Real-Time Stress Monitoring, Detection, and Management in College Students: A Wearable Technology and Machine-Learning Approach

College students are increasingly affected by stress, anxiety, and depression, yet face barriers to traditional mental health care. This study evaluated the efficacy of a mobile health (mHealth) intervention, Mental Health Evaluation and Lookout Program (mHELP), which integrates a smartwatch sensor and machine learning (ML) algorithms for real-time stress detection and self-management. In a 12-week randomized controlled trial (n = 117), participants were assigned to a treatment group using mHELP's full suite of interventions or a control group using the app solely for real-time stress logging and weekly psychological assessments. The primary outcome, "Moments of Stress" (MS), was assessed via physiological and self-reported indicators and analyzed using Generalized Linear Mixed Models (GLMM) approaches. Similarly, secondary outcomes of psychological assessments, including the Generalized Anxiety Disorder-7 (GAD-7) for anxiety, the Patient Health Questionnaire (PHQ-8) for depression, and the Perceived Stress Scale (PSS), were also analyzed via GLMM. The finding of the objective measure, MS, indicates a substantial decrease in MS among the treatment group compared to the control group, while no notable between-group differences were observed in subjective scores of anxiety (GAD-7), depression (PHQ-8), or stress (PSS). However, the treatment group exhibited a clinically meaningful decline in GAD-7 and PSS scores. These findings underscore the potential of wearable-enabled mHealth tools to reduce acute stress in college populations and highlight the need for extended interventions and tailored features to address chronic symptoms like depression.

Expansion of situations theory for exploring shared awareness in human-intelligent autonomous systems

Intelligent autonomous systems are part of a system of systems that interact with other agents to accomplish tasks in complex environments. However, intelligent autonomous systems integrated system of systems add additional layers of complexity based on their limited cognitive processes, specifically shared situation awareness that allows a team to respond to novel tasks. Intelligent autonomous systems' lack of shared situation awareness adversely influences team effectiveness in complex task environments, such as military command-and-control. A complementary approach of shared situation awareness, called situations theory, is beneficial for understanding the relationship between system of systems shared situation awareness and effectiveness. The current study elucidates a conceptual discussion on situations theory to investigate the development of an system of systems shared situational awareness when humans team with intelligent autonomous system agents. To ground the discussion, the reviewed studies expanded situations theory within the context of a system of systems that result in three major conjectures that can be beneficial to the design and development of future systems of systems.

Who/What is My Teammate? Team Composition Considerations in Human-AI Teaming

There are many unknowns regarding the characteristics and dynamics of human-AI teams, including a lack of understanding of how certain human-human teaming concepts may or may not apply to human-AI teams and how this composition affects team performance. This paper outlines an experimental research study that investigates essential aspects of human-AI teaming such as team performance, team situation awareness, and perceived team cognition in various mixed composition teams (human-only, human-human-AI, human-AI-AI, and AI-only) through a simulated emergency response management scenario. Results indicate dichotomous outcomes regarding perceived team cognition and performance metrics, as perceived team cognition was not predictive of performance. Performance metrics like team situational awareness and team score showed that teams composed of all human participants performed at a lower level than mixed human-AI teams, with the AI-only teams attaining the highest performance. Perceived team cognition was highest in human-only teams, with mixed composition teams reporting perceived team cognition 58% below the all-human teams. These results inform future mixed teams of the potential performance gains in utilizing mixed teams' over human-only teams in certain applications, while also highlighting mixed teams' adverse effects on perceived team cognition.