Abstract
Motivated by the idea that slow breathing practices could transform the automobile commute from a depleting, mindless activity into a calming, mindful experience, we introduce the first guided slow breathing intervention for drivers. We describe a controlled in-lab experiment (N=24) that contrasts the effectiveness and impact of haptic and voice guidance modalities at slowing drivers' breathing pace, which is a known modulator of stress. The experiment was conducted in two simulated driving environments (city, highway) while driving in one of two driving modes (autonomous, manual). Results show that both haptic and voice guidance systems can reduce drivers' breathing rate and provide a sustained post-intervention effect without affecting driving safety. Subjectively, most participants (19/24) preferred the haptic stimuli as they found it more natural to follow, less distracting, and easier to engage and disengage from, compared to the voice stimuli. Finally, while most participants found guided breathing to be a positive experience, a few participants in the autonomous driving condition found slow breathing to be an unusual activity inside the car. In this paper, we discuss such considerations, offer guidelines for designing in-car breathing interventions, and propose future research that extends our work to on-road studies. Altogether, this paper serves as foundational work on guided breathing interventions for automobile drivers.
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- Alexander T. Adams, Jean Costa, Malte F. Jung, and Tanzeem Choudhury. 2015. Mindless computing: designing technologies to subtly influence behavior. In Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing. ACM, 719--730. Google ScholarDigital Library
- Beena Ahmed, Hira Mujeeb Khan, Jongyong Choi, and Ricardo Gutierrez-Osuna. 2016. ReBreathe: A calibration protocol that improves stress/relax classification by relabeling deep breathing relaxation exercises. IEEE Transactions on Affective Computing 7, 2 (2016), 150--161.Google ScholarCross Ref
- Heba Aly and Moustafa Youssef. 2016. Zephyr: Ubiquitous accurate multi-sensor fusion-based respiratory rate estimation using smartphones. In Proceedings - IEEE INFOCOM, Vol. 2016-July.Google Scholar
- D. E. Anderson, J. D. McNeely, and B. G. Windham. 2010. Regular slow-breathing exercise effects on blood pressure and breathing patterns at rest. Journal of Human Hypertension 24, 12 (2010), 807--813.Google ScholarCross Ref
- Mathias Benedek and Christian Kaernbach. 2011. Physiological correlates and emotional specificity of human piloerection. Biological Psychology 86, 3 (2011), 320--329.Google ScholarCross Ref
- Herbert Benson, John F. Beary, and Mark P. Carol. 1974. The relaxation response. Psychiatry 37, 1 (1974), 37--46.Google ScholarCross Ref
- Lynn Bickley and Peter G. Szilagyi. 2012. Bates' guide to physical examination and history-taking. Home Healthcare Nurse The Journal for the Home Care and Hospice Professional 13, 6 (2012), 992.Google Scholar
- George E. Billman. 2013. The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Frontiers in Physiology 4, February (2013), 1--5.Google Scholar
- Hal Blumenfeld. 2010. Neuroanatomy through Clinical Cases. 1033 pages.Google Scholar
- Wolfram Boucsein. 1992. Electrodermal activity. Electrodermal Activity 3 (1992), 3--67.Google Scholar
- Broadhurst, Peter L. 1957. Emotionality and the Yerkes-Dodson law. Journal of experimental psychology 54, 5 (1957), 345--352.Google ScholarCross Ref
- Wiebo H. Brouwer, Wim Waterink, Peter C. Van Wolffelaar, and Talib Rothengatter. 1991. Divided attention in experienced young and older drivers: lane tracking and visual analysis in a dynamic driving simulator. Human factors 33, 5 (1991), 573--82.Google Scholar
