Enhancing Sleep and Mental Health: Real-World Evidence from a Digital Mental Health Platform (Preprint)

<sec> <title>BACKGROUND</title> Poor sleep is closely linked to mental health and workplace burnout, and many struggle to get enough restorative sleep. </sec> <sec> <title>OBJECTIVE</title> This study examined how engagement with a multi-modal employer-sponsored digital mental health platform impacted perceived sleep quality over time, and whether improvements were associated with changes in mental health and burnout. </sec> <sec> <title>METHODS</title> Working adults (N = 578, 61.1% women, Mage = 33.9 years, 40.3% people of color) newly registered for the platform completed measures of self-rated sleep quality, depression, anxiety, and burnout, at baseline, 3-months, and 12-months. Participants engaged with at least one care modality (virtual therapy, coaching, or digital resources). We examined baseline associations, changes in sleep quality, and longitudinal associations with mental health and burnout. </sec> <sec> <title>RESULTS</title> At baseline, 42% reported poor sleep quality and were more likely to have higher depression, anxiety, and burnout. Each month of platform use increased the odds of good sleep quality by 3.73% (p = .02). Higher sleep quality over time was associated with improvements in depression, anxiety, and burnout (ps &lt; .001). The 44% of participants who improved their sleep from baseline to 12-months showed reduced depression (-48.25%) and anxiety (-38.33%), and increased cynicism burnout, though cynicism levels remained below the cut-off for high burnout (+24%; ps &lt; .01). </sec> <sec> <title>CONCLUSIONS</title> Use of a digital mental health platform was associated with meaningful improvements in sleep quality over 12-months. These gains were linked to reductions in depression, anxiety, and burnout, highlighting broader well-being benefits of integrated mental health care. </sec>