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July 17, 2024IEEE Transactions on Affective Computing

Does Gamified Breath-Biofeedback Promote Adherence, Relaxation, and Skill Transfer in the Wild?

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Why the study?

It was unclear whether gamification of deep breathing exercises promotes relaxation, skill transfer, and treatment adherence in ambulatory settings.

Does a gamified breath-biofeedback intervention improve adherence, relaxation, and skill transfer compared to interactive paced-breathing in ambulatory participants?

Population

30 participants in ambulatory settings

Comparison

Gamified breath-biofeedback vs interactive paced-breathing treatment

Design

Randomized controlled trial

Follow-up

Three days

Authors

DSDennis Rodrigo Da Cunha SilvaRGRicardo Gutiérrez‐Osuna

Discussion

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Overview

Gamified biofeedback may improve ambulatory deep-breathing adherence and skill transfer; leaves open durability and broader clinical adoption.

Structured PICO

Does a gamified breath-biofeedback intervention improve adherence, relaxation, and skill transfer compared to interactive paced-breathing in ambulatory participants?

P
Population
30 participants in an ambulatory setting
I
Intervention
Game-biofeedback (GBF) intervention (deep breathing exercises while playing a video game that adapts to breathing rate using negative reinforcement instrumental conditioning) practiced at leisure over three days
C
Comparator
Interactive paced-breathing treatment (PACE) where users follow a visual signal with their breathing and touch
O
Outcome
Adherence (frequency of practice), skill transfer at post-test, and self-reported positivity and relaxation during treatmentpatient reported

Gamified breath-biofeedback using negative reinforcement improves adherence, skill transfer, and relaxation compared to standard paced breathing.

Cite This Study

Silva et al. (2024) studied this question.

synapsesocial.com/papers/6a73a337d3d4e530dbfb7353https://doi.org/10.1109/taffc.2024.3428390
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluating the Role of Breathing Guidance on Game-Based Interventions for Relaxation Training2021 · 17 citations
  2. 2Gaming Away Stress: Using Biofeedback Games to Learn Paced Breathing2018 · 39 citations
  3. 3Physiological Modalities for Relaxation Skill Transfer in Biofeedback Games2015 · 50 citations
  4. 4Visual Biofeedback and Game Adaptation in Relaxation Skill Transfer2017 · 33 citations
  5. 5Physiological Responses and User Feedback on a Gameful Breathing Training App: Within-Subject Experiment2020 · 28 citations