Feasibility and Effectiveness of Portable/Remote Heart Rate Variability (HRV) Biofeedback Training in Treating Stress and Mental Health Difficulties: A Systematic Review.

Appl Psychophysiol BiofeedbackSep 1, 2026
Clinical ResearchPsychiatryOpen access

Sophie Wilson, Alisia-Roberta-Lorelai Maciu, Katie Ashcroft

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In 30 seconds

This systematic review evaluated the feasibility and effectiveness of portable/remote heart rate variability biofeedback training (P/R-HRVBt) in adults with stress and subclinical anxiety or depression. Thirteen studies were included, all reporting improvements in at least one psychological or physiological outcome. The review indicates that P/R-HRVBt is feasible and may be comparable to established interventions.

Key findings

  • All included studies reported improvements in at least one psychological or physiological outcome.
  • Thirteen studies were reviewed, with all receiving a global 'weak' quality rating.
  • Four studies achieved a 'moderate' quality rating when blinding was excluded.
  • Heterogeneity in study design and measures limited the ability to draw firm conclusions.

Why it matters

Understanding the effectiveness of P/R-HRVBt is crucial as it may provide a viable alternative for managing stress and mental health issues, particularly in a digital healthcare landscape.

What to keep in mind

All studies received a global 'weak' quality rating, indicating potential issues with study design and execution.

Source

Published in Appl Psychophysiol Biofeedback. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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