Key result
ECG-based model detects acute stress with high accuracy and tracks cognitive performance in air traffic controllers.
Why the study?
Stress severely impairs cognitive performance in safety-critical occupations, yet current AI support systems seldom infer operators' internal psychophysiological states implicitly, limiting human-machine interaction.
Does a personalized AI model using ECG morphology and heart rate variability features accurately predict cognitive performance and detect stress in air traffic controllers?
Does a personalized AI model using ECG morphology and heart rate variability features accurately predict cognitive performance and detect stress in air traffic controllers?
An AI model utilizing ECG morphology (specifically QRS complex duration) and heart rate variability can reliably detect occupational stress and moderately estimate cognitive performance in air traffic controllers.
Answers are grounded in this paper and cite their sources.
May enable adaptive HCI under stress; leaves open whether psychophysiological estimation improves safety outcomes in real deployments.
Stress can severely impair cognitive performance in safety critical occupations, motivating the use of artificial intelligence (AI) to support human operators. However, current systems seldom infer operators’ internal states implicitly, limiting the quality of human–machine interaction (HCI). This work introduces the Human Assessment Model (HAM), a human-in-the-loop framework that continuously estimates workers’ psychophysiological condition to enable AI-driven adaptive HCI. HAM was evaluated with 11 air traffic controllers. A laboratory protocol was designed to elicit stress and quantify its impact on individual cognitive performance (CP) while electrocardiogram (ECG) signals were recorded. Personalized models were then trained using ECG wave morphology and heart rate variability features to predict CP and detect stress in each participant. The AI outputs were mapped onto interpretable descriptors of human states, and feature importance was analysed to enhance explainability. Finally, real-time deployment of HAM was demonstrated. CP estimation yielded moderate yet promising accuracy (avgRMSE = 0.15), and stress was reliably identified (avgF1 = 0.95). Notably, an ECG morphology feature—the QRS complex duration—emerged as the most influential predictor. These findings support HAM as a foundation for monitoring tools that promote occupational health and inform adaptive HCI and decision support systems in high-risk work environments.
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Calà et al. (2026) studied Occupational stress and cognitive performance impairment (n=11). Human Assessment Model (HAM) using ECG morphology and HRV features was evaluated on Cognitive performance estimation and stress identification (avgRMSE 0.15 for cognitive performance; avgF1 0.95 for stress detection). The ECG-based Human Assessment Model reliably identified stress (avgF1 = 0.95) and estimated cognitive performance with moderate accuracy (avgRMSE = 0.15) in air traffic controllers.
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