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Title: Heartrate variability biofeedback for migraine using a smartphone application and sensor: A randomized controlled trial
Authors: Minen, Mia T.
Corner, Sarah
Berk, Thomas
Levitan, Valeriya
Friedman, Steven
Adhikari, Samrachana
Keywords: migraines
app-based HRV biofeedback (HeartMath)
electromyograph biofeedback
Migraine-Specific Quality of Life Questionnaire (MSQv2)
Issue Date: 2021
Publisher: Elsevier
Citation: Minen, M. T., Corner, S., Berk, T., Levitan, V., Friedman, S., Adhikari, S., & Seng, E. B. (2021). Heartrate variability biofeedback for migraine using a smartphone application and sensor: A randomized controlled trial. General Hospital Psychiatry, 69, 41–49.
Series/Report no.: General Hospital Psychiatry;69
Abstract: Introduction Although hand temperature and electromyograph biofeedback have evidence for migraine prevention, to date, no study has evaluated heartrate variability (HRV) biofeedback for migraine. Methods 2-arm randomized trial comparing an 8-week app-based HRV biofeedback (HeartMath) to waitlist control. Feasibility/acceptability outcomes included number and duration of sessions, satisfaction, barriers and adverse events. Primary clinical outcome was Migraine-Specific Quality of Life Questionnaire (MSQv2). Results There were 52 participants (26/arm). On average, participants randomized to the Hearthmath group completed 29 sessions (SD = 29, range: 2–86) with an average length of 6:43 min over 36 days (SD = 27, range: 0, 88) before discontinuing. 9/29 reported technology barriers. 43% said that they were likely to recommend Heartmath to others. Average MSQv2 decreases were not significant between the Heartmath and waitlist control (estimate = 0.3, 95% CI = −3.1 - 3.6). High users of Heartmath reported a reduction in MSQv2 at day 30 (−12.3 points, p = 0.010) while low users did not (p = 0.765). Discussion App-based HRV biofeedback was feasible and acceptable on a time-limited basis for people with migraine. Changes in the primary clinical outcome did not differ between biofeedback and control; however, high users of the app reported more benefit than low users.
Description: Scholarly article / Open access
ISSN: 0163-8343, 1873-7714
Appears in Collections:Ferkauf Graduate School of Psychology: Faculty Publications

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