Key result
Contingent feedback improves discrimination accuracy of pulse transit time over random feedback.
Why the study?
The effects of feedback on discrimination of pulse transit time were not well understood.
Does contingent feedback and exteroceptive cues improve discrimination of pulse transit time in normotensive subjects?
RCT (n=18)
Randomly assigned to one of three groups
Does contingent feedback and exteroceptive cues improve discrimination of pulse transit time in normotensive subjects?
Contingent feedback and exteroceptive cues improve the ability of normotensive subjects to discriminate pulse transit time, independent of other physiological responses.
Answers are grounded in this paper and cite their sources.
Contingent feedback training enhances PTT discrimination; confirms RCT efficacy in normotensives and extends interoception methods toward hypertension applications.
The present study was designed to determine the effects of feedback on discrimination of pulse transit time (TT). Eighteen normotensive subjects were randomly assigned to one of three groups: (I) Random Feedback Control, (II) Contingent Feedback, and (III) Feedback plus Exteroceptive Cues. For each subject an ABBA within‐session design was used in which subjects compared TT to a predetermined mean approximately every 20 sec across four phases: a 10‐min baseline, followed by two 10‐min experimental phases, and a final 10‐min baseline phase. Results for discrimination accuracy indicated superior discrimination for subjects presented exteroceptive cues and/or feedback (Groups II and III). A decrement in performance was found for both Groups II and III during the final baseline phase, with slightly better maintenance for the feedback plus exteroceptive cues subjects. Measures of EMG, respiration, HR and vasomotor activity were obtained during training and were correlated with discrimination accuracy. Results showed that none of the physiological responses were reliably correlated with discriminative performance, and probably did not function as discriminative stimuli for TT discrimination.
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Martin et al. (1980) conducted an RCT in Normotensive (n=18). Contingent Feedback or Feedback plus Exteroceptive Cues vs. Random Feedback Control was evaluated on Discrimination accuracy of pulse transit time (TT). Contingent feedback and feedback plus exteroceptive cues yielded superior discrimination accuracy of pulse transit time compared to random feedback control.
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