030401.
Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585.
Russell D, Peplau LA, Ferguson ML. Developing a measure of loneliness. J Pers Assess. 1978;42(3):290-4. doi: 10.1207/s15327752jpa4203_11.
Miyake F, Odgerel CO, Hino A, Ikegami K, Nagata T, Tateishi S, et al. Job stress and loneliness among desk workers during the COVID-19 pandemic in Japan: focus on remote working. Environ Health Prev Med. 2022;27:33. doi: 10.1265/ehpm.22-00107. .
LaBerge L, O’Toole C, Schneider J, Smaje K. How COVID-19 has pushed companies over the technology tipping point—and transformed business forever. 2020 Oct 5. Available from: https://www.mckinsey.com/capabilities/strategy-and-corporate-finance/our-insights/how-covid-19-has-pushed-companies-over-the-technology-tipping-point-and-transformed-business-forever#/
Almahasees Z, Mohsen K, Amin MO. Faculty’s and Students’ Perceptions of Online Learning During COVID-19. Front Educ. 2021;6:638470. doi: 10.3389/feduc.2021.638470
Lemay DJ, Bazelais P, Doleck T. Transition to online learning during the COVID-19 pandemic. Comput Hum Behav Rep. 2021;4:100130. doi: 10.1016/j.chbr.2021.100130.
Scheibe S, De Bloom J, Modderman T. Resilience during Crisis and the Role of Age: Involuntary Telework during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022;19(3):1762. doi: 10.3390/ijerph19031762.
Witte HD. Job Insecurity and Psychological Well-being: Review of the Literature and Exploration of Some Unresolved Issues. European Journal of Work and Organizational Psychology. 1999;8(2):155–77. doi: 10.1080/135943299398302
Abdul Jalil NI, Tan SA, Ibharim NS, Musa AZ, Ang SH, Mangundjaya WL. The Relationship between Job Insecurity and Psychological Well-Being among Malaysian Precarious Workers: Work-Life Balance as a Mediator. Int J Environ Res Public Health. 2023;20(3):2758. doi: 10.3390/ijerph20032758.
Office of the Surgeon General (OSG). Our Epidemic of Loneliness and Isolation: The U.S. Surgeon General’s Advisory on the Healing Effects of Social Connection and Community [Internet]. Washington (DC): U.S. Department of Health and Human Services; 2023 [cited 2025 Mar 31]. (Publications and Reports of the Surgeon General). Available from: http://www.ncbi.nlm.nih.gov/books/NBK595227/
Fujii R, Konno Y, Tateishi S, Hino A, Tsuji M, Ikegami K, et al. Association Between Time Spent With Family and Loneliness Among Japanese Workers During the COVID-19 Pandemic: A Cross-Sectional Study. Front Psychiatry. 2021;12:786400. doi: 10.3389/fpsyt.2021.786400.
Kirwin MA, Ettinger AK. Working mothers during COVID-19: a cross-sectional study on mental health status and associations with the receipt of employment benefits. BMC Public Health. 2022;22(1):435. doi: 10.1186/s12889-021-12468-z.
De Vincenzi C, Pansini M, Ferrara B, Buonomo I, Benevene P. Consequences of COVID-19 on Employees in Remote Working: Challenges, Risks and Opportunities An Evidence-Based Literature Review. Int J Environ Res Public Health. 2022;19(18):11672. doi: 10.3390/ijerph191811672.
Toscano F, Zappalà S. Social Isolation and Stress as Predictors of Productivity Perception and Remote Work Satisfaction during the COVID-19 Pandemic: The Role of Concern about the Virus in a Moderated Double Mediation. Sustainability. 2020;12(23):9804. doi: 10.3390/su12239804
Shih KK, Anderson A, Dai J, Fellman B, Rozman de Moraes A, Stanton P, et al. Hybrid Work from Home Clinical Academic Environment: A One-Year Follow-Up Survey of Attitudes and Beliefs of Members of a Department of Palliative Care, Rehabilitation, and Integrative Medicine. J Palliat Med. 2023;26(3):342-352. doi: 10.1089/jpm.2022.0203.
Tyson A, Pasquini G. How Americans View the Coronavirus, COVID-19 Vaccines Amid Declining Levels of Concern [Internet]. Pew Research Center; 2024 Mar [cited 2024 Apr 23]. Available from: https://www.pewresearch.org/science/2024/03/07/how-americans-view-the-coronavirus-covid-19-vaccines-amid-declining-levels-of-concern/
Smart SJ, Polachek SW. COVID-19 vaccine and risk-taking. J Risk Uncertain. 2024;68(1):25–49. doi: 10.1007/s11166-023-09424-0
Chari R, Chang CC, Sauter SL, Petrun Sayers EL, Cerully JL, Schulte P, et al. Expanding the Paradigm of Occupational Safety and Health: A New Framework for Worker Well-Being. J Occup Environ Med. 2018;60(7):589-593. doi: 10.1097/JOM.0000000000001330.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Aro Choi, David Gimeno Ruiz de Porras, Monica Guidry, Janelle Ríos, Francisco Perez, Robert Emery, Luis Ostrosky-Zeichner, George Delclos
