Resilience
Conditions
Brief summary
Remote 5 minute sessions of heart rate variability (HRV) biofeedback will be employed by participants for 5 weeks. Subjects will be followed for a total of 17 weeks. Surveys assessing psychological well being will be completed during the study period. Wearable devices will be worn to monitor HRV response during the study period.
Interventions
5 minute daily sessions of HRV biofeedback
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants were recruited from The Mount Sinai Hospital, Morningside Hospital, Mount Sinai West, Mount Sinai Beth Israel, Mount Sinai Queens, New York Eye and Ear Infirmary, and Mount Sinai Brooklyn. * Eligible participants were 18 years of age or greater. * Had an iPhone series 5 or greater. * Had or were willing to wear an Apple Watch 4 or greater. * Potential participants were excluded if they had an underlying chronic disease or used a medication that is known to impact autonomic nervous system function.
Exclusion criteria
* Underlying chronic diseases including but not limited to: * rheumatoid arthritis * systemic lupus erythematosus * inflammatory bowel disease * Use of medications that impact heart rate variability including but not limited to: * beta-blockers (ie. atenolol, carvedilol, metoprolol, Coreg, Tenormin, Normodyne, Trandate) * digoxin * calcium channel blockers (ie. Norvasc, amlodipine, Cardene, nicardipine, Procardia, nifedipine, Cardizem, diltiazem) * regularly used benzodiazepines
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate Variability | Up to Week 7 | Heart rate variability measured in milliseconds (ms) at 7 weeks compared to baseline. Higher rates indicate increased parasympathetic nervous system activity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Connor-Davidson Resilience Scale (CD-RISC | Up to Week 17 | Resilience: the Connor-Davidson Resilience scale (CD-RISC) quantifies stress coping ability. The CD-RISC is a 25-item self-administered scale. Scoring of the full 25 item scale is based on summing the total of each item, which is scored from 0-4. The full range is therefore from 0 to 100, with higher scores reflecting greater resilience. |
Countries
United States