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STEPS - Stress Training and Engagement Via Phone-Based Systems

Mindfulness Training and Respiration Biosignal Feedback - Study 3

Who can join

Ages 18 to 30 · All sexes

Inclusion Criteria:

* Ages 18-30 years of Age
* Fluent in English
* Psychological distress
* Interested in completing smartphone guided training sessions remotely for 14 days
* Willing and able to wear physiological monitoring equipment
* Willing to be randomized to one of three conditions
* Located in the United States
* Access to a smartphone without snapdragon processors to complete guided training sessions

Exclusion Criteria:

* Currently pregnant
* Current or previous diagnosis with psychosis or schizophrenia

About the study

This study will evaluate engagement, usability, and psychological outcomes associated with participation in smartphone-based stress management or mindfulness training program among young adults. The study will compare multiple versions of a digital training program delivered through the Equa mobile application.

Participants will be individually randomized to one of several app-based training programs using a stratified randomization procedure. Each program consists of guided daily lessons completed over a 14-day period and is designed to support stress management and well-being through structured skill development activities.

Primary objectives include evaluating user satisfaction and usability of the digital platform and assessing changes in mindfulness-related skills and mental distress over time.

Participants will:

Complete surveys assessing demographics and psychological well-being at baseline, post-intervention, and one-month follow-up.

Complete a 14-day smartphone-delivered training program consisting of guided lessons while physiological data are collected using wearable sensors.

Some participants may receive additional in-app features designed to support personalized learning or engagement with training lessons.

Some participants will complete brief questionnaires before and after selected lessons to assess short-term changes associated with lesson participation.

What is being tested

• Equa (behavioral)
• Feature-Enhanced Equa Training Program (behavioral)
• Stress Management Training (behavioral)

Sponsor: Equa Health · Participants: 300 · Started: Jun 17, 2026

Contact the study team

• Juliette A Bonchonsky, BA · Phone: 4125333601
• David Creswell, Ph.D. · Phone: 4125353338

Official record on ClinicalTrials.gov — NCT07639697

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.