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Updated: May 31, 2026

A Community-based Stress Management Program: Using Wearable Devices to Assess Whole Body Physiological Responses in Non-laboratory Settings
Published on: January 22, 2018
Design element alternatives for stress-management intervention websites.
Reg A Williams1, Gary Gatien, Bonnie Hagerty
1University of Michigan, School of Nursing, Ann Arbor, MI 48109, USA. rawill@umich.edu
Stress Gym is an evidence-based website intervention helping U.S. military members manage stress and depression. It effectively reduced perceived stress levels through interactive, self-paced modules.
Area of Science:
- Digital Health Interventions
- Psychological Health
- Web-Based Self-Help Tools
Background:
- Existing public and military websites for stress and depression are often prescriptive and not user-friendly.
- Many online resources lack interactivity and self-pacing, hindering user engagement and effectiveness.
- There is a need for accessible, evidence-based digital tools for managing mild to moderate stress and depressive symptoms.
Purpose of the Study:
- To develop and evaluate Stress Gym, a novel website intervention for U.S. military members.
- To provide an evidence-based, self-help tool for managing stress and depressive symptoms.
- To incorporate effective web-based health management design elements, including interactivity and self-pacing.
Main Methods:
- Stress Gym was designed with user-preferred elements: interactivity, self-pacing, and appealing aesthetics.
- The intervention offers 24/7 availability and progress tracking for self-managed stress reduction.
- Navy members utilized interactive modules to practice stress management strategies immediately after login.
Main Results:
- Stress Gym demonstrated effectiveness in reducing perceived stress levels among Navy members.
- Significant decreases in reported stress were observed from baseline to follow-up assessments.
- The intervention's design elements were well-received by users.
Conclusions:
- Stress Gym serves as an effective, first-level intervention for mild to moderate stress and depressive symptoms in military personnel.
- The website's design, incorporating interactivity and self-pacing, offers a successful model for future digital health interventions.
- This approach provides a valuable template for developing and comparing online health-management websites.
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