Related Experiment Video
Updated: Feb 21, 2026

Evaluation of Commercial-Off-The-Shelf Wrist Wearables to Estimate Stress on Students
Published on: June 16, 2018
Work-related stress assessed by a text message single-item stress question
B Arapovic-Johansson1, C Wåhlin1,2, L Kwak1
1Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, Sweden.
The single-item stress question (SISQ), delivered via text message, is a valid and reliable tool for assessing work-related stress. This cost-effective method can help screen stress levels in employees.
Area of Science:
- Occupational Health
- Psychological Measurement
- Digital Health
Background:
- Work-related ill-health is a significant concern in Western societies.
- There is a need for cost-effective, user-friendly, and validated tools for measuring work stress.
- Existing measurement tools may not be suitable for both research and practical applications.
Purpose of the Study:
- To evaluate the validity and reliability of the single-item stress question (SISQ).
- To assess the efficacy of using short message service (SMS) for weekly work-related stress measurement.
- To determine if SISQ is a suitable tool for screening stress in the working population.
Main Methods:
- Convergent validity was assessed by correlating SISQ with established models (Job Demand-Control-Support, Effort-Reward Imbalance) and scales for depression, exhaustion, and sleep.
- Predictive validity was determined by analyzing SISQ data collected via SMS.
- Reliability was evaluated using a test-retest procedure.
Main Results:
- SISQ showed significant correlations with most assessed subscales (ranging from -0.186 to 0.627), excluding job strain and esteem reward.
- SISQ data predicted future sick leave, depression, and exhaustion at a 12-month follow-up.
- Reliability analysis indicated satisfactory stability, with weighted kappa values between 0.804 and 0.868.
Conclusions:
- The single-item stress question (SISQ) is a valid and reliable instrument for measuring work-related stress.
- SMS-administered SISQ is effective for screening stress levels in the working population.
- This method offers a practical and accessible approach to monitoring occupational stress.
Related Concept Videos
Psychological Responses to Stress
Stress and Mental Health
Individuals with depression often experience challenges in both their personal and professional...
Introduction to Stress and Lifestyle
General State of Stress
Specifically, consider a tetrahedral element where one face, labeled XYZ, is perpendicular to the line OA, and the remaining faces align with the coordinate axes with point O as the origin. At any point, such as point O, the stress tensor can be used to determine the stress...
Components of Stress
Interestingly, the hidden cube faces also experience these stresses, equal and...
Types of Stressors
Catastrophes
Catastrophes refer to large-scale, unpredictable events that create overwhelming stress and a sense of threat. Examples include natural disasters like...

