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Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study

Innovating Care for Postmenopausal Women Using a Digital Approach for Pelvic Floor Dysfunctions: Prospective Longitudinal Cohort Study

The intervention had an average duration of 10 weeks and consisted of biofeedback-mediated PFMT, functional exercises, and education (Table S2 in Multimedia Appendix 1), as previously described [41]. Briefly, after enrollment, participants completed an onboarding form with demographic and clinical information and selected a PT specializing in pelvic health who oversaw and continuously tailored the treatment.

Ana P Pereira, Dora Janela, Anabela C Areias, Maria Molinos, Xin Tong, Virgílio Bento, Vijay Yanamadala, Jennesa Atherton, Fernando Dias Correia, Fabíola Costa

JMIR Mhealth Uhealth 2025;13:e68242

The Effect of the Virtual Reality–Based Biofeedback Intervention DEEP on Stress, Emotional Tension, and Anger in Forensic Psychiatric Inpatients: Mixed Methods Single-Case Experimental Design

The Effect of the Virtual Reality–Based Biofeedback Intervention DEEP on Stress, Emotional Tension, and Anger in Forensic Psychiatric Inpatients: Mixed Methods Single-Case Experimental Design

This technique of providing direct feedback on bodily signals is called biofeedback [9]. Diaphragmatic breathing has been shown to support relaxation, well-being, and anger regulation [10,11]. Previous research has shown the potential of DEEP to reduce negative emotions. First, a randomized controlled trial with DEEP in undergraduate students showed a decrease in anxiety symptoms after using DEEP 4 times [12].

Lisa Klein Haneveld, Tessa Dekkers, Yvonne H A Bouman, Hanneke Scholten, Joanneke Weerdmeester, Saskia M Kelders, Hanneke Kip

JMIR Form Res 2025;9:e65206

Neurological Evidence of Diverse Self-Help Breathing Training With Virtual Reality and Biofeedback Assistance: Extensive Exploration Study of Electroencephalography Markers

Neurological Evidence of Diverse Self-Help Breathing Training With Virtual Reality and Biofeedback Assistance: Extensive Exploration Study of Electroencephalography Markers

Integrated biofeedback (BF) and virtual reality (VR) technologies have been widely applied in recent years [1,2]. Accumulating evidence has shown that the application of integrated BF and VR technologies may mitigate users’ stress levels [3,4], anxiety [4-6], self-reported pain [7,8], and developmental disorders [9,10], and improve people’s cognitive function [11,12].

Hei-Yin Hydra Ng, Changwei W Wu, Hao-Che Hsu, Chih-Mao Huang, Ai-Ling Hsu, Yi-Ping Chao, Tzyy-Ping Jung, Chun-Hsiang Chuang

JMIR Form Res 2024;8:e55478

Use of Biofeedback-Based Virtual Reality in Pediatric Perioperative and Postoperative Settings: Observational Study

Use of Biofeedback-Based Virtual Reality in Pediatric Perioperative and Postoperative Settings: Observational Study

One nonpharmacologic alternative is biofeedback, a mind-body therapy that provides sustained pain relief [13,14] in various clinical settings [15-26]. Biofeedback reduces pain by teaching patients behavioral modifications (eg, decreasing respiratory rate) to change their physiological status (eg, increasing heart rate variability [HRV]) [27], characterized as the increase and subsequent decrease in heartbeats during inhalation and exhalation, respectively [28].

Zandantsetseg Orgil, Anitra Karthic, Nora F Bell, Lisa M Heisterberg, Sara E Williams, Lili Ding, Susmita Kashikar-Zuck, Christopher D King, Vanessa A Olbrecht

JMIR Perioper Med 2024;7:e48959

Remote Short Sessions of Heart Rate Variability Biofeedback Monitored With Wearable Technology: Open-Label Prospective Feasibility Study

Remote Short Sessions of Heart Rate Variability Biofeedback Monitored With Wearable Technology: Open-Label Prospective Feasibility Study

These long and structured sessions, however, limit the ability of individuals to institute an HRV biofeedback program into their daily lives. Short sessions of HRV biofeedback might therefore provide a greater impact if they are able to elicit an autonomic response. Interestingly, short sessions of HRV biofeedback can successfully modify HRV and improve the regulation of emotional reactivity and therefore warrant further evaluation [45,46].

