Evidence map›Paper›PMID 40137486›Full record

ArticleToxics2025

Beta and Pilot Testing of the Surviving & Thriving Healthy Lifestyle App: A Countermeasure to Firefighters' Occupational Health Risks.

Irene Lidoriki, Bogdan Anđelic, Fan-Yun Lan, Maria Soledad Hershey, Spyridon Georgakopoulos, Kishor Hadkhale, Eleni Speros, Mercedes Sotos-Prieto, Costas A Christophi, Stefanos N Kales

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Toxics, 2025. 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

10 authors.

Irene LidorikiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0003-4608-9621
Bogdan AnđelicDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0002-9327-2667
Fan-Yun LanDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0001-5167-3975
Maria Soledad HersheyHuman Flourishing Program, Institute of Quantitative Social Science, Harvard University, 12 Arrow Street, Cambridge, MA 02138, USA.ORCID 0000-0002-8690-8567
Spyridon GeorgakopoulosHellenic Center for Excellence in Health & Wellness, Newton, MA 02459, USA.
Kishor HadkhaleDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0002-8173-9469
Eleni SperosMassachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, USA.
Mercedes Sotos-PrietoDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Costas A ChristophiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0003-0503-1538
Stefanos N KalesDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0002-7712-4664

Funding

US Department of Homeland Security's Federal Emergency Management Agency (FEMA, Wash-ington D.C., USA) Assistance to Firefighters Grant (AFG) EMW-2020-FP-00063.
6 · The paper itself

Abstract

backgroundFirefighters face elevated chronic disease risks, and interventions promoting healthier lifestyles are essential for improving their well-being. This study aimed to beta test and further evaluate a healthy lifestyle app (HLS app) for firefighters.

methodsBeta usability testing was conducted with new firefighters after using the app. Pilot testing was conducted in two cohorts, (1) the Connecticut Fire Academy Class A-CCA after graduation and (2) the Connecticut Class B-CCB and Miami-Dade Fire Rescue Academy, during academy training to evaluate the potential efficacy of the HLS app in improving healthy lifestyle behaviors, mental health, and physical fitness over three months of use.

resultsBeta testing (n = 93) revealed positive usability feedback, with 62% finding it useful for their health. Pilot testing after graduation (n = 28) was associated with increased push-up capacity (35.6 ± 11.7 vs. 42.9 ± 16.1,

conclusionsThe app was well received and showed potential for improving firefighter health. A randomized controlled trial is needed to rigorously evaluate the effectiveness of the HLS app.

Indexed as

firefightershealthy lifestylenutritionoccupational riskphysical activityresiliencesleepsmartphone application intervention

Identifiers

PMID40137486
PMCPMC11945949

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.