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December 9, 2021Frontiers in Digital HealthOpen Access

Only the game with biofeedback group showed significant skill transfer at post-test (t(5) = 5.94, p = 0.001, d = 2.68); game-based interventions were more enjoyable (p < 0.001) and practiced more often (p = 0.027) but had a lower success rate for deep breathing (50% vs 85%).

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Why the study?

Fast-paced work environments can cause shallow breathing that exacerbates stress and anxiety, prompting the development of micro-interventions to promote deep breathing during stressors.

Do game-based breathing guidance interventions with biofeedback or pacing improve deep breathing and relaxation in healthy individuals?

Population

Healthy participants across two experiments (30 in experiment 1, 36 in experiment 2)

Comparison

Biofeedback alone vs biofeedback in game vs pacing alone vs pacing in game vs control

Design

2 x 2 factorial experimental study (laboratory and ambulatory settings)

Authors

VGVenkata Nitin Chakravarthy GummidelaDSDennis R. da Cunha SilvaRGRicardo Gutiérrez‐Osuna

Discussion

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Overview

Game biofeedback may aid deep breathing skill transfer under stress; leaves open optimal real-world integration with pacing or gaming.

Structured PICO

Do game-based breathing guidance interventions with biofeedback or pacing improve deep breathing and relaxation in healthy individuals?

P
Population
66 healthy participants (n=30 in experiment 1 in a laboratory setting; n=36 in experiment 2 in an ambulatory setting)
I
Intervention
Breathing guidance interventions using a 2x2 factorial design: breathing guide (biofeedback vs. pacing) and gaming (game vs. no game), resulting in four groups: biofeedback alone, biofeedback integrated into a game, pacing alone, and pacing integrated into a game
C
Comparator
Control condition (in experiment 1) and non-game interventions
O
Outcome
Breathing rate measured via chest strap before and after a stressful tasksurrogate

Game-based breathing interventions with biofeedback improve skill transfer and are more enjoyable, though they may require more training time to achieve deep breathing consistently compared to non-game interventions.

Cite This Study

Gummidela et al. (2021) studied this question.

synapsesocial.com/papers/6a73a337d3d4e530dbfb7356https://doi.org/10.3389/fdgth.2021.760268
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Also Consider

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

  1. 1Gaming Away Stress: Using Biofeedback Games to Learn Paced Breathing2018 · 39 citations
  2. 2Does Gamified Breath-Biofeedback Promote Adherence, Relaxation, and Skill Transfer in the Wild?2024 · 2 citations
  3. 3Physiological Responses and User Feedback on a Gameful Breathing Training App: Within-Subject Experiment (Preprint)2020 · 2 citations
  4. 4Physiological Responses and User Feedback on a Gameful Breathing Training App: Within-Subject Experiment2020 · 28 citations
  5. 5Visual Biofeedback and Game Adaptation in Relaxation Skill Transfer2017 · 33 citations