Using consumer-wearable technology for remote assessment of physiological response to stress in the naturalistic environment

PLoS One. 2020 Mar 25;15(3):e0229942. doi: 10.1371/journal.pone.0229942. eCollection 2020.

Abstract

Psychosocial stress is a major risk factor for morbidity and mortality related to a wide range of health conditions and has a significant negative impact on public health. Quantifying exposure to stress in the naturalistic environment can help to better understand its health effects and identify strategies for timely intervention. The objective of the current project was to develop and test the infrastructure and methods necessary for using wearable technology to quantify individual response to stressful situations and to determine if popular and accessible fitness trackers such as Fitbit® equipped with an optical heart rate (HR) monitor could be used to detect physiological response to psychosocial stress in everyday life. The participants in this study were University of Minnesota students (n = 18) that owned a Fitbit® tracker and had at least one upcoming examination. Continuous HR and activity measurements were obtained during a 7-day observation period containing examinations self-reported by the participants. Participants responded to six ecological momentary assessment surveys per day (~ 2 hour intervals) to indicate occurrence of stressful events. We compared HR during stressful events (e.g., exams) to baseline HR during periods indicated as non-stressful using mixed effects modeling. Our results show that HR was elevated by 8.9 beats per minute during exams and by 3.2 beats per minute during non-exam stressors. These results are consistent with prior laboratory findings and indicate that consumer wearable fitness trackers could serve as a valuable source of information on exposure to psychosocial stressors encountered in the naturalistic environment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Accelerometry / trends
  • Adult
  • Exercise / physiology*
  • Female
  • Fitness Trackers / trends
  • Heart Rate / physiology
  • Humans
  • Male
  • Monitoring, Physiologic*
  • Pilot Projects
  • Remote Sensing Technology
  • Stress, Psychological / physiopathology*
  • Telephone
  • Wearable Electronic Devices*
  • Young Adult