EyeBreathe: A Mixed Reality Game With Eye Tracking and Breathing Biofeedback for Adolescent Basketball Players - A Randomised Controlled Trial

This randomised controlled trial will evaluate the effects of integrating a standalone mixed-reality (MR) breathing and eye-gaze training intervention (EyeBreathe) into regular basketball practice for adolescent athletes in Latvia. Participants will be individually randomised to either a six-week MR intervention (two sessions per week) or to continue usual training. Assessments before and after the intervention will measure heart rate and heart rate variability, CO₂ tolerance, breathing pattern, reactive stress tolerance, and pre-competition anxiety. Sessions will be supervised at first, then completed independently via password-protected headset profiles. Intervention adherence will be monitored. The primary efficacy analysis will use a prespecified per-protocol population, defined as intervention participants who complete at least four of the twelve scheduled sessions.