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The International Performance, Resilience and Efficiency Program Protocol for the Application of HRV Biofeedback in
Judith P Andersen1,2, Joseph Arpaia3, Harri Gustafsberg4
1Department of Psychology, University of Toronto Mississauga, Toronto, Mississauga, ON, Canada. judith.andersen@utoronto.ca.
Applied Psychophysiology and Biofeedback
|April 24, 2024
Summary
Law enforcement officers can improve stress resilience with a specialized heart rate variability biofeedback (HRVB) protocol. This accelerated training enhances physiological health and job performance in high-threat situations.
Area of Science:
- Physiology
- Psychology
- Law Enforcement Training
Background:
- Law enforcement officers face significant occupational stressors impacting health and performance.
- Self-regulation strategies are crucial for managing stress in high-threat encounters.
- Existing clinical biofeedback methods require adaptation for operational policing.
Purpose of the Study:
- To describe a tailored heart rate variability biofeedback (HRVB) protocol for law enforcement.
- To present an accelerated, integrated training program (iPREP) for police resilience.
- To provide a resource for selecting effective self-regulation techniques for officers.
Main Methods:
- Development of a five-module HRVB protocol within the iPREP resilience program.
- Condensed delivery format (2-3 days) integrated with reality-based training.
- Application of police-specific pedagogical frameworks alongside clinical HRVB best practices.
Main Results:
- Demonstrated immediate and sustained improvements in police performance.
- Documented enhancements in physiological health outcomes for officers.
- Efficacy supported by randomized controlled trials and longitudinal cohort studies.
Conclusions:
- The iPREP HRVB protocol offers an effective, job-relevant approach to stress modulation for law enforcement.
- Accelerated and integrated training can successfully adapt autonomic responses to occupational stress.
- A critical appraisal guide aids agencies in choosing appropriate self-regulation training.

