Meditation Smartphone application effects on prehypertensive adults' blood pressure

Dose-response feasibility trial

Zachary Adams, John C. Sieverdes, Brenda Brunner-Jackson, Martina Mueller, Jessica Chandler, Vanessa Diaz, Sachin Patel, Luke R. Sox, Spencer Wilder, Frank A. Treiber

Research output: Contribution to journalArticle

Abstract

Objective: Essential hypertension (EH) is the most common chronic disease in the United States and a major cause of morbidity and mortality. Lifestyle interventions (e.g., diet, exercise, stress management) to reduce blood pressure (BP) are often complex with varying effectiveness. Breathing awareness meditation (BAM) is a stress management strategy with encouraging effects on BP, though widespread dissemination is hampered by the lack of an easy-to-use methodology to train and monitor BAM practices. A smartphone application (Tension Tamer [TT]) that implements BAM and tracks adherence has shown promise in addressing these gaps. This 6-month dose-response feasibility trial evaluated effects of the app on BP to further optimize BAM user guidelines. Methods: Sixty-four adults with prehypertension were randomized to complete TT-guided BAM sessions for 5-, 10-, or 15-min intervals twice daily over 6 months. Continuous heart rate readings derived from the phone's video camera via reflective photoplethysmography were used as feedback and as an index of time-stamped adherence. Outcomes (resting BP, HR) were collected at baseline, 1-, 3-, and 6-months. Results: Mixed modeling results showed a significant time effect for systolic BP (SBP) with a dose-response effect at Months 3 and 6. Adherence declined over time and was lowest in the 15-min dose condition, though SBP reductions were maintained. Generally, adherence was negatively associated with dose as the study progressed. Conclusions: Smartphone-implemented BAM appears to reduce SBP and can be a low-cost method to reach large populations.

Original languageEnglish (US)
Pages (from-to)850-860
Number of pages11
JournalHealth Psychology
Volume37
Issue number9
DOIs
StatePublished - Sep 1 2018

Fingerprint

Meditation
Respiration
Blood Pressure
Photoplethysmography
Prehypertension
Smartphone
Life Style
Reading
Chronic Disease
Heart Rate
Guidelines
Diet
Morbidity
Costs and Cost Analysis
Mortality
Population

Keywords

  • Blood pressure
  • Breathing meditation
  • Essential hypertension
  • Mobile health
  • Smartphone application

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Adams, Z., Sieverdes, J. C., Brunner-Jackson, B., Mueller, M., Chandler, J., Diaz, V., ... Treiber, F. A. (2018). Meditation Smartphone application effects on prehypertensive adults' blood pressure: Dose-response feasibility trial. Health Psychology, 37(9), 850-860. https://doi.org/10.1037/hea0000584

Meditation Smartphone application effects on prehypertensive adults' blood pressure : Dose-response feasibility trial. / Adams, Zachary; Sieverdes, John C.; Brunner-Jackson, Brenda; Mueller, Martina; Chandler, Jessica; Diaz, Vanessa; Patel, Sachin; Sox, Luke R.; Wilder, Spencer; Treiber, Frank A.

In: Health Psychology, Vol. 37, No. 9, 01.09.2018, p. 850-860.

Research output: Contribution to journalArticle

Adams, Z, Sieverdes, JC, Brunner-Jackson, B, Mueller, M, Chandler, J, Diaz, V, Patel, S, Sox, LR, Wilder, S & Treiber, FA 2018, 'Meditation Smartphone application effects on prehypertensive adults' blood pressure: Dose-response feasibility trial', Health Psychology, vol. 37, no. 9, pp. 850-860. https://doi.org/10.1037/hea0000584
Adams, Zachary ; Sieverdes, John C. ; Brunner-Jackson, Brenda ; Mueller, Martina ; Chandler, Jessica ; Diaz, Vanessa ; Patel, Sachin ; Sox, Luke R. ; Wilder, Spencer ; Treiber, Frank A. / Meditation Smartphone application effects on prehypertensive adults' blood pressure : Dose-response feasibility trial. In: Health Psychology. 2018 ; Vol. 37, No. 9. pp. 850-860.
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