Evidence map›Paper›PMID 42018118›Full record

ArticleJournal of occupational rehabilitation2026

Predicting Emotional Exhaustion with Multimodal Sensor Data During Return-to-Work Trajectories: A 6-Month Longitudinal Study.

Lea Berkemeier, Wim Kamphuis, Hilbrand Oldenhuis, Robin Kok, Bart Aben, Rudolf Verdaasdonk, Lisette van Gemert-Pijnen

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Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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5 · Who and what money

Authors and funding

7 authors.

Lea BerkemeierDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, 7522NB, Enschede, The Netherlands. l.berkemeier@utwente.nl.ORCID http://orcid.org/0000-0001-7065-5158
Wim KamphuisDepartment of Learning and Workforce Development, The Netherlands Organization for Applied Scientific Research (TNO), 3769 DE, Soesterberg, The Netherlands.ORCID http://orcid.org/0000-0002-8363-9277
Hilbrand OldenhuisResearch Group Digital Transformation, Hanze University of Applied Sciences, 9747 AS, Groningen, The Netherlands.ORCID http://orcid.org/0000-0001-6493-5030
Robin KokDepartment of Research and Development, HumanTotalCare B.V., Zwarte Woud 10, 3524 SJ, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-9845-282X
Bart AbenDepartment of Research and Development, HumanTotalCare B.V., Zwarte Woud 10, 3524 SJ, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-7918-1590
Rudolf VerdaasdonkTechMed Center, Faculty of Science and Technology, University of Twente, 7522 NB, Enschede, The Netherlands.ORCID http://orcid.org/0000-0002-3115-637X
Lisette van Gemert-PijnenDepartment of Psychology, Health and Technology, Centre for eHealth Research and Wellbeing, University of Twente, 7522NB, Enschede, The Netherlands.ORCID http://orcid.org/0000-0001-6511-7240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmotional exhaustion is a core component of burnout and impacts return-to-work trajectories following sick leave due to burnout or stress. Previous research identified links between emotional exhaustion and sleep, physical activity, mobility, and smartphone usage, yet little is known about how these associations vary within and between individuals over time. This study examined how emotional exhaustion can be monitored and predicted using multimodal data from smartphones and smart rings during return-to-work trajectories.

methodsEighteen employees on sick leave in the Netherlands due to stress or burnout symptoms were recruited via occupational physicians. For six months, participants completed daily Ecological Momentary Assessments (EMAs) of emotional exhaustion and provided multimodal sensor data on sleep and physical activity (Oura ring), mobility, and phone usage patterns (Avicenna app). Between- and within-person associations were examined using correlational analyses and linear mixed models. Subject-dependent Random Forest (RF) models were trained to assess the predictive performance of multimodal features.

resultsSubject-dependent RF models achieved an average Spearman's ρ̄ of 0.38 (range: 0.10-0.72). Sleep and physical activity features showed more consistent associations with emotional exhaustion than mobility and smartphone usage patterns, which were more heterogeneous. The strength and direction of associations, as well as the most predictive features, varied substantially between participants.

conclusionsMultimodal device data can modestly predict emotional exhaustion, with performance varying by individual. Results indicate that emotional exhaustion patterns are highly variable among employees, necessitating individualized approaches to return-to-work counselling. Future research should incorporate longer monitoring periods and examine inter- and intra-individual variability.

Indexed as

Emotional exhaustionEmployeeLongitudinalReturn-to-workSick-listedWearable sensors

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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.