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Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology
Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology
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Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology
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Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology
Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology

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Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology
Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology
Journal Article

Feasibility of one-month home-based HRV monitoring in ASD: a case study using smart clothing technology

2026
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Overview
Sleep disturbances and autonomic dysregulation are common in autism spectrum disorder (ASD), yet few studies have examined long-term nocturnal heart rate variability (HRV) in home settings. This study evaluated the feasibility of one-month home-based HRV monitoring using smart clothing in a preschooler with ASD, and explored whether nocturnal HRV predicts next-day problem behaviors. HRV was recorded nightly for 25 valid days using a garment-type wearable ECG. Problem behaviors were reported daily by caregivers. HRV indices were compared between nights preceding days with and without problem behaviors using Wilcoxon signed-rank tests. No significant differences in total sleep time or HRV indices were found between the two day types. Although HRV did not predict next-day behavior, the study demonstrates the feasibility and methodological transparency of long-term home-based physiological monitoring in young children with ASD.