Robert P Hirten, Matteo Danieletto, Kyle Landell, Micol Zweig, Eddye Golden, Renata Pyzik, Sparshdeep Kaur, Helena Chang, Drew Helmus, Bruce E Sands, Dennis Charney, Girish Nadkarni, Emilia Bagiella, Laurie Keefer, Zahi A Fayad

JMIR Ment Health 2024;11:e55552

A Smartphone-Gamified Virtual Reality Exposure Therapy Augmented With Biofeedback for Ailurophobia: Development and Evaluation Study

A Smartphone-Gamified Virtual Reality Exposure Therapy Augmented With Biofeedback for Ailurophobia: Development and Evaluation Study

Gamification, VR, and biofeedback (BF) are promising options. However, our research indicates that few studies have simultaneously used these technologies for specific phobias. Virtual reality exposure therapy (VRET) uses 360° computer-generated simulations [8,9] similar to traditional exposure therapies [2]. Meta-analyses have shown that VRETs are effective and their performance can rival standard exposure therapies [2].

Ali Khaleghi, Abbas Narimani, Zahra Aghaei, Anahita Khorrami Banaraki, Peyman Hassani-Abharian

JMIR Serious Games 2024;12:e34535

Determining the Right Levels of Health Coaching and Heart Rate Variability Biofeedback in a Workplace Behavior Change Intervention: Multiphase Optimization Strategy Preparation Study

Determining the Right Levels of Health Coaching and Heart Rate Variability Biofeedback in a Workplace Behavior Change Intervention: Multiphase Optimization Strategy Preparation Study

There are four candidate coaching components being delivered, with a fifth untested component that all participants will receive the following: Daily resting HRV biofeedback: the participants will be asked to record regular HRV measurements in the morning before eating or drinking. Momentary HRV biofeedback: throughout the workday, the participants will be asked to take in-the-moment HRV measurements, with the option of performing a mindfulness activity to manage elevated stress.

Sean Locke, Jenna Osborne

JMIR Form Res 2024;8:e47181

Biofeedback and Digitalized Motivational Interviewing to Increase Daily Physical Activity: Series of Factorial N-of-1 Randomized Controlled Trials Piloting the Precious App

Biofeedback and Digitalized Motivational Interviewing to Increase Daily Physical Activity: Series of Factorial N-of-1 Randomized Controlled Trials Piloting the Precious App

The Precious app combines MI with heart rate variability–based biofeedback to strengthen the mental link between an individual’s actions and well-being. Biofeedback has been found to reduce stress and anxiety about physical activity, removing a barrier for some inactive individuals [42]. A pilot study also found that biofeedback improved quality of life and reduced fatigue in a small sample of women with chronic fatigue syndrome [43].

Johanna Nurmi, Keegan Knittle, Felix Naughton, Stephen Sutton, Todor Ginchev, Fida Khattak, Carmina Castellano-Tejedor, Pilar Lusilla-Palacios, Niklas Ravaja, Ari Haukkala

JMIR Form Res 2023;7:e34232

A Serious Game to Self-Regulate Heart Rate Variability as a Technique to Manage Arousal Level Through Cardiorespiratory Biofeedback: Development and Pilot Evaluation Study

A Serious Game to Self-Regulate Heart Rate Variability as a Technique to Manage Arousal Level Through Cardiorespiratory Biofeedback: Development and Pilot Evaluation Study

This study has two phases: (1) the development of a serious game biofeedback app called the Fit Lab Game and (2) the testing of the app with participants in a pilot study. In accordance with definition of serious games by Djaouti et al [25], the Fit Lab Game is meant for physical and mental training in the health care sector and intended for the general public.

Tony Estrella, Carla Alfonso, Juan Ramos-Castro, Aitor Alsina, Lluis Capdevila

JMIR Serious Games 2023;11:e46351