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Project

Biofeedback for treatment of anxiety associated with chronic spinal cord injury

Funder: Craig H Neilsen Foundation

Funding period
USD 200 K
Funding amount
Abstract
As many as 32% of individuals with spinal cord injury/disorder (SCI/D) experience symptomatic anxiety; however, many commonly used strategies to treat anxiety, e.g., progressive muscle relaxation are limited for individuals with SCI/D because of neurological impairments. Biofeedback heart rate variability (HRV) training is a treatment approaches for anxiety disorders that appears to be feasible for individuals with SCI/D, but has not been tested. HRV training uses biofeedback to train individuals to alter their breathing and heart rate using a technique called “resonance frequency training” to attain coherence between their heart rate and respiration rate. HRV training has been shown to bolster psychological resilience and behavioral adaptability to changes in social or environmental demands. The proposed pilot study is designed with three primary aims: (1) to test the safety and feasibility of a biofeedback intervention for individuals with complete and incomplete tetraplegia to promote coherence between HRV and respiration rate, (2) to compare the effects of a biofeedback intervention to a wait list control group with physiological monitoring on participants’ ability to reach coherence, and (3) to compare the effectiveness of a biofeedback intervention to a wait list control group for reducing psychophysiological stress and self-reported anxiety. Thirty individuals with chronic tetraplegia and anxiety will be evenly allocated into one of two groups (biofeedback or control group). Participants in the biofeedback group will undergo psychophysiological monitoring while also participating in biofeedback training twice a week for four weeks (8 sessions). Participants in the control group will undergo 30 minutes of psychophysiological monitoring twice a week for four weeks (8 sessions), but will not receive biofeedback training. All participants will complete pre-post treatment anxiety inventories and physiological monitoring, as well as physiological and symptom monitoring during each session. Given the small sample size of the proposed pilot study, the analysis will focus on detecting a signal that HRV training reduces anxiety among individuals with tetraplegia and answering feasibility questions regarding the research processes, resources, management procedures, and scientific methods for conducting a randomized controlled trial. (CHN: PSR chn:wdg)

 
67
Projects
USD 17.4 M
Aggregated funding amount
USD 260 K
Average funding amount
Project list item
Promoting Sleep and Health Needs of Young Adults with Spinal Cord Injury

Craig H Neilsen Foundation to Alicia M January, Lawrence Cabell Vogel, Kathy Zebracki

USD 190,000
2019 - 2021
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SCI Thrive: Efficacy of a Peer-led Online Self-Management Program

Craig H Neilsen Foundation to Jeanne M. Hoffman, Amy Starosta

USD 400,000
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Patient Engagement Intervention in Inpatient Spinal Cord Injury Rehabilitation

Craig H Neilsen Foundation to Wing (Alex) Wong, Piper Hansen, Peggy Barco, Ana Baumann Walker, Eric Lenze, Wing (Alex) Wong

USD 199,941
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Preventing changes in mental health in a rat model of spinal cord injury

Craig H Neilsen Foundation to Karim Fouad

USD 300,000
2018 - 2020
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Wheelchair propulsion training for manual wheelchair users with SCI

Craig H Neilsen Foundation to Kerri Morgan, Yan Yan, Kerri Morgan, Joseph Klaesner

USD 300,000
2018 - 2020
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Effects of spinal cord injury and locomotor training on colonic motility.

Craig H Neilsen Foundation to Robert Hoey

USD 150,000
2018 - 2020
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Postprandial fat metabolism following an acute exercise bout in persons with spinal cord injuries

Craig H Neilsen Foundation to Kevin Allen Jacobs, Soyeon Ahn, Mark Nash, David McMillan

USD 299,955
2018 - 2020
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Effectiveness of a phone-based peer physical activity counselling program for people with SCI: A RCT

Craig H Neilsen Foundation to François Routhier, Jaimie Borisoff, Luc Noreau, Kelly Arbour-Nicitopoulos, Kathleen Martin Ginis, Emilie Lacroix

USD 399,850
2018 - 2021
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Illuminating and expanding relational autonomy for adults with SCI towards enhanced quality of life

Craig H Neilsen Foundation to Bonnie Lashewicz

USD 199,973
2018 - 2020
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The Occupational Performance Coaching Model for Caregivers of Youth with SCI: A Feasibility Study

Craig H Neilsen Foundation to Mary Jane Mulcahey, MaryJane Mulcahey

USD 200,000
2018 - 2020
Project list item
Development and Initial Validation of the PedsQL (TM) - SCI Module

Craig H Neilsen Foundation to Lawrence Cabell Vogel, Mary Jane Mulcahey, Kathy Zebracki, James W Varni

USD 399,086
2018 - 2021
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Whole Body Exercise in Spinal Cord Injury: Effects on Psychosocial Function

Craig H Neilsen Foundation to Hannah Mercier, J. Andrew Taylor, Jukka-Pekka Onnela, John Torous

USD 150,000
2018 - 2020
Project list item
Aging trajectories of chronic disease, psychological morbidity, and mortality in spinal cord injury.

Craig H Neilsen Foundation to Mark Peterson, Tony Chiodo, Denise G. Tate, Neil Kamdar, Mark Peterson

USD 200,000
2018 - 2020
Project list item
The Positive-Psychosocial Application of The Health Action Process Approach for People with SCI

Craig H Neilsen Foundation to Chung-Yi Chiu, James Krause, John O'Neill, Jessica Brooks, Sa Shen

USD 200,000
2018 - 2020
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Zero Gravity

Craig H Neilsen Foundation to Sarah Yamamoto

USD 100,000
2017 - 2018
Project list item
Training of Activity of Muscles Below the Injury Level in Complete SCI for Neuroprosthetic Control

Craig H Neilsen Foundation to Hunter Peckham, Kevin L Kilgore, Michael J Fu, Elizabeth Heald, Anne M Bryden, Ronald L. Hart, Betty Dunger

USD 586,208
2017 - 2020
Project list item
Optimization of Medication Management for Community-Dwelling Persons with Spinal Cord Injury

Craig H Neilsen Foundation to Sara Jane Taylor Guilcher, Sander Lorne Hitzig, Tanya Packer, Tejal Patel, Aisha Lofters

USD 197,788
2017 - 2020
Project list item
Exploring the impact of falls on life after spinal cord injury

Craig H Neilsen Foundation to Kristin Musselman, Hardeep Singh, Sander Lorne Hitzig, B. Catharine Craven, Susan Jaglal, Sarah Oosman, Karen Yoshida, Geoffrey Bostick, Heather Flett, Carol Scovil

USD 199,780
2017 - 2019
Project list item
Exercise training in a community-based setting for people with spinal cord injuries

Craig H Neilsen Foundation to Kerri Morgan, Kerri Morgan

USD 199,844
2017 - 2019
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Blended Residential/eHealth Lifestyle Intervention to Improve Cardiovascular Health, Manage Pain

Craig H Neilsen Foundation to James H Rimmer, Brooks C. Wingo, Amie McLain, Barbara Gower, Gitendra Uswatte, Tapan Mehta

USD 199,600
2017 - 2019
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