Stress Management for High Blood Pressure
- Conditions
- Prehypertension
- Interventions
- Behavioral: Stress Management EducationBehavioral: Mindfulness-Based Stress ReductionOther: American Heart Association Recommended Self-Care
- Registration Number
- NCT02371317
- Lead Sponsor
- Kent State University
- Brief Summary
The purpose of this research study is to examine the efficacy of two stress management interventions in reducing blood pressure (BP) in patients who have prehypertension (BP between 120/80 and 139/89). It is expected that participants will be better able to control their BP through reducing stress and increasing healthy lifestyle behaviors.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 141
- Unmedicated high blood pressure (SBP of 120-139 or DBP of 80-89)
- BMI in the range of 19-40
- Interest in attempting to control blood pressure through lifestyle modification
- pacemakers
- uncontrolled hypertension (SBP≥140 or DBP≥90)
- atrial fibrillation
- myocardial infarction (MI)
- percutaneous transluminal coronary angioplasty (PTCA)
- coronary artery bypass graft (CABG) within 6 months of enrollment
- congestive heart failure
- uncorrected primary valvular disease hypertrophic or restrictive cardiomyopathy
- uncorrected thyroid heart disease
- chronic kidney disease
- persistent tachyarrhythmia
- JNC risk category C (target organ damage, diabetes)
- patients who are pregnant or plan to become pregnant within 9 months
- patients who are lactating
- patients unable to comply with assessment procedures
- patients with alcohol or drug abuse within 12 months
- patients who consume more than 21 alcoholic drinks per week
- patients who are current smokers
- patients who are unable to provide informed consent or who have dementia
- patients with previous extensive meditation or yoga training
- patients with blood pressure ≥140/90
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Stress Management Education Stress Management Education The Stress Management Education intervention includes eight 2.5-hour weekly group sessions and an all-day retreat. Mindfulness-Based Stress Reduction Mindfulness-Based Stress Reduction The Mindfulness-Based Stress Reduction intervention includes eight 2.5-hour weekly group sessions and an all-day retreat. Mindfulness-Based Stress Reduction American Heart Association Recommended Self-Care The Mindfulness-Based Stress Reduction intervention includes eight 2.5-hour weekly group sessions and an all-day retreat. Stress Management Education American Heart Association Recommended Self-Care The Stress Management Education intervention includes eight 2.5-hour weekly group sessions and an all-day retreat. AHA Recommended Self-Care American Heart Association Recommended Self-Care All participants will receive the American Heart Association - Understanding and Controlling Your High Blood Pressure Brochure and information on the Dietary Approach to Stop Hypertension from the National Institutes of Health. These brochures describe ways that individuals can improve their lifestyle through better diet and exercise. Participants will get a chance to try and make healthy lifestyle changes on their own, using this information.
- Primary Outcome Measures
Name Time Method Change in Systolic Clinic Blood Pressure Week 0, Week 4, Week 8, Week 34, and Week 60 All clinic blood pressure assessments will be completed in a quiet, climate controlled room according to American Heart Association guidelines. The mean of the three seated readings on the non- dominant arm will be averaged to define clinic blood pressure.
Change in Diastolic Clinic Blood Pressure Week 0, Week 4, Week 8, Week 34, and Week 60 All clinic blood pressure assessments will be completed in a quiet, climate controlled room according to American Heart Association guidelines. The mean of the three seated readings on the non- dominant arm will be averaged to define clinic blood pressure.
- Secondary Outcome Measures
Name Time Method Change in 24-hour Ambulatory Systolic Blood Pressure Week 0, Week 8, Week 60 Participants will complete 24-hour Ambulatory Blood Pressure Monitoring with the Oscar 2 oscillometric blood pressure monitor. The Oscar will be programmed to take three blood pressure measurements per hour from 6 AM till 11 PM and two BP measurements per hour from 11 PM to 6 AM. During each reading, participants will be instructed to drop their arms to their sides as soon as they sense the cuff inflating, and to keep it relaxed and still until a few seconds after the deflation has finished. Ambulatory SBP and DBP will be derived by computing the mean of all valid readings obtained during waking hours and nighttime sleep.
Change in 24-hour Ambulatory Diastolic Blood Pressure Week 0, Week 8, Week 60 Participants will complete 24-hour Ambulatory Blood Pressure Monitoring with the Oscar 2 oscillometric blood pressure monitor. The Oscar will be programmed to take three blood pressure measurements per hour from 6 AM till 11 PM and two BP measurements per hour from 11 PM to 6 AM. During each reading, participants will be instructed to drop their arms to their sides as soon as they sense the cuff inflating, and to keep it relaxed and still until a few seconds after the deflation has finished. Ambulatory SBP and DBP will be derived by computing the mean of all valid readings obtained during waking hours and nighttime sleep.
Trial Locations
- Locations (2)
W.O. Walker Building
🇺🇸Cleveland, Ohio, United States
University of Pennsylvania Perelman School of Medicine
🇺🇸Philadelphia, Pennsylvania, United States