The effect of home training with direct blood pressure biofeedback of hypertensives

Henderson, Robyn J.; Hart, Michael G; Lal, Sara; Hunyor, Stephen N.

doi:10.1097/00004872-199816060-00008

Cited by 23 publications

(18 citation statements)

References 33 publications

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“…1,2 Relaxation and stress-relieving techniques such as yoga, meditation and biofeedback have also been shown capable of lowering BP. [3][4][5][6][7][8][9][10][11][12] However, the results of these behavioural-based treatments have not been uniform and the mechanisms by which they lower BP are not clear.…”

Section: Introductionmentioning

confidence: 99%

Breathing-control lowers blood pressure

et al. 2001

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We hypothesise that routinely applied short sessions of slow and regular breathing can lower blood pressure (BP). Using a new technology BIM (Breathe with Interactive Music), hypertensive patients were guided towards slow and regular breathing. The present study evaluates the efficacy of the BIM in lowering BP. We studied 33 patients (23M/10F), aged 25-75 years, with uncontrolled BP. Patients were randomised into either active treatment with the BIM (n ‫؍‬ 18) or a control treatment with a Walkman (n ‫؍‬ 15). Treatment at home included either musically-guided breathing exercises with the BIM or listening to quiet music played by a Walkman for 10 min daily for 8 weeks. BP and heart rate were measured both at the clinic and at home with an Omron IC BP monitor. Clinic BP levels were measured at baseline, and after 4 and 8 weeks of treatment. Home

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Section: Introductionmentioning

confidence: 99%

Breathing-control lowers blood pressure

et al. 2001

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“…However, the placebo group also lowered their BP to a comparable degree, and the biofeedback sessions had no effect on ABP levels. Henderson, Hart, Lal, and Hunyor (1998) found a clinically significant decrease of BP levels in the active biofeedback group after 4 weeks of home-training exercise, but the placebo group also exhibited lowered BP, so the Time ϫ Group interaction was not significant. Thus, even when biofeedback is associated with reduced BP, the effect is usually not significantly different from that of a placebo or sham biofeedback interventions.…”

Section: Biofeedbackmentioning

confidence: 80%

Biobehavioral approaches to the treatment of essential hypertension.

Blumenthal¹,

Gullette²,

Georgiades³

et al. 2002

Journal of Consulting and Clinical Psychology

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Despite recent advances in the medical management of hypertension, chronically elevated blood pressure remains a major health problem in the United States, affecting almost 50 million Americans. It is widely recognized that lifestyle factors contribute to the development and maintenance of elevated blood pressure. This article critically reviews current approaches to the nonpharmacological treatment of high blood pressure and highlights outcome studies of exercise, weight loss and dietary modification, and stress management and relaxation therapies. Methodological issues in the assessment and treatment of hypertension are discussed, along with possible mechanisms by which lifestyle modification may reduce elevated blood pressure.

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“…The methodology for the controlled trial in the clinic and the home has been published elsewhere (Hunyor et al, 1997;Henderson et al, 1998). A summary of these details are provided below.…”

Section: Methodsmentioning

confidence: 99%

“…In contrast, the frequency of practising relaxation in the home was shown to be related to successful BP reduction outcome (Wittrock et al, 1988). Henderson et al (1998) showed that providing home training of BP feedback, for subjects who participated in the abovementioned controlled trial (Hunyor et al, 1997), produced substantial gains in BP reductions in the active feedback group compared to controls who had placebo home training. Home BP feedback was shown to be significantly effective in lowering systolic BP in the feedback sessions (treatment group mean change D 10.8 mmHg, SD D 8.0 mmHg; control mean change D 4.0 mmHg, SD D 6.2 mmHg) and approaching significance for diastolic BP (treatment group mean change D 3.2 mmHg, SD D 3.1 mmHg; control mean change D 1.2 mmHg, SD D 2.7 mmHg).…”

Section: A R Craig Et Almentioning

confidence: 99%

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Optimizing blood pressure reduction: predicting success in the home environment

Craig

Bartrop

Lal

et al. 2001

Clin Psychology and Psychoth

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Transferring skills to non-clinic contexts remains a challenge for clinical psychologists. Research is needed that investigates strategies of transferring clinic skills as well as factors that are associated with successful transfer. This paper presents research that involved training clients to reduce blood pressure (BP) in the home environment and isolating factors related to successful BP reduction. Subjects diagnosed with mild hypertension participated in a controlled trial investigating the efficacy of continuous BP feedback in helping to reduce systolic BP in the clinic and home environment. While the benefits of learning BP feedback in the clinic was not shown to be beneficial over a control, training in the home environment was shown to reduce BP significantly in comparison to controls. Factors shown to be associated consistently and reliably with reduction of BP in the home were those that involved beliefs or expectations of self-control. Expectations (self-efficacy) and an internal locus of control consistently predicted the ability to reduce both systolic and diastolic BP in the home environment. Implications for the behavioural treatment of hypertension are discussed.

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The effect of home training with direct blood pressure biofeedback of hypertensives

Cited by 23 publications

References 33 publications

Breathing-control lowers blood pressure

Breathing-control lowers blood pressure

Biobehavioral approaches to the treatment of essential hypertension.

Optimizing blood pressure reduction: predicting success in the home environment

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