Digital biofeedback program for combat veterans with PTSD

Evaluating the Efficacy of the "Mental Gym®" Biofeedback-Based Intervention for Combat Veterans Diagnosed With PTSD: A Randomized Controlled Trial

Not applicable Interventional NeuroBrave ltd. · NCT07462312

This program will try a smartphone app, a Garmin watch, and weekly group sessions (Mental Gym®) to see if they reduce PTSD symptoms in combat veterans.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment80 (estimated)
Ages18 Years to 50 Years
SexMale
SponsorNeuroBrave ltd. Industry-sponsored
Locations1 site (Jerusalem)
Trial IDNCT07462312 on ClinicalTrials.gov

What this trial studies

This is a randomized, delayed‑intervention controlled trial testing a digital biofeedback intervention that combines daily heart-rate-variability (HRV) exercises delivered via a Garmin wearable and a dedicated mobile app with weekly group guidance sessions. About 80 male combat veterans with a clinical PTSD diagnosis will be enrolled to achieve a final sample of roughly 60 participants. Physiological data from the wearable and self-report measures (including PCL-5) will be collected before and after the intervention, weekly during the intervention period, and at a 3‑month follow-up. The intervention aims to improve autonomic regulation and reduce PTSD symptom severity in veterans eligible for Ministry of Defense rehabilitation services.

Who should consider this trial

Good fit: Ideal participants are male combat veterans aged 18 or older with a clinical PTSD diagnosis (trauma in 2000 or later), a PCL-5 score up to 60, eligibility for Ministry of Defense rehabilitation services, and the ability to use a smartphone and wearable.

Not a fit: Patients with very severe PTSD (PCL-5 > 60), acute psychiatric instability (active suicidal ideation or psychosis), current use of olanzapine or quetiapine, severe sleep impairment, or inability to use a smartphone/wearable are unlikely to benefit or be eligible.

Why it matters

Potential benefit: If successful, the program could reduce PTSD symptoms and improve stress regulation and daily functioning using an accessible digital approach.

How similar studies have performed: Small trials of HRV biofeedback and app-based interventions have shown promising but mixed results for PTSD and anxiety, while large RCTs of combined wearable-plus-group programs remain limited.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Sex: Male
* Age: 18 Years and older.
* Diagnosis: Clinical diagnosis of Posttraumatic Stress Disorder (PTSD) with mild to moderate-severe symptom intensity.
* Symptom Severity: A PCL-5 total score of up to 60 at screening.
* Traumatic Event: PTSD diagnosis based on a traumatic event that occurred in the year 2000 or later.
* Service Eligibility: Eligibility for Ministry of Defense (MOD) rehabilitation services.
* Technical Proficiency: Ability to use a smartphone and a wearable device.

Exclusion Criteria:

* High Symptom Severity: PTSD symptom severity exceeding the moderate-severe range (PCL-5 score \> 60) or requiring more intensive clinical intervention.
* Psychiatric Stability: Acute psychiatric instability, including active suicidal ideation or psychosis.
* Medication: Current use of Olanzapine (Zyprexa) or Quetiapine (Seroquel).
* Sleep Disturbances: Severe sleep impairment (score \> 7 on the The Insomnia Severity Index).
* Functional Impairment: Severe impairment in concentration or cognitive processing that precludes the use of digital biofeedback tools.

Where this trial is running

Jerusalem

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions PTSD - Post Traumatic Stress Disorder
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.