Trial Outcomes & Findings for Heart Rate Variability and Prematurity (NCT NCT03565874)

NCT ID: NCT03565874

Last Updated: 2019-10-15

Results Overview

The ratio of acceptance of study participation (number of participants who accept to participate to the study / number of participants to whom the study has been proposed) \* 100

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

6 participants

Primary outcome timeframe

After completing the HRVB program (on average 3 weeks)

Results posted on

2019-10-15

Participant Flow

Participant milestones

Participant milestones
Measure
Heart Rate Variability Biofeedback
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Overall Study
STARTED
6
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Heart Rate Variability Biofeedback
n=6 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Age, Categorical
<=18 years
0 Participants
n=6 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=6 Participants
Age, Categorical
>=65 years
0 Participants
n=6 Participants
Sex: Female, Male
Female
6 Participants
n=6 Participants
Sex: Female, Male
Male
0 Participants
n=6 Participants
Region of Enrollment
Switzerland
6 participants
n=6 Participants

PRIMARY outcome

Timeframe: After completing the HRVB program (on average 3 weeks)

Population: We propose the study to 18 participants and 6 accept to participate. Ratio: (6/18)\*100

The ratio of acceptance of study participation (number of participants who accept to participate to the study / number of participants to whom the study has been proposed) \* 100

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=18 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Feasibility: Acceptance (Ratio)
33.3 percentage of <participants>

PRIMARY outcome

Timeframe: After completing the HRVB program (on average 3 weeks)

The ratio of drop out.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=6 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Feasibility: Drop-out
33.3 percentage of participants

PRIMARY outcome

Timeframe: After completing the HRVB program (on average 3 weeks)

Compliance with study protocol regarding the number of sessions attended by the participants.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Feasibility: Number of Sessions Completed During Study
10.25 sessions completed
Standard Deviation 0.96

PRIMARY outcome

Timeframe: After completing the HRVB program (on average 3 weeks)

Satisfaction will be measured through a questionnaire. Questions will be asked about global satisfaction, utility, timing and difficulty about their experience (assessed on single item Likert scale). Higher scores reflects more satisfaction. Possible range 2 to 10.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Satisfaction Regarding the Intervention
7.5 score on a scale
Standard Deviation 0.57

SECONDARY outcome

Timeframe: Before and after completing the HRVB program (on average 3 weeks).

The root-mean square differences of successive R-R intervals (RMSDD) will be used as measures to assess HRV level before and after participation in the HRVB program.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
HRV: RMSDD
Before intervention
42.7 milliseconds
Standard Deviation 24.76
HRV: RMSDD
After intervention
49.13 milliseconds
Standard Deviation 37.04

SECONDARY outcome

Timeframe: Before and after completing the HRVB program (on average 3 weeks).

High Frequency (HF) will be used as measures to assess HRV level before and after participation in the HRVB program.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
HRV: HF
Before intervention
45.63 high frequency power normalized unit
Standard Deviation 11.16
HRV: HF
After intervention
27.81 high frequency power normalized unit
Standard Deviation 14.12

SECONDARY outcome

Timeframe: Before and after completing the HRVB program (on average 3 weeks).

Perceived stress will be measured on the Perceived Stress Scale-14 (PSS-14). PSS-14 score is calculated on 14 items ranging from 0 to 4. The 7 positive state items (4,5,6,7,9,10 and 13) must have their score reversed (0=4, 1=3, 2=2, 3=1, 4=0) in order to calculate the total score by summing up all 14 items.(Min=0, Max=56). Higher scores indicate a higher level of stress. A validated French version of the PSS will be used.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Stress
Before intervention
29 score on a scale
Standard Deviation 9.97
Stress
After intervention
19.75 score on a scale
Standard Deviation 14.24

SECONDARY outcome

Timeframe: Before and after completing the HRVB program (on average 3 weeks).

Post-traumatic stress disorder symptoms will be measured with the Post-traumatic stress disorder checklist (PCL-5) for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5). PCL-5 is a 20 items self-report measure that assesses the presence and severity of PTSD symptoms. Items on the PCL-5 correspond to DSM-5 criteria for PTSD. Each item is rated on a 5 point Likert scale (from "Not at all" to "Extremely"). Total score is calculated by adding up scores for all items (Min = 0, Max = 80). Higher scores indicate a higher level of PTSD. A validated French version of the PCL will be used.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
PTSD
Before intervention
27.75 score on a scale
Standard Deviation 15.73
PTSD
After intervention
16.25 score on a scale
Standard Deviation 12.69

SECONDARY outcome

Timeframe: Before and after completing the HRVB program (on average 3 weeks).

Anxiety symptoms will be measured with the State and Trait Anxiety Inventory (STAI). STAI score is calculated on 40 items (20 items assessing trait anxiety and 20 items assessing state anxiety) rated on a 4 point Likert scale (from "Almost never" to "Almost always"). Total score for state and trait anxiety is calculated by adding up all items (Min = 20, Max = 80). Higher scores indicate a higher level of anxiety. A validated French version of the STAI will be used.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Anxiety
STAI trait - Before intervention
32.75 score on a scale
Standard Deviation 8.46
Anxiety
STAI trait - After intervention
32.25 score on a scale
Standard Deviation 6.65
Anxiety
STAI state - Before intervention
49.25 score on a scale
Standard Deviation 18.46
Anxiety
STAI state - After intervention
34.5 score on a scale
Standard Deviation 7.59

SECONDARY outcome

Timeframe: Before and after completing the HRVB program (on average 3 weeks).

Depression symptoms will be assessed with a 13-item short form of the Beck Depression Inventory (BDI), which is a 13-item, self-report rating inventory that measures symptoms of depression. The scale for each item goes from 0 to 3. Total score is calculated by adding up scores from each item (Min = 0, Max = 39). Higher scores indicate a higher level of depression. A validated French version of the BDI will be used.

Outcome measures

Outcome measures
Measure
Heart Rate Variability Biofeedback
n=4 Participants
HRVB program conducted over the course of 2 weeks of individual daily exercises for 20 minutes per day. Heart rate variability biofeedback: Before the start of the program and after one week of adherence to the program, two sessions will be conducted with a psychologist in order to define each participant's individual resonance frequency (i.e., breathing rhythm allowing for cardiac coherence), using the Nexus program from Mindmedia company. Then, each participant will receive training on the HRVB program using an Emwave device. The HRVB program itself will be carried individually for 20 min daily over the course of two weeks. Five daily sessions of 10 minutes will be considered as the minimum adherence to the program. Each participant will be asked to report in a diary all eventual major stressful life events.
Depression
Before intervention
4.75 score on a scale
Standard Deviation 4.57
Depression
After intervention
3.5 score on a scale
Standard Deviation 1

Adverse Events

Heart Rate Variability Biofeedback

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sébastien Urben

Department of Child and Adolescent Psychiatry, University Hospital of Lausanne

Phone: +41 21 314 7492

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place