- Richard P. Brown and Patricia L. Gerbarg. 2005. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model. Journal of alternative and complementary medicine (New York, NY.) 11,1 (2005), 189--201.Google ScholarCross Ref
- Richard P. Brown and Patricia L. Gerbarg. 2009. Yoga breathing, meditation, and longevity. Annals of the New York Academy of Sciences 1172, 1 (2009), 54--62.Google ScholarCross Ref
- Troy E. Brown, Larry A. Beightol, Junken Koh, and Dwain L. Eckberg. 1993. Important influence of respiration on human RR interval power spectra is largely ignored. Journal of Applied Physiology 75, 5 (1993), 2310--2317.Google ScholarCross Ref
- Winslow Burleson and Rosalind W. Picard. 2004. A platform for affective agent research. Workshop on Empathetic Agents, International Conference on Autonomous Agents and Multiagent Systems (2004).Google Scholar
- Harold E. Burtt. 1917. Tactual illusions of movement. Journal of Experimental Psychology 2, 5 (1917), 371.Google ScholarCross Ref
- A. John Camm, Marek Malik, J. T. Bigger, Günter Breithardt, Sergio Cerutti, Richard J. Cohen, Philippe Coumel, Ernest L. Fallen, Harold L. Kennedy, R. E. Kleiger, and others. 1996. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. European Heart Journal 17, 3 (1996), 354--381.Google ScholarCross Ref
- Keng-hao Chang, Drew Fisher, John Canny, and Björn Hartmann. 2011. How's my Mood and Stress ? An Efficient Speech Analysis Library for Unobtrusive Monitoring on Mobile Phones. Bodynets 2011 November (2011), 71--77. Google ScholarDigital Library
- Cecilia S. Chong, Megumi Tsunaka, and Edward P. Chan. 2011. Effects of yoga on stress management in healthy adults: a systematic review. Alternative therapies in health and medicine 17, 1 (2011), 32.Google Scholar
- City Car Driving. 2017. City Car Driving. (2017).Google Scholar
- Dav Clark, Frank Schumann, and Stewart H. Mostofsky. 2015. Mindful movement and skilled attention. Frontiers in Human Neuroscience 9, June (2015), 1--23.Google Scholar
- Sheldon Cohen, Denise Janicki-Deverts, and Gregory E. Miller. 2007. Psychological stress and disease. Jama 298, 14 (2007), 1685--1687.Google ScholarCross Ref
- Sunny Consolvo, Predrag Klasnja, David W. McDonald, Daniel Avrahami, Jon Froehlich, Louis LeGrand, Ryan Libby, Keith Mosher, and James A. Landay. 2008. Flowers or a robot army?: Encouraging awareness 8 activity with personal, mobile displays. Proceedings of the 10th international conference on Ubiquitous computing - UbiComp '08 (2008), 54--63. Google ScholarDigital Library
- Jean Costa, Alexander T. Adams, Malte F.Jung, François Guimbetiere, and Tanzeem Choudhury. 2016. EmotionCheck: leveraging bodily signals and false feedback to regulate our emotions. In Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing. ACM, 758--769. Google ScholarDigital Library
- Anna-Liisa Elo, Anneli Leppänen, and Antti Jahkola. 2003. Validity of a single-item measure of stress symptoms. Scandinavian journal of work, environment 8 health (2003), 444--451.Google Scholar
- Empatica. 2016. Empatica E4 wristband. (2016).Google Scholar
- Jack L. Feldman, Christopher A. Del Negro, and Paul A. Gray. 2012. Understanding the Rhythm of Breathing: So Near, Yet So Far. Annual Review of Physiology 75, 1 (2012), 121102144047002.Google Scholar
- Ulla Fredriksson-Larsson, Eva Brink, Gunne Grankvist, Ingibjörg H Jonsdottir, and Pia Alsen. 2015. The single-item measure of stress symptoms after myocardial infarction and its association with fatigue. Open Journal of Nursing 5, 04 (2015), 345.Google ScholarCross Ref
- Joanne L. Harbluk, Y. Ian Noy, Patricia L. Trbovich, and Moshe Eizenman. 2007. An on-road assessment of cognitive distraction: Impacts on drivers' visual behavior and braking performance. Accident Analysis and Prevention 39, 2 (2007), 372--379.Google ScholarCross Ref
- Jennifer A. Healey. 2008. Sensing Affective Experience. In Probing Experience. 91--100.Google Scholar
