AmbientBreath: Unobtrusive Just-in-time Breathing Intervention Using Multi-sensory Stimulation and its Evaluation in a Car Simulator

To promote calm breathing inside a car, we designed a just-in-time breathing intervention stimulated by multi-sensory feedback and evaluated its efficacy in a driving simulator. Efficacy was measured via reduction in breathing rate as well as by user acceptance and driving safety measures. Drivers were first exposed to demonstrations of three kinds of ambient feedback designed to stimulate a goal breathing rate: (1) auditory (rhythmic background noise), (2) synchronized modulation of wind (dashboard fans modulating air pointed toward the driver) together with auditory, or (3) synchronized visual (ambient lights) together with auditory. After choosing one preference from these three, each driver engaged in a challenging driving task in a car simulator, where the ambient stimulation was triggered when their breathing exceeded a goal rate adapted to their personal baseline. Two user studies were conducted in a car simulator involving respectively 23 and 31 participants. The studies include both manual and autonomous driving scenarios to evaluate drivers' engagement in the intervention under different cognitive loads. The most frequently selected stimulation was the combined auditory and wind modalities. Measures of changes in breathing rate show that the participants were able to successfully engage in the breathing intervention; however, several factors from the driving context appear to have an impact on when the intervention is or is not effective.