The Effect of Automated Verbal Commands During Avalanche Transceiver Search on Acute Mental Stress and Arousal—A Mixed‐Methods Crossover Field Study

ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed‐methods field study was to assess the effects of automated verbal commands on mental stress and affec...

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Published inBrain and behavior Vol. 15; no. 7; pp. e70684 - n/a
Main Authors Wallner, Bernd, Caramazza, Fabio, Woyke, Simon, Winkler, Manuel, Regli, Ivo B., Mair, Peter, Putzer, Gabriel, Strapazzon, Giacomo, Falk, Markus, Brugger, Hermann, Hüfner, Katharina
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Published United States John Wiley & Sons, Inc 01.07.2025
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Abstract ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed‐methods field study was to assess the effects of automated verbal commands on mental stress and affective responses. Methods Participants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1–10 points) and used the Self‐Assessment‐Manikin with 9‐point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands. Results Participants reported higher levels of mental stress after the trials than before the trials (−1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ −1.2 ± 3.2 vs. Δ −0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013). Conclusions The study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation. Avalanche search results in an increase in mental stress with longer coarse search times. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times.
AbstractList Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed-methods field study was to assess the effects of automated verbal commands on mental stress and affective responses. Participants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1-10 points) and used the Self-Assessment-Manikin with 9-point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands. Participants reported higher levels of mental stress after the trials than before the trials (-1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ -1.2 ± 3.2 vs. Δ -0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013). The study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation.
ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed‐methods field study was to assess the effects of automated verbal commands on mental stress and affective responses. Methods Participants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1–10 points) and used the Self‐Assessment‐Manikin with 9‐point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands. Results Participants reported higher levels of mental stress after the trials than before the trials (−1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ −1.2 ± 3.2 vs. Δ −0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013). Conclusions The study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation.
ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed‐methods field study was to assess the effects of automated verbal commands on mental stress and affective responses. Methods Participants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1–10 points) and used the Self‐Assessment‐Manikin with 9‐point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands. Results Participants reported higher levels of mental stress after the trials than before the trials (−1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ −1.2 ± 3.2 vs. Δ −0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013). Conclusions The study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation. Avalanche search results in an increase in mental stress with longer coarse search times. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times.
Avalanche search results in an increase in mental stress with longer coarse search times. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times.
Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed-methods field study was to assess the effects of automated verbal commands on mental stress and affective responses.BACKGROUNDCompanion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed-methods field study was to assess the effects of automated verbal commands on mental stress and affective responses.Participants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1-10 points) and used the Self-Assessment-Manikin with 9-point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands.METHODSParticipants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1-10 points) and used the Self-Assessment-Manikin with 9-point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands.Participants reported higher levels of mental stress after the trials than before the trials (-1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ -1.2 ± 3.2 vs. Δ -0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013).RESULTSParticipants reported higher levels of mental stress after the trials than before the trials (-1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ -1.2 ± 3.2 vs. Δ -0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013).The study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation.CONCLUSIONSThe study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation.
ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance. The aim of this mixed‐methods field study was to assess the effects of automated verbal commands on mental stress and affective responses. Methods Participants performed two search trials using avalanche transceivers with either verbal commands (VOICE) or without verbal commands (NO VOICE) in simulated avalanche rescue scenarios. The study assessed perceived mental stress with a visual analogue scale (VAS 1–10 points) and used the Self‐Assessment‐Manikin with 9‐point Likert scales to measure affective response (valence, arousal, and dominance). Semistructured interviews were performed to assess the specific effects of verbal commands. Results Participants reported higher levels of mental stress after the trials than before the trials (−1.2 ± 2.3 points; p ≤ 0.001). A smaller increase (59.0 ± 8.2 s vs. larger increase [81.0 ± 11.5 s]) in mental stress, as detected in participants using VOICE navigation, resulted in shorter coarse search times. VOICE (Δ −1.2 ± 3.2 vs. Δ −0.6 ± 2.7 points; p = 0.041) showed a greater reduction in arousal, resulting in faster coarse search. In the qualitative interviews, the majority described VOICE navigation to be helpful. In the individual semistructured interviews, those subjects reporting a stress reduction through VOICE (38.5 ± 4.7 s vs. no stress reduction [107.4 ± 24.3 s]; p = 0.001) had a significantly faster coarse search time, and those who indicated VOICE to be helpful were faster in the coarse search (p = 0.013). Conclusions The study demonstrated that even a simulated avalanche rescue scenario results in increased mental stress levels. VOICE navigation may be an interesting option for companion avalanche rescue since it helps to reduce mental stress and arousal, thereby leading to shorter search times. The most significant limitation of the study was the setting of an experimentally created avalanche scenario, which cannot fully replicate all the environmental and psychological factors of a veritable burial situation.
Author Caramazza, Fabio
Regli, Ivo B.
Hüfner, Katharina
Mair, Peter
Putzer, Gabriel
Falk, Markus
Wallner, Bernd
Woyke, Simon
Strapazzon, Giacomo
Brugger, Hermann
Winkler, Manuel
AuthorAffiliation 2 Institute of Mountain Emergency Medicine Eurac Research Bolzano Italy
1 Department of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University Hospital Medical University of Innsbruck Innsbruck Austria
3 Department of Cardiac Anesthesiology and Intensive Care Medicine Deutsches Herzzentrum der Charité (DHZC) Berlin Germany
5 Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, University Clinic for Psychiatry II Innsbruck Medical University Innsbruck Austria
4 eScience Bruneck Italy
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/40685880$$D View this record in MEDLINE/PubMed
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Issue 7
Keywords training
transceiver search
verbal commands
companion rescue
avalanche medicine
Language English
License Attribution
2025 The Author(s). Brain and Behavior published by Wiley Periodicals LLC.
This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Notes Funding
B.W., F.C., S.W., M.W., P.M., G.P., and K.H. are employed at the Medical University of Innsbruck; I.R., G.S., and H.B. are employed at Eurac Research; and M.F. is self‐employed at eScience. None of these sponsors had any role in the study design; the collection, analysis, or interpretation of the data; the writing of the manuscript; or the decision to submit the manuscript. There was no other funding supporting this manuscript.
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Funding: B.W., F.C., S.W., M.W., P.M., G.P., and K.H. are employed at the Medical University of Innsbruck; I.R., G.S., and H.B. are employed at Eurac Research; and M.F. is self‐employed at eScience. None of these sponsors had any role in the study design; the collection, analysis, or interpretation of the data; the writing of the manuscript; or the decision to submit the manuscript. There was no other funding supporting this manuscript.
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Snippet ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively...
Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively affect performance....
ABSTRACT Background Companion rescue using avalanche transceivers can lead to a disproportionate increase in mental stress and arousal, which can negatively...
Avalanche search results in an increase in mental stress with longer coarse search times. VOICE navigation may be an interesting option for companion avalanche...
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StartPage e70684
SubjectTerms Adult
Arousal - physiology
Automation
avalanche medicine
Avalanches
companion rescue
Cross-Over Studies
Female
Field study
Humans
Male
Original
Pandemics
Post traumatic stress disorder
Self evaluation
Skiing
Statistical analysis
Stress, Psychological - physiopathology
Stress, Psychological - psychology
training
transceiver search
Transmitters
verbal commands
Winter sports
Young Adult
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Title The Effect of Automated Verbal Commands During Avalanche Transceiver Search on Acute Mental Stress and Arousal—A Mixed‐Methods Crossover Field Study
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