- Jennifer A Healey and Rosalind W. Picard. 2005. Detecting stress during real-world driving tasks using physiological sensors. IEEE Transactions on intelligent transportation systems 6, 2 (2005), 156--166. Google ScholarDigital Library
- Javier Hernandez, Daniel McDuff, Xavier Benavides, Judith Amores, Pattie Maes, and Rosalind W. Picard. 2014a. AutoEmotive: Bringing Empathy to the Driving Experience to Manage Stress. Proceedings of the 2014 companion publication on Designing interactive systems - DIS Companion '14 (2014), 53--56. Google ScholarDigital Library
- Javier Hernandez, Pablo Paredes, Asta Roseway, and Mary Czerwinski. 2014b. Under pressure: Sensing stress of computer users. In Conference on Human Factors in Computing Systems - Proceedings. 51--60. Google ScholarDigital Library
- Judith Aa Hirsch and Beverly Bishop. 1981. Respiratory sinus arrhythmia in humans: how breathing pattern modulates heart rate. The American journal of physiology 241, 4 (1981), 620--9.Google Scholar
- Tim Horberry, Janet Anderson, Michael A. Regan, Thomas J. Triggs, and John Brown. 2006. Driver distraction: The effects of concurrent in-vehicle tasks, road environment complexity and age on driving performance. Accident Analysis and Prevention 38, 1 (2006), 185--191.Google ScholarCross Ref
- Ali Israr and Ivan Poupyrev. 2011. Tactile Brush: Drawing on Skin with a Tactile Grid Display. Proceedings of CHI'11 (2011), 2019--2028. Google ScholarDigital Library
- Juliet Jain and Glenn Lyons. 2008. The gift of travel time. Journal of Transport Geography 16, 2 (2008), 81--89.Google ScholarCross Ref
- Jon Kabat-Zinn. 2003. Mindfulness-based interventions in context: Past, present, and future. (2003), 144--156 pages.Google Scholar
- James Laurie and Ann Blandford. 2016. Making time for mindfulness. International Journal of Medical Informatics 96 (2016), 38--50.Google ScholarCross Ref
- Richard S. Lazarus. 1966. Psychological stress and the coping process. McGraw-Hill.Google Scholar
- David T. Lykken and Peter H. Venables. 1971. Direct measurement of skin conductance: A proposal for standardization. Psychophysiology 8, 5 (1971), 656--672.Google ScholarCross Ref
- Glenn Lyons and John Urry. 2005. Travel time use in the information age. Transportation Research Part A: Policy and Practice 39, 2--3 SPEC. ISS. (2005), 257--276.Google ScholarCross Ref
- Diana MacLean, Asta Roseway, and Mary Czerwinski. 2013. MoodWings - A Wearable Biofeedback Device for Real- Time Stress Intervention. Proceedings of the 6th International Conference on PErvasive Technologies Related to Assistive Environments - PETRA '13 (2013), 1--8. Google ScholarDigital Library
- Robert R. McCrae. 1984. Situational determinants of coping responses: loss, threat, and challenge. Journal of personality and social psychology 46, 4 (1984), 919--928.Google ScholarCross Ref
- Bruce S. McEwen. 1998. Stress, adaptation, and disease. Allostasis and allostatic load. Annals of the New York Academy of Sciences 840 (1998), 33--44.Google ScholarCross Ref
- Jere Mead. 1963. The control of respiratory frequency. Annals of the New York Academy of Sciences 109 (1963), 724--729.Google ScholarCross Ref
- Medtronics. 2012. Zephyr Biomodule Device 3.0. (2012). https://www.zephyranywhere.eom/system/components#Google Scholar
- David Miller, Annabel Sun, Mishel Johns, Hillary Ive, David Sirkin, Sudipto Aich, and Wendy Ju. 2015. Distraction Becomes Engagement in Automated Driving. In Proceedings of the Human Factors and Ergonomics Society 59th Annual Meeting2. 2--6.Google ScholarCross Ref
- David Nunan, Gavin R. Sandercock, and David A. Brodie. 2010. A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. PACE - Pacing and Clinical Electrophysiology 33, 11 (2010), 1407--1417.Google ScholarCross Ref
