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May 6, 2022Open Access

Breathing as Input Modality in a Gameful Breathing Training App: Development and Evaluation of Breeze 2 (Preprint)

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Key result

Participants perceived the Breeze 2 gameful breathing training app as engaging and effective (P<.001), with the breathing detection model achieving a multi-class balanced accuracy of 74%.

Why the study?

Slow-paced breathing training benefits physiological and psychological well-being, but adherence to breathing apps is low, which gameful training may help overcome.

Comparison

Audio captured from headphones vs smartphone microphone

Design

Repeated-measures evaluation study

Authors

YLYanick Xavier LukicGTGisbert Wilhelm TeepeEFElgar Fleisch

Discussion

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Overview

Supports pilot testing of gameful breathing apps; leaves open whether 74% accuracy improves clinical outcomes.

Structured PICO

P
Population
30 participants evaluated the Breeze 2 gameful breathing training app across two sessions using different audio capture methods.
I
Intervention
Breeze 2 gameful breathing training app (two breathing training sessions)
C
Comparator
Within-subject comparison of audio capture methods (headphones vs. smartphone microphone) and comparison against neutral survey scores
O
Outcome
User engagement (UES-SF), perceived effectiveness (PE), perceived relaxation effectiveness (PRE), and perceived breathing detection accuracy (PDA)patient reported

Main Result

p-value: p=<.001

The Breeze 2 gameful breathing training app was perceived as engaging and effective, and its novel real-time acoustic breathing detection algorithm demonstrated good accuracy.

Cite This Study

Lukic et al. (2022) studied this question. Breeze 2 app was evaluated on User engagement (UES-SF), perceived effectiveness (PE), and perceived relaxation effectiveness (PRE) (p=<.001). Participants perceived the Breeze 2 gameful breathing training app as engaging and effective (P<.001), with the breathing detection model achieving a multi-class balanced accuracy of 74%.

synapsesocial.com/papers/6a22fe47c650520b07cb20b6https://doi.org/10.2196/preprints.39186
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Physiological Responses and User Feedback on a Gameful Breathing Training App: Within-Subject Experiment2020 · 28 citations
  2. 2ESC2015 · 1,419 citations
  3. 3Rates of Attrition and Dropout in App-Based Interventions for Chronic Disease: Systematic Review and Meta-Analysis2020 · 621 citations