NCT02371317 - Stress Management for High Blood Pressure | Crick

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

141

Conditions

Prehypertension

Interventions

Mindfulness-Based Stress ReductionBEHAVIORAL

Patients are randomized to an intervention

Stress Management EducationBEHAVIORAL

Patients are randomized to an intervention

American Heart Association Recommended Self-CareOTHER

All Patients receive AHA Recommended Self-Care

Eligibility

Sex: ALLMin age: 21 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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 Exclusion Criteria: * 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

Locations (2)

W.O. Walker Building

Cleveland, Ohio, United States

University of Pennsylvania Perelman School of Medicine

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Change in Systolic Clinic Blood Pressure

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.

Time frame: Week 0, Week 4, Week 8, Week 34, and Week 60

Change in Diastolic Clinic Blood Pressure

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.

Time frame: Week 0, Week 4, Week 8, Week 34, and Week 60

Secondary Outcomes

Change in 24-hour Ambulatory Systolic Blood Pressure

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.

Time frame: Week 0, Week 8, Week 60

Change in 24-hour Ambulatory Diastolic Blood Pressure

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.