- Pablo Paredes, Ryuka Ko, Arezu Aghaseyedjavadi, John Chuang, and John Canny. 2015. Synestouch Haptic + Audio Affective Design for Wearable Devices Synestouch Haptic + Audio Affective Design for Wearable Devices. October (2015), 595--601. Google ScholarDigital Library
- Pablo E. Paredes and Matthew K. Chan. 2011. CalmMeNow: Exploratory research and design of stress mitigating mobile interventions. In Conference on Human Factors in Computing Systems - Proceedings. 1699--1704. Google ScholarDigital Library
- Pablo E. Paredes, Ran Gilad-Bachrach, Mary Czerwinski, Asta Roseway, Kael Rowan, and Javier Hernandez. 2014. PopTherapy: Coping with stress through pop-culture. In Proceedings - PERVASIVEHEALTH 2014:8th International Conference on Pervasive Computing Technologies for Healthcare. 109--117. Google ScholarDigital Library
- Pablo E. Paredes, Nur Al-Huda Hamdan, Dav Clark, Carrie Cai, Wendy Ju, and James A Landay. 2017. Evaluating In-Car Movements in the Design of Mindful Commute Interventions: Exploratory Study. Journal of Medical Internet research 19, 12 (2017).Google ScholarCross Ref
- Judith G. Rabkin and Elmer. L. Struening. 1976. Life events, stress, and illness. Science 194 (1976), 1013--1020.Google ScholarCross Ref
- Michael A. Regan and Charlene Hallett. 2011. Driver distraction: Definition, mechanisms, effects, and mitigation. In Handbook of Traffic Psychology. 275--286.Google Scholar
- Jonathan W. Roberti, Lisa N. Harrington, and Eric A. Storch. 2006. Further Psychometric Support for the 10-Item Version of the Perceived Stress Scale. Journal of College Counseling 9 (2006), 135--147.Google ScholarCross Ref
- Masahito Sakakibara and Junichiro Hayano. 1996. Effect of slowed respiration on cardiac parasympathetic response to threat. Psychosomatic Medicine 58, 1 (1996), 32--37.Google ScholarCross Ref
- Alan L. Sroufe. 1971. Effects of Depth and Rate of Breathing on Heart Rate and Heart Rate Variability. Psychophysiology 8, 5 (1971), 648--655.Google ScholarCross Ref
- David Sun, Pablo E. Paredes, and John Canny. 2014. MouStress: Detecting stress from mouse motion. In Conference on Human Factors in Computing Systems - Proceedings. 61--70. Google ScholarDigital Library
- Mika P. Tarvainen, Juha-Pekka Niskanen, Jukka A. Lipponen, Perttu O. Ranta-Aho, and Pasi A. Karjalainen. 2014. Kubios HRV-heart rate variability analysis software. Computer methods and programs in biomedicine 113, 1 (2014), 210--20. Google ScholarDigital Library
- Julian F. Thayer, Shelby S. Yamamoto, and Jos F. Brosschot. 2010. The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. International journal of cardiology 141, 2 (2010), 122--131.Google Scholar
- U.S. Census Bureau. 2009. Commuting in the United States: 2009. (2009). https://www.census.gov/prod/2011pubs/acs-15.pdfGoogle Scholar
- Ilse Van Diest, Karen Verstappen, André E. Aubert, Devy Widjaja, Debora Vansteenwegen, and Elke Vlemincx. 2014. Inhalation/exhalation ratio modulates the effect of slow breathing on heart rate variability and relaxation. Applied psychophysiology and biofeedback 39, 3--4 (2014), 171--180.Google Scholar
- Jos Van Ommeren and Piet Rietveld. 2005. The commuting time paradox. Journal of Urban Economics 58, 3 (2005), 437--454.Google ScholarCross Ref
- Kanit Wongsuphasawat, Alex Gamburg, and Neema Moraveji. 2012. You Can't Force Calm: Designing and Evaluating Respiratory Regulating Interfaces for Calming Technology. In UIST '12. 69--70. Google ScholarDigital Library
- Kevin Yackle, Lindsay A. Schwarz, Kaiwen Kam, Jordan M. Sorokin, John R. Huguenard, Jack L. Feldman, Liqun Luo, and Mark A. Krasnow. 2017. Breathing control center neurons that promote arousal in mice. Science 355, 6332 (2017), 1411--1415.Google Scholar
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- Just Breathe: In-Car Interventions for Guided Slow Breathing
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