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Momentary Stressor Logging and Reflective Visualizations: Implications for Stress Management with Wearables
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Commercial wearables from Fitbit, Garmin, and Whoop have recently introduced real-time notifications based on detecting changes in physiological responses indicating potential stress. In this paper, we investigate how these new capabilities can be leveraged to improve stress management. We developed a smartwatch app, a smartphone app, and a cloud service, and conducted a 100-day field study with 122 participants who received prompts triggered by physiological responses several times a day. They were asked whether they were stressed, and if so, to log the most likely stressor. Each week, participants received new visualizations of their data to self-reflect on patterns and trends. Participants reported better awareness of their stressors, and self-initiating fourteen kinds of behavioral changes to reduce stress in their daily lives. Repeated self-reports over 14 weeks showed reductions in both stress intensity (in 26,521 momentary ratings) and stress frequency (in 1,057 weekly surveys).
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A field-trained, open-source PPG foundation model outperforms a clinical-data-trained model on 10 of 11 downstream health tasks across wearable and clinical settings.
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