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Stress Prevention and Stress Management Techniques III01:25

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Regular exercise and meditation serve as essential tools in managing stress and promoting physical and mental well-being.
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Related Experiment Video

Updated: May 31, 2025

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
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Adaptive Just-in-Time Intervention to Reduce Everyday Stress Responses: Protocol for a Randomized Controlled Trial.

Jillian A Johnson1, Matthew J Zawadzki2, Martin J Sliwinski3

  • 1Comprehensive Cancer Center, Atrium Health, Wake Forest Baptist, Winston-Salem, NC, United States.

JMIR Research Protocols
|January 22, 2025
PubMed
Summary

A just-in-time (JIT) stress management intervention delivered via smartphone shows promise for improving health behaviors by dynamically reducing stress responses. This approach personalizes stress management for better mental and physical health outcomes.

Keywords:
behavior changeexperimental medicine approachjust-in-time adaptive interventionphysical activitysleepstressstress managementstress responses

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Area of Science:

  • Behavioral science
  • Digital health
  • Psychophysiology

Background:

  • Personalized behavior change interventions are crucial for improving mental and physical health.
  • Reducing stress response intensity, duration, and frequency is a key mechanism for health behavior improvement.
  • A novel ambulatory, dynamic stress measurement approach identifies personalized stress responses in real-time.

Purpose of the Study:

  • Evaluate a smartphone-delivered just-in-time (JIT) stress management intervention's impact on stress reactivity, nonrecovery, and pileup.
  • Assess the JIT intervention's effect on daily health behaviors, including physical activity and sleep.
  • Explore the mediating role of stress response changes in the intervention's effects on health behaviors.

Main Methods:

  • A 2-arm phase 2 clinical trial with 210 adults randomized to JIT intervention or active control for 2 weeks.
  • Daily smartphone surveys and wearable devices for sleep and physical activity monitoring over 4 weeks.
  • Mixed-effects models to analyze differences in stress responses and health behaviors between groups.

Main Results:

  • Participant recruitment completed with 213 adults enrolled between August 2022 and June 2023.
  • Data processing is ongoing; formal analyses have not yet commenced.
  • Preliminary findings on intervention efficacy and mediation are pending.

Conclusions:

  • The study is expected to advance stress measurement techniques and understanding of health behavior change mechanisms.
  • Findings will provide a conceptual framework for developing effective JIT interventions for stress management.
  • This research aims to enhance personalized stress management strategies for improved health outcomes.