Heart Rate Variability (HRV) Biofeedback Key to Managing Employee Emotional Health and Resilience

Heart Rate Variability (HRV) Biofeedback

Key to Managing Employee Emotional Health and Resilience


One of the most researched and evidence-based tools available for managing health and performance is Heart Rate Variability (HRV) biofeedback training. HRV biofeedback training teaches employees how to self-regulate their emotions which has been shown in over 200 studies to reduce symptoms of stress while improving mental, emotional and physical health. Case study results with healthcare workers, manufacturing, teachers have shown include increased productivity and teamwork, reduced turnover, reduced absenteeism, improved worker’s safety, and reduced health care costs [1].


HRV biofeedback from devices and apps provides visible evidence that our emotions have a subsequent impact on our heart rhythms, which change real time, as we shift from stressful emotions to positive emotional states. Coherent heart rhythm patterns facilitate higher brain function for greater sense of well-being and positive outlook follows resulting in improved relationships, communications, and creativity. Incoherent heart rhythm patterns inhibit higher brain centers and impair mental decision making, exacerbate fear and can affect physical health.


HRV monitoring – Daytime vs. Night time 


The most popular devices that measure HRV while you sleep are Oura, Whoop, Garmin, CardioMood, Apple, Withings, and Biostrap. All of these devices also support daytime measurements and biofeedback with the exception of CardioMood. Devices and Mobile Apps that are focused on realtime HRV biofeedback include, HeartMath, EliteHRV, HRV4Biofeedback, Sensie, Oxa Life, and Lief.


There are different applications when measuring HRV during sleep and during the day. One study found that HRV during sleep is generally higher compared to HRV during the day, possibly due to a decrease in activity and external stimuli during sleep [2]. Another study found that daytime HRV measurements can vary depending on the time of day they are taken, with HRV almost twice as high around midnight than at mid-morning in younger people [3].


Measuring HRV during sleep can provide insight into the body’s state during rest and can be useful for identifying sleep-related disorders such as obstructive sleep apnea [4]. On the other hand, measuring HRV during the day can provide insight into managing the body’s response to stress, help with self regulation to addictive situations, help manage trauma and can be useful for assessing overall cardiovascular health [5].

Overall, measuring HRV can provide valuable biofeedback, and the choice of when to measure HRV depends on the specific emotional health program goals. Since biofeedback requires training rather than a treatment, it can be used to help people change and develop new sustainable lifestyle management skills. This is an important opportunity for employees to work with a health coach who is trained on HRV biofeedback and to have a portal to capture the various biofeedback devices . To be successful, employees must play an active role during the training and learn to practice on their own. Employers should also ask their mental health providers if HRV biofeedback is being utilized to improve wellbeing and to measure outcomes on their programs.

Contact HealthWell Solutions for information on wearable devices and biofeedback programs for your Employee Health needs www.healthwellcorp.com , info@healthwellsolutions.com





Heart Math Institute – www.heartmath.org

[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3923278/

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871721/

[3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311559/

[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721520/

[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624990/