Academic Stress Academic stress Medical students Slow breathing Vagus nerve stimulation Heart rate variability Biofeedback
Conditions
Interventions
A single 10-minute session of visually guided slow breathing was delivered using a pre-recorded video presented on an iPad. The video used animated water-droplet cues to pace respiration at approximat
Experimental Behavioral
Visual-guided slow breathing at 6 breaths per minute
Sponsors
Faculty of Medicine, Chiang Mai University
Chiang Mai University
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Medical student at Chiang Mai University Smartwatch derived stress score 80 or more measured by Garmin Venu 3 Self reported stress rating 80 or more on a numerical rating scale of 0 to 100 Ability to provide electronic informed consent
Exclusion criteria
Exclusion criteria: Inability to provide informed consent Pre-existing neurological conditions including epilepsy, seizures, or other neurological disorders Severe cardiovascular conditions such as arrhythmia, heart disease, or hypertension Current or recent use of medications affecting heart rate or stress response such as beta blockers or antidepressants Panic disorder or frequent uncontrolled panic attacks Moderate to severe chronic obstructive pulmonary disease Uncontrolled asthma, frequent exacerbations, or requirement for high dose corticosteroid treatment History of recurrent hyperventilation syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Smartwatch-derived stress score Baseline (0 min) and at 2.5, 5, 7.5 and 10 minutes during the session Garmin Venu 3 stress score ,Self-reported stress score Immediately before and immediately after the 10-minute session Self-reported numerical rating scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate Baseline (0 min) and end of session (10 min) Garmin Venu 3, beats per minute,Depressive symptoms Baseline only (for subgroup analysis) Patient Health Questionnaire-9 (PHQ-9),Anxiety symptoms Baseline only (for subgroup analysis) Generalized Anxiety Disorder-7 (GAD-7),Acceptability and tolerability Immediately after the intervention Open-ended qualitative questions on perceived effects, side effects, and willingness to repeat the practice | — |
Countries
Thailand
Contacts
Public Contactbenchalak maneeton
Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Outcome results
None listed