Evidence map›Paper›PMID 40846922›Full record

ArticleBMC public health2025

Wearable device-based interventions in heat-exposed outdoor workers - a scoping review and an explanatory intervention model.

Julian Friedrich, Teresa S Schick, Filip Mess, Simon Blaschke

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

4 authors.

Julian FriedrichTUM School of Medicine and Health, Department of Health and Sports Sciences, Technical University of Munich, Munich, Germany. julian.friedrich@tum.de.ORCID http://orcid.org/0000-0002-6934-7147
Teresa S SchickTUM School of Medicine and Health, Department of Health and Sports Sciences, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0009-0003-6651-2893
Filip MessTUM School of Medicine and Health, Department of Health and Sports Sciences, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-9506-524X
Simon BlaschkeTUM School of Medicine and Health, Department of Health and Sports Sciences, Technical University of Munich, Munich, Germany. simon.blaschke@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal climate change poses a challenge to the health prevention of heat-exposed outdoor workers. Interventions with mobile or wearable devices monitoring physiological and environmental parameters may be one solution to maintain and promote their health. Based on the recognized potential of wearables in mitigating heat stress, a detailed analysis of the contextual factors, mechanisms, and outcomes of wearable device-based interventions is lacking. A scoping review was carried out to address the objectives of contextual analysis, fundamental mechanisms, and an assessment of outcomes to propose an explanatory intervention model based on the findings.

methodsWeb of Science and PubMed databases were searched by search strings related to (1) wearables (2), outdoor workers, and (3) heat stress. Study characteristics and relevant data regarding the context-mechanism-outcome configurations were extracted and analyzed.

resultsOut of 410 articles detected, 19 publications were eligible for in-depth review. Wearables are well-accepted for the prevention of heat stress symptoms. By recording relevant indicators, i.e., heart rate and temperature, real-time health alerts can be issued as risk-based early warnings, and personalized feedback or recommendations towards behavior adaptation can be generated. A high risk of occupational heat stress was identified for construction, agriculture, and groundwork workers. Heat-exposed outdoor workers were mainly young to middle-aged males and often overweight or obese, with increased heart and breathing rates in hot work environments. Wearable device-based interventions are particularly effective if a mindset of safety culture is present in the workplace and environmental health literacy is promoted to increase heat risk awareness and willingness to change work health behavior.

conclusionBased on these findings, we developed an explanatory intervention model. This model draws on well-established frameworks, theories, and models. It helps to identify, describe, and explain what works, for whom, and under what circumstances in the context of wearable usage in heat-exposed outdoor workers. Incorporating environmental health literacy and precision prevention in occupational health approaches with continuous monitoring of environmental and physiological parameters will allow for real-time, tailored feedback, leading to more effective heat stress prevention.

Indexed as

Heat Stress DisordersHot TemperatureOccupational ExposureWearable Electronic DevicesHumansDevicesEnvironmental health literacyHealthHeat-related illnessHeat strainHeat stressSensorsWorkplace

Identifiers

PMID40846922
PMCPMC12372262

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.