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Stress and Recovery in Frontline COVID-19 Workers

Stress and Recovery in Frontline Healthcare COVID-19 Workers: A Feasibility Study Using Wearable and Smartphone Devices

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04713111
Enrollment
383
Registered
2021-01-19
Start date
2020-05-04
Completion date
2020-11-30
Last updated
2021-03-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Covid19, Stress, Wearables

Keywords

stress, frontliner, covid19, wearables

Brief summary

The novel coronavirus (COVID-19) pandemic has caused an unprecedented stress on healthcare systems in affected countries, and in particular, on the healthcare workers at the frontline working directly with COVID-19 positive patients. Numerous lines of evidence support the damaging impact of stress on our immune systems which increases susceptibility to infection. Yet, the accurate measurement of immediate stress responses in real time and in naturalistic settings has so far been a challenge, limiting our understanding of how different facets of acute or sustained stress increases susceptibility. This study utilizes wearable technologies including an Oura smart ring as well as semi-continuous passive and active biometric measurements carried out using individuals' own smartphones equipped with applications to track and transmit key data to measure frontline workers stress and recovery during a uniquely stressful and high-risk work environment.

Interventions

BEHAVIORALLifestyle (Meditation)

Those in the meditation arm (exercisers) were instructed to complete meditation sessions from the smartphone app, Headspace 2 or more times a week for a duration of 4 weeks.

BEHAVIORALLifestyle (Exercise)

Those in the physical activity arm (meditators) were instructed to complete 30 minutes to 1 hour of physical activity for 2 or more sessions per week for 4 weeks.

Sponsors

Center for International Emergency Medical Services
CollaboratorOTHER
Evidation Health
CollaboratorINDUSTRY
Vector Institute for Artificial Intelligence
CollaboratorUNKNOWN
Cambridge Cognition Ltd
CollaboratorINDUSTRY
Bill and Melinda Gates Foundation
CollaboratorOTHER
4YouandMe
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE

Intervention model description

All Interested and enrolled participants in the main Stress and Recovery were invited to participate in a lifestyle intervention arm. Participants were instructed to self-select into either a physical activity arm, or a meditation arm. Participants were excluded if they were already partaking in both regular physical exercise, and meditation.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Healthcare workers working directly with COVID-19 patients, or whose work routines have been shifted from COVID-19 * Age over 18 years * Able to speak, write and read English, given the app will be available only in English * Able to provide informed consent * Have a personal IOS mobile phone (OS11 and above). * Own a personal wearable device including a Fitbit, Garmin, or Oura ring (BYOD arm only)

Exclusion criteria

\- Prior COVID-19 infection

Design outcomes

Primary

MeasureTime frameDescription
Study Retention4 monthsProportion of participants completing the study
Daily survey/task adherence4 monthsAverage completion of daily app-based surveys/tasks
Oura adherence4 monthsAverage usage of the Oura smartring during study follow-up
Garmin adherence4 monthsAverage usage of the Garmin smartwatch during study follow-up

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026