ArticleJMIR formative research2021
An Alternative to the Light Touch Digital Health Remote Study: The Stress and Recovery in Frontline COVID-19 Health Care Workers Study.
Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04713111 (Stress and Recovery in Frontline Healthcare COVID-19 Workers), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Stress and Recovery in Frontline Healthcare COVID-19 Workers: A Feasibility Study Using Wearable and Smartphone Devices
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recommendations to promote equity, diversity and inclusion in decentralized clinical trials.Nature medicine · 2024Guideline
- Wearable-Based Assessment for Relapse Prediction Following Repetitive Transcranial Magnetic Stimulation for Depression: Protocol for a Feasibility Study (WARN-D Study).JMIR research protocols · 2026Article
- Digital Health Tools Embedded in a Cancer Genetics Clinic: Observational Study.JMIR formative research · 2026Observational
- Patient engagement in digital health: a preliminary observation on user-centred and stakeholder feedback.BMJ open · 2026Article
- Longitudinal and Combined Smartwatch and Ecological Momentary Assessment in Racially Diverse Older Adults: Feasibility, Adherence, and Acceptability Study.JMIR human factors · 2025Article
- Forging a Career in Digital Health Research.Gastroenterology · 2024Article
- Value of Engagement in Digital Health Technology Research: Evidence Across 6 Unique Cohort Studies.Journal of medical Internet research · 2024Article
- Dissecting the heterogeneity of "in the wild" stress from multimodal sensor data.NPJ digital medicine · 2023Article
- Development of the ehive Digital Health App: Protocol for a Centralized Research Platform.JMIR research protocols · 2023Article
- Long-term participant retention and engagement patterns in an app and wearable-based multinational remote digital depression study.NPJ digital medicine · 2023Article
- The digital redesign of mental health: leveraging connected digital technologies for agency-driven patient-focused care.The British journal of psychiatry : the journal of mental science · 2023Article
- Recruitment and Retention in Remote Research: Learnings From a Large, Decentralized Real-world Study.JMIR formative research · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
22 authors.
Funding
Abstract
backgroundSeveral app-based studies share similar characteristics of a light touch approach that recruit, enroll, and onboard via a smartphone app and attempt to minimize burden through low-friction active study tasks while emphasizing the collection of passive data with minimal human contact. However, engagement is a common challenge across these studies, reporting low retention and adherence.
objectiveThis study aims to describe an alternative to a light touch digital health study that involved a participant-centric design including high friction app-based assessments, semicontinuous passive data from wearable sensors, and a digital engagement strategy centered on providing knowledge and support to participants.
methodsThe Stress and Recovery in Frontline COVID-19 Health Care Workers Study included US frontline health care workers followed between May and November 2020. The study comprised 3 main components: (1) active and passive assessments of stress and symptoms from a smartphone app, (2) objective measured assessments of acute stress from wearable sensors, and (3) a participant codriven engagement strategy that centered on providing knowledge and support to participants. The daily participant time commitment was an average of 10 to 15 minutes. Retention and adherence are described both quantitatively and qualitatively.
resultsA total of 365 participants enrolled and started the study, and 81.0% (n=297) of them completed the study for a total study duration of 4 months. Average wearable sensor use was 90.6% days of total study duration. App-based daily, weekly, and every other week surveys were completed on average 69.18%, 68.37%, and 72.86% of the time, respectively.
conclusionsThis study found evidence for the feasibility and acceptability of a participant-centric digital health study approach that involved building trust with participants and providing support through regular phone check-ins. In addition to high retention and adherence, the collection of large volumes of objective measured data alongside contextual self-reported subjective data was able to be collected, which is often missing from light touch digital health studies.
trial registrationClinicalTrials.gov NCT04713111; https://clinicaltrials.gov/ct2/show/NCT04713111.
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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.