Evidence map›Paper›PMID 42502961›Full record

Trial reportJournal of occupational health2026

Effects of a telework environment intervention on work setup behaviors and somatic symptoms among Japanese teleworkers: a secondary analysis of the TELEWORK cluster randomized controlled trial.

Satoru Kanamori, Aya Wada, Jihoon Kim, Wataru Umishio, Takahiko Yoshimoto, Rumi Tsukinoki, Natsumi Yoshioka, Kaori Yoshiba, Masahiko Gosho, Yoshio Nakata and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of occupational health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Satoru KanamoriGraduate School of Public Health, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.ORCID 0000-0002-8707-471X
Aya WadaPhysical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan.ORCID 0000-0002-7084-5506
Jihoon KimInstitute of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan.ORCID 0000-0002-4362-1304
Wataru UmishioDepartment of Architecture and Building Engineering, School of Environment and Society, Institute of Science Tokyo, Tokyo, Japan.ORCID 0000-0002-2167-3429
Takahiko YoshimotoDepartment of Hygiene, Public Health and Preventive Medicine, Showa Medical University School of Medicine, Tokyo, Japan.ORCID 0000-0002-3039-6179
Rumi TsukinokiDepartment of Public Health Nursing, Institute of Science Tokyo, Tokyo, Japan.ORCID 0000-0001-7344-6618
Natsumi YoshiokaPhysical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan.ORCID 0009-0005-9129-9259
Kaori YoshibaPhysical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan.ORCID 0009-0006-9199-6107
Masahiko GoshoDepartment of Biostatistics, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0002-5973-9163
Yoshio NakataInstitute of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan.ORCID 0000-0002-0888-4440
Yuko KaiPhysical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan.ORCID 0000-0002-7176-0352

Funding

Advanced Research Initiative for Human High PerformanceJapanese Ministry of Health, Labour and Welfare 22JA1005Japanese Ministry of Health, Labour and Welfare 26JA1006JSPS KAKENHI 23H03161JSPS KAKENHI 23K16526University of Tsukuba
6 · The paper itself

Abstract

objectivesHome workspace ergonomics may influence telework-related somatic symptoms; however, evidence regarding interventions promoting teleworkers' self-directed environment setup remains limited. We examined the effects of a behavioral science-based educational intervention on telework environment setup behaviors and somatic symptoms among Japanese employees.

methodsThis was a secondary analysis of the TELEWORK cluster randomized controlled trial (UMIN000053861). Workplace departments were randomized as clusters (1:1) to intervention/control. The 12-week program comprised educational emails, short videos, individualized feedback sheets, and supportive supervisor messages. The primary and secondary outcomes were the Telework Environment Setup Behavior (12 items) and Somatic Symptom Scale-8 (SSS-8) scores, respectively. Analyses used a modified intention-to-treat approach with mixed-effects models.

resultsTwelve clusters from 6 companies participated (182 and 188 in the intervention and control groups, respectively). No significant between-group differences were observed in environment setup (difference, 1.34; 95% CI, -1.67 to 4.35; P = .345) or SSS-8 (difference, -1.10; 95% CI, -2.59 to 0.38; P = .129) scores at follow-up. In the process evaluation, over half of intervention participants who completed the follow-up reported satisfaction, nearly 90% read the emails, and approximately 40% viewed the videos. Among video viewers, approximately two-thirds reported adopting recommended behaviors, while >80% rated the content useful.

conclusionsThis secondary analysis did not detect statistically significant improvements in telework environment setup behaviors or somatic symptoms. Statistical conclusions regarding intervention effects remain inconclusive, underscoring the need for organizationally supported, multifaceted strategies to strengthen telework environments.

Indexed as

Occupational DiseasesTeleworkingWorkplaceAdultEast Asian PeopleErgonomicsFemaleHumansJapanMaleMiddle AgedOccupational HealthWorking Conditionsbehavioral sciencesergonomicsoccupational healthrandomized controlled trials as topicsomatic symptomsteleworking

Identifiers

PMID42502961
PMCPMC13502406

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.