Promoting Adherence to Anti-Hypertensive Medications and Lifestyle Guidelines Through Mindfulness Practice

University of California, Los Angeles (UCLA)

Status

Completed

Conditions

Health Behavior Modification Using Mindfulness

Treatments

Behavioral: Mindful Awareness Program

Behavioral: Health Promotion Program

Study type

Interventional

Funder types

Other

Identifiers

NCT03924531

17-000411

Details and patient eligibility

About

Adherence is a major problem for the approximately one-third of Americans over the age of 20 who suffer from Hypertension (HTN). Hypertension can be controlled through medication adherence and lifestyle modifications (diet and exercise). However, nearly 50% of those with HTN report poor adherence to their antihypertensive medications, lifestyle changes, or both as primary reasons for failing to control their blood pressure. Currently, behavioral interventions are limited to providing education or reminding individuals to take better care of themselves by starting and adhering to proper diet and exercise program. Given the lack of adherence reported, education and reminders alone may not be sufficient to promote health behavior change. Interventions that appeal to individual's internal drive may be more effective, given that behavior adoption and maintenance are usually associated with intrinsic motivation and volition. Mindfulness practice is an intervention that shows promise in changing lifestyle behaviors. The purpose of this study is to investigate the use of UCLA's Mindful Awareness Program (UCLAMAP) on promoting self-management behaviors, specifically adherence to medication, diet, and exercise for those individuals with HTN. We will randomize 52 individuals with HTN who have difficulty with adherence to antihypertensive medications and lifestyle changes to the intervention group or the attention-control group. The intervention includes six sessions of the mindfulness training through UCLA's Mindful Awareness Research Center (MARC).

Enrollment

36 patients

Sex

All

Ages

21+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

over 21 years of age
able to understand and speak English
self-report of having difficulty with a healthy diet and engaging in regular physical activity.

Exclusion criteria

On chemotherapy for cancer treatment
Current substance abuse disorder (i.e., drugs, alcohol).
Current diagnoses of Post-traumatic stress disorders, severe anxiety, or severe depression.
On hemodialysis.
Pregnant. (