Background The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload. Objective The aim of this study was to compare the mental health of medical professionals with nonmedical professionals in different European countries during the COVID-19 pandemic. We hypothesized that medical professionals, particularly those exposed to COVID-19 at work, would have higher levels of depression, anxiety, and stress. We also aimed to determine their main stressors and most frequently used coping strategies during the crisis. Methods A cross-sectional online survey was conducted during peak COVID-19 months in 8 European countries. The questionnaire included demographic data and inquired whether the participants were exposed to COVID-19 at work or not. Mental health was assessed via the Depression Anxiety Stress Scales32 (23.53)–21 (DASS-21). A 12-item checklist on preferred coping strategies and another 23-item questionnaire on major stressors were completed by medical professionals. Results The sample (N=609) consisted of 189 doctors, 165 nurses, and 255 nonmedical professionals. Participants from France and the United Kingdom reported experiencing severe/extremely severe depression, anxiety, and stress more often compared to those from the other countries. Nonmedical professionals had significantly higher scores for depression and anxiety. Among medical professionals, no significant link was reported between direct contact with patients with COVID-19 at work and anxiety, depression, or stress. “Uncertainty about when the epidemic will be under control” caused the most amount of stress for health care professionals while “taking protective measures” was the most frequently used coping strategy among all participants. Conclusions COVID-19 poses a major challenge to the mental health of working professionals as a considerable proportion of our participants showed high values for depression, anxiety, and stress. Even though medical professionals exhibited less mental stress than nonmedical professionals, sufficient help should be offered to all occupational groups with an emphasis on effective coping strategies.

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BACKGROUND The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. Covid-19 has caused an immense psychological burden on the population, especially doctors and nurses were faced with a high infection risk and increased workload. OBJECTIVE To compare the mental health of medical professionals with non-medical professionals in different European countries during COVID-19, assuming that medical professionals, particularly those exposed to COVID-19 at work, would have higher scores in depression, anxiety and stress, as well as to determine their main stressors and most frequently used coping strategies during the crisis. METHODS A cross-sectional online survey was conducted during peak COVID-19 months in eight European countries. The questionnaire included demographic data and whether the participants were exposed to COVID-19 at work or not. Mental health was assessed via the Depression-Anxiety-Stress Scales (DASS-21). A 12-item checklist on preferred coping strategies and another 23-item questionnaire on major stressors was filled by the medical professionals. RESULTS The sample (N=609) consisted of 189 doctors, 165 nurses and 255 non-medical professionals. Participants from France and the UK were more often assigned to the group with severe/extremely severe depression, anxiety and stress on DASS-21. Non-medical professionals had significantly higher scores for depression and anxiety. No significant link was reported between direct contact with COVID-19 patients at work and anxiety, depression or stress among medical professionals. ´Uncertainty about when the epidemic will be under control´ was the most stressful aspect among healthcare professionals while ´taking protective measures´” was the most frequently used coping strategy among all participants. CONCLUSIONS COVID-19 poses a major challenge to the mental health of the participants as a considerable proportion of them showed high values for depression, anxiety and stress. Even though the medical professionals showed less mental stress than the non-medical professionals, sufficient help should be offered to all occupational groups with an emphasis on effective coping strategies.

The aging of the working population calls for innovative approaches to monitor and support the changes of physical, physiological and psycho-social capabilities of workers over time, as well as to promote habits aimed at improving both health and productivity. This paper presents the WorkingAge (Smart Working Environments for All Ages-WA) project, which focuses on innovative Human Computer Interaction methods (such as augmented and/or virtual reality or gesture/voice/noise recognition or gaze tracking) to improve the users' psychological/emotional/health state at workplaces. Based on Internet of Things (IoT) technologies and on data driven models of the users' characteristics and behaviors, the WA Tool will monitor the state of users to automatically provide a set of suggestions promoting healthy habits in their working environment as well as in their daily living activities. The paper presents general concepts at the basis of the WA project, its hardware-software sensor architecture, and the elements of the ontology capturing the key concepts of the data collected to profile the users.

Background Living Labs are user-centered, open innovation ecosystems based on a systematic user cocreation approach, which integrates research and innovation processes in real-life communities and settings. The Horizon 2020 Project VITALISE (Virtual Health and Wellbeing Living Lab Infrastructure) unites 19 partners across 11 countries. The project aims to harmonize Living Lab procedures and enable effective and convenient transnational and virtual access to key European health and well-being research infrastructures, which are governed by Living Labs. The VITALISE consortium will conduct joint research activities in the fields included in the care pathway of patients: rehabilitation, transitional care, and everyday living environments for older adults. This protocol focuses on health and well-being research in everyday living environments. Objective The main aim of this study is to cocreate and test a harmonized research protocol for developing big data–driven hybrid persona, which are hypothetical user archetypes created to represent a user community. In addition, the use and applicability of innovative technologies will be investigated in the context of various everyday living and Living Lab environments. Methods In phase 1, surveys and structured interviews will be used to identify the most suitable Living Lab methods, tools, and instruments for health-related research among VITALISE project Living Labs (N=10). A series of web-based cocreation workshops and iterative cowriting processes will be applied to define the initial protocols. In phase 2, five small-scale case studies will be conducted to test the cocreated research protocols in various real-life everyday living settings and Living Lab infrastructures. In phase 3, a cross-case analysis grounded on semistructured interviews will be conducted to identify the challenges and benefits of using the proposed research protocols. Furthermore, a series of cocreation workshops and the consensus seeking Delphi study process will be conducted in parallel to cocreate and validate the acceptance of the defined harmonized research protocols among wider Living Lab communities. Results As of September 30, 2021, project deliverables Ethics and safety manual and Living lab standard version 1 have been submitted to the European Commission review process. The study will be finished by March 2024. Conclusions The outcome of this research will lead to harmonized procedures and protocols in the context of big data–driven hybrid persona development among health and well-being Living Labs in Europe and beyond. Harmonized protocols enable Living Labs to exploit similar research protocols, devices, hardware, and software for interventions and complex data collection purposes. Economies of scale and improved use of resources will speed up and improve research quality and offer novel possibilities for open data sharing, multidisciplinary research, and comparative studies beyond current practices. Case studies will also provide novel insights for implementing innovative technologies in the context of everyday Living Lab research. International Registered Report Identifier (IRRID) DERR1-10.2196/34567