Stress Physiology and Intervention Feasibility Among First Responder Parents

Study Overview
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Brief Summary
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The specific aims of this study are to: 1. Demonstrate the usability and acceptability of a smart watch in parents to remotely monitor stress responses or symptoms in individuals participating in prevention or treatment interventions. 2. Examine the association between heart rate variability (HRV) data and momentary self-reports of stress by parents. 3. Conduct a feasibility study to establish the effectiveness of wearables and apps to improve emotion regulation in the short term (minutes, hours) and concomitant social, emotional, and behavioral outcomes over the longer-term (weeks).

Official Title
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Stress Physiology and Intervention Feasibility Among First Responder Parents

Conditions
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Stress, Parenting

Intervention / Treatment
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* Behavioral: Micro-interventions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Have at least one child between the ages of 4 and 13 that resides with them in states of Kentucky or Tennessee Be able to wear a wrist-based wearable device Be able to read, write, and speak in English Not be allergic to polycarbonate or silicone Have a smart phone Work full time (at least 30 hours/week) as a first responder OR be a co-parent (defined as living in the same home and shares parenting responsibilities) of an eligible first responder Exclusion Criteria: Do not have a child in the specified age range Have a child in the specified age range but who does not reside with them Are first responders who average less than 30 hours/week Are not a cohabitating parent Are a co-parent of eligible first responders who is not participating in the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: 30-day cycle involving the EMA Questions, along the micro-Intervention randomization and delivery. The application is coded to randomize each participant to one of the three intervention options. During this 30-day cycle physiological data will be collected from the Garmin Vivosmart 5 device worn by the participant and loaded into the Labfront app for storage and retrieval. MYAPT.MIND (Daily for 30 days) Ecological Momentary Assessment (EMA) Survey Questions Set #1 Micro-Intervention (None, Brief Messages, MYAPT.MIND Audios) Ecological Momentary Assessment (EMA) Survey Questions Set #2 HRV (Heart Rate Variability) via Garmin Vivosmart 5 wrist wearable
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Group 1<br>Does not receive a micro-intervention | |
| Experimental: Group 2<br>Receives brief messages for stress reduction. | Behavioral: Micro-interventions<br>* Group 1: No intervention Group 2: Brief stress reduction messages Group 3: App based stress reduction audio activity<br>|
| Experimental: Group 3<br>Directed to the app to listen to a stress reduction audio activity. | Behavioral: Micro-interventions<br>* Group 1: No intervention Group 2: Brief stress reduction messages Group 3: App based stress reduction audio activity<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Heart Rate Variability | HRV collected via wearables device | 30 days | 
| EMAs | Self-report of stress | 30 days |