A Pilot Feasibility Evaluation of a Heart Rate Variability Biofeedback App to Improve Self-Care in COVID-19 Healthcare Workers.

Outcomes that maintained significant (or marginally significant) changes between baseline and post-intervention after controlling for adherence effects on change included: noticing ( d = 0.90; p = 0.024), attention regulation ( d = 1.38; p = 0.001), self-regulation ( d = 1.48; p < 0.001), body listening ( d = 0.77; p = 0.064), resilience ( d = 0.82; p = 0.088), perceived stress ( d = 1.42; p = 0.002), mindful self-care ( d = 1.01; p = 0.002), body appreciation ( d = 0.96; p = 0.005), intuitive eating ( d = 0.72; p = 0.050), LOCES ( d = 1.15; p = 0.002), and EDE-Q7 scores ( d = 0.61; p = 0.088).

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Further significant improvements were seen in LOCES scores between mid and post-intervention ( d = 0.30; p = 0.021) and mindful self-care ( d = 0.34; p = 0.010); EDE-Q7 scores continued to improve, but mid-to-post change did not reach statistical significance ( d = 0.23; p = 0.106).

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