The outbreak of the COVID-19 pandemic has necessitated sudden and radical changes in mental health care delivery, as strict social distancing and lockdown measures were imposed in the early phases of the pandemic. Almost overnight, practitioners were forced to transfer their face-to-face care practice to online means. To understand the implications of this drastic change for mental health care, and to improve the online care offerings, an online qualitative survey was held among mental health care professionals in Netherlands (n = 51). Our findings indicate that technological and usability problems pose a significant challenge, as do difficulties to establish rapport with clients. Moreover, not all mental health issues and treatment forms are equally amenable to online interaction. In contrast, in many instances, practitioners were positive about the effectiveness of treatment, and reported flexibility, a lower threshold for contact, and lack of travel time as advantages. Their most prominent needs concern better technological, organizational, and logistical support. It is critical that these needs are acted upon by institutions and governments. In addition, current results inform future research on the improvement of e-mental health technologies.

People often listen to music to influence their emotional state. However, the specific musical characteristics which cause this process are not yet fully understood. We have investigated the influence of the musical characteristics of tempo, mode, and percussiveness on our emotions. In a quest towards ecologically valid results, 32 participants listened to 16 pop and 16 rock songs while conducting an office task. They rated experienced arousal, valence, and tension, while skin conductance and cardiovascular responses were recorded. An increase in tempo was found to lead to an increase in reported arousal and tension and a decrease in heart rate variability. More arousal was reported during minor than major mode songs. Level and frequency of skin conductance responses increased with an increase in percussiveness. Physiological responses revealed patterns that might not have been revealed by self-report. Interaction effects further suggest that musical characteristics interplay in modulating emotions. So, tempo, mode, and percussiveness indeed modulate our emotions and, consequently, can be used to direct emotions. Music presentation revealed subtly different results in a laboratory setting, where music was altered with breaks, from those in a more ecologically valid setting where continuous music was presented. All in all, this enhances our understanding of the influence of music on emotions and creates opportunities seamlessly to tap into listeners' emotional state through their physiological responses.

Due to the growing pace of life, stress became one of the major factors causing health problems. We have developed a framework for measuring stress in real-life conditions continuously and unobtrusively. In order to provide meaningful, useful and actionable information, we present stress information, derived from sensor measurements, in the context of person's activities. In this paper, we describe our framework, discuss how we address arising challenges and evaluate our approach on basis of the field studies we have conducted. The main results of the evaluation are that the results of long-term measurements of stress reveal people information about their behavioral patterns that they perceive as meaningful and useful, and trigger their ideas about behavioral changes necessary to achieve a better stress balance.

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Abstract-Despite a variety of new communication technologies, loneliness is prevalent in Western countries. Boosting emotional communication through intimate connections has the potential to reduce loneliness. New technologies might exploit biosignals as intimate emotional cues because of their strong relationship to emotions. Through two studies, we investigate the possibilities of heartbeat communication as an intimate cue. In the first study (N ¼ 32), we demonstrate, using self-report and behavioral tracking in an immersive virtual environment, that heartbeat perception influences social behavior in a similar manner as traditional intimate signals such as gaze and interpersonal distance. In the second study (N ¼ 34), we demonstrate that a sound of the heartbeat is not sufficient to cause the effect; the stimulus must be attributed to the conversational partner in order to have influence. Together, these results show that heartbeat communication is a promising way to increase intimacy. Implications and possibilities for applications are discussed.

Personal informatics (PI) systems allow users to collect and review personally relevant information. The purpose commonly envisioned for these systems is that they provide users with actionable, data-driven selfinsight to help them change their behavioral patterns for the better. Here, we review relevant theory as well as empirical evidence for this selfimprovement hypothesis. From a corpus of 6,568, only 24 studies met the selection criteria of being a peer-reviewed empirical study reporting on actionable, data-driven insights from PI data, using a "clean" PI system with no other intervention techniques (e.g., additional coaching) on a nonclinical population. First results are promising-many of the selected articles report users gaining actionable insights-but we do note a number of methodological issues that make these results difficult to interpret. We conclude that more work is needed to investigate the self-improvement hypothesis and provide a set of recommendations for future work.

The current paper describes research that is aimed at elucidating our understanding of media technology factors that may help users of exercise equipment to stay motivated for doing regular workouts. In particular, we investigated the effects of immersion and coaching by a virtual agent on intrinsic motivation and the sense of presence of participants cycling on a stationary home exercise bike. A basic two-bytwo within-subjects experimental design was employed whereby participants were presented with a virtual racetrack with two levels of immersion (high vs. low) and two levels of a virtual coach (with vs. without). Results indicate a clear positive effect of immersion on both motivation and presence. The virtual coach significantly lowered the perceived control and pressure/tension dimensions of intrinsic motivation, but did not affect the enjoyment dimension. The presence of the virtual coach also reduced negative effects associated with VEs, such as feeling dizzy or nauseated.

The emotional power of music is exploited in a personalized affective music player (AMP) that selects music for mood enhancement. A biosignal approach is used to measure listeners' personal emotional reactions to their own music as input for affective user models. Regression and kernel density estimation are applied to model the physiological changes the music elicits. Using these models, personalized music selections based on an affective goal state can be made. The AMP was validated in real-world trials over the course of several weeks. Results show that our models can cope with noisy situations and handle large inter-individual differences in the music domain. The AMP augments music listening where its techniques enable automated affect guidance. Our approach provides valuable insights for affective computing and user modeling, for which the AMP is a suitable carrier application.