{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:48:07Z","timestamp":1771274887744,"version":"3.50.1"},"reference-count":113,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,19]],"date-time":"2023-02-19T00:00:00Z","timestamp":1676764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"health insurances","award":["2-8001086-01-EF"],"award-info":[{"award-number":["2-8001086-01-EF"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Detrimental effects of chronic stress on healthcare professionals have been well-established, but the implementation and evaluation of effective interventions aimed at improving distress coping remains inadequate. Individualized mHealth interventions incorporating sensor feedback have been proposed as a promising approach. This study aimed to investigate the impact of individualized, sensor-based mHealth interventions focusing on stress and physical activity on distress coping in healthcare professionals. The study utilized a multi-arm, parallel group randomized controlled trial design, comparing five intervention groups (three variations of web-based training and two variations of an app training) that represented varying levels of individualization to a control group. Both self-reported questionnaire data (collected using Limesurvey) as well as electrocardiography and accelerometry-based sensory data (collected using Mesana Sensor) were assessed at baseline and post-intervention (after eight weeks). Of the 995 eligible participants, 170 (26%) completed the post-intervention measurement (Group 1: N = 21; Group 2: N = 23; Group 3: N = 7; Group 4: N = 34; Group 5: N = 16; Control Group: N = 69). MANOVA results indicated small to moderate time-by-group interaction effects for physical activity-related outcomes, including moderate to vigorous physical activity (F(1,5) = 5.8, p = \u22640.001, \u03b72p = 0.057) and inactivity disruption (F(1,5) = 11.2, p = &lt;0.001, \u03b72p = 0.100), in the app-based intervention groups, but not for step counts and inactivity. No changes were observed in stress-related heart rate variability parameters over time. Despite a high dropout rate and a complex study design, the individualized interventions showed initial positive effects on physical activity. However, no significant changes in stress-related outcomes were observed, suggesting that the intervention duration was insufficient to induce physiological adaptations that would result in improved distress coping.<\/jats:p>","DOI":"10.3390\/s23042322","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T02:29:08Z","timestamp":1676860148000},"page":"2322","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Efficacy of Individualized Sensory-Based mHealth Interventions to Improve Distress Coping in Healthcare Professionals: A Multi-Arm Parallel-Group Randomized Controlled Trial"],"prefix":"10.3390","volume":"23","author":[{"given":"Hannes","family":"Baumann","sequence":"first","affiliation":[{"name":"Department of Biopsychology and Neuroergonomics, Technical University Berlin, 10623 Berlin, Germany"},{"name":"Institute of Human Movement Science, University of Hamburg, 20146 Hamburg, Germany"},{"name":"Medical School Hamburg, Institute of Interdisciplinary Exercise Science and Sports Medicine, 20457 Hamburg, Germany"}]},{"given":"Luis","family":"Heuel","sequence":"additional","affiliation":[{"name":"Department of Biopsychology and Neuroergonomics, Technical University Berlin, 10623 Berlin, Germany"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8765-2970","authenticated-orcid":false,"given":"Laura Louise","family":"Bischoff","sequence":"additional","affiliation":[{"name":"Institute of Human Movement Science, University of Hamburg, 20146 Hamburg, Germany"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1082-9141","authenticated-orcid":false,"given":"Bettina","family":"Wollesen","sequence":"additional","affiliation":[{"name":"Institute of Human Movement Science, University of Hamburg, 20146 Hamburg, Germany"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1055\/a-0638-7463","article-title":"Arbeitsstress als Risikofaktor f\u00fcr kardiovaskul\u00e4re Erkrankungen","volume":"7","author":"Dragano","year":"2018","journal-title":"Aktuelle Kardiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"500","DOI":"10.2486\/indhealth.2017-0190","article-title":"Heart rate variability and occupational stress-systematic review","volume":"56","author":"Sinikallio","year":"2018","journal-title":"Ind. 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