Paul Lehrer – Behav Med Foundation – Heart-Rate Variability Home Study Course

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Paul Lehrer – Behav Med Foundation – Heart-Rate Variability Home Study Course

Paul is a Harvard trained clinical and research psychologist who is Professor of Psychiatry, Rutgers?Robert Wood Johnson Medical School, in Piscataway, Dapoxetine. He has a long standing interest in respiratory psychophysiology and heart rate variability. His basic and clinical research has formed the basis for much of what is now known about biofeedback interventions for asthma, autonomic function, and emotional instability. He is one of the seminal researchers on heart rate variability biofeedback, and also is perhaps the last living student of Edmund Jacobson. He has published widely on stress management and on differences and similarities among various stress management and relaxation strategies. He is past president of the Association for Applied Psychophysiology and Biofeedback, and recipient of their Distinguished Scientist Award Silagra. At last count, he has been principal investigator on 13 grants from major agencies, co-investigator on an additional 16 grants, has published 145 articles in peer reviewed journals, and is senior editor of the widely used text, Principles and Practice of Stress Management, now in its third edition.

Courses Taught:

• Heart Rate Variability BFB PEPB005

Concept:

At home learning format based on audiovisual lectures, readings. This course meets the requirements for BCIA’s certificate in heart rate variability (HRV). It emphasizes methods for evaluation and modification of autonomic quieting through heart rate variability training. Topics covered include (1) Cardiac anatomy and physiology, (2) Respiratory anatomy and physiology, (3) Autonomic nervous system anatomy and physiology, and (4) Heart rate variability psychophysiology, instrumentation, measurement, biofeedback strategies and applications.

You will learn by watching audiovisual lectures provided on the course web, reading assignments both from materials provided, watching a movie. You will answer short essay questions rather than taking exams. Previous students have required between 20 and 35 hours of work to complete this course. There are no prerequisites for this course but having previously taken a course in anatomy and physiology makes the material in this course easier to understand and relate to the rest of the body’s functions.

Conflict of Interest: Neither the Behavioral Medicine Research & Training Foundation, its staff, nor the course instructor have any conflict of interest involving materials presented in this course.

Specific Course Objectives: As a result of taking this course, you should be able to:     

1. Have knowledge of each topic (listed below) required to earn the Biofeedback Certification International Alliance’s (BCIA’s) certificate in Heart Rate Variability Biofeedback.
2. Understand how basic cardiac anatomy and physiology (A&P) relate to HRV.
3. Be able to determine your own resonance frequency and calculate it for others.
4. Have sufficient knowledge of respiratory A&P to relate it to HEV.
5. Understand how the autonomic nervous system’s A&P cause changes in organ system functioning.
6. Be able to use standard biofeedback instruments to measure, assess, and feedback HRV.
7. Be able to train people to change their HRV through biofeedback.

Format:
Home study. After watching the lecture and reading the assigned material, you will answer a brief series of questions located in the review question file

Accessibility: Hearing impaired people can view the slides only as virtually all of the material presented in the lectures is typed onto the slides. Visually impaired people can concentrate on the verbal lectures as the slide material is repeated in the lecture accompanying each slide.

Required Equipment
To take this course you must have access to a biofeedback system capable of measuring respiration and HR simultaneously, with an on-line spectral analysis display of some sort.  Acceptable systems include J&J, Thought Technology, Nexus, and Biocomp. If you have a different system, contact the instructor prior to purchasing the course. The HeartMath and Stress Eraser devices are not sufficient, nor are various smart phone applications, although all of these can be used clinically.

Computer and Computer Knowledge Requirements:
Anybody with a modern computer and a bit of basic understanding of computer operation (at the level of being able to send e-mails) can play this course with minimal problems. You must have a computer (a) capable of connecting to the internet and running a typical internet program, (b) containing/running a modern word processor such as Microsoft word or Word Perfect, (c) the capability to play sounds such as music (has speakers and appropriate software which normally come with any modern computer), and (d) a slide viewing program such as Power Point (you can probably get a slide viewing program free off the internet if you don’t have one). Any modern (e.g., built within the last ten years), IBM style computer running Windows 98 and more recent platforms (e.g., XP or Windows 8) should be able to do this. Speed, hard disk size, and RAM are not factors for computers in the above category.

Hundreds of students have used recent Apple products (MACs etc.) for the Foundation’s courses. However they frequently have more difficulty playing the course materials than PC users do. If you are using a MAC type of computer, you must have a current version of “quicktime”. If you do not have it, you can download it for free from the web.

Faculty:
The course is given by Dr. Paul M. Lehrer, Ph.D. He is Professor of Psychiatry at the UMDNJ?Robert Wood Johnson Medical School. Dr. Lehrer has published hundreds of studies many of which established the basics of HRV and its biofeedback based interventions. He has been president of the field’s professional organization – The Association for Applied Psychophysiology and Biofeedback (AAPB) – and currently chairs its sister research support organization. Full CV available upon request and on the course web site.

Topic Outline:

I. Cardiac Anatomy & Physiology (1 hour)

A. How the ECG is generated

B. Sympathetic and parasympathetic influences

C. Heart-brain interaction.

II. Respiratory Anatomy & Physiology (1 hour)

A. The functions of breathing

B. The respiratory cycle

C. Muscle involvement in breathing

D. The Bohr effect

E. Functional and dysfunctional breathing behaviors

III. Autonomic Nervous System Anatomy & Physiology (.5 hour)

A. Three autonomic branches

B. The vagus nerve

IV. Heart Rate Variability (2 hours)

A. The meaning of HRV

B. The sources of HRV

C. Factors that influence HRV

D. Correlates of low and normal HRV

E. The benefits of increased HRV

V. HRV Instrumentation (3 hours)

A. Blood volume pulse (BVP)

(1. Source, 2. PPG sensor, 3. Signal, 4. Placements, 5. Tracking test, & 6. Artifacts)

B. The electrocardiogram (ECG)

(1. Source, 2. ECG sensor, 3. Signal, 4. Placements , 5. Tracking test, & 6. Artifacts)

C. Pneumograph

(1. Source, 2. sensor, 3. Signal, 4. Placements, 5. Tracking test, & 6. Artifacts)

VI. HRV Measurements (2 hours)

A. Time domain measurements and their meaning, properties, and correlates

B. Frequency domain measurements and their meaning, properties, and correlates

C. Brief versus 24-hour Holter monitoring

D. How to interpret HRV measurements

VII. HRV Biofeedback Strategies (4 hours)

A. How to explain HRV biofeedback to a client

B. How to assess breathing

C. How to measure the resonance frequency

D. How to teach resonance frequency breathing

E. How to structure an HRV biofeedback training session

F. How to augment training with emotional regulation strategies

G. HRV biofeedback side effects and contraindications

H. Practice assignments to promote generalization

VIII. HRV Biofeedback Applications (1.5 hours)

A. Clinical applications

B. Optimal performance applications

Commonly Asked Questions:

1. Business Model Innovation: Acknowledge the reality of a legitimate enterprise! Our approach involves the coordination of a collective purchase, in which the costs are shared among the participants. We utilize this cash to acquire renowned courses from sale pages and make them accessible to individuals with restricted financial resources. Our clients appreciate the affordability and accessibility we provide, despite the authors’ concerns.
2. Heart-Rate Variability Home Study Course

• There are no scheduled coaching calls or sessions with the author.
• Access to the author’s private Facebook group or web portal is not permitted.
• No access to the author’s private membership forum.
• There is no direct email support available from the author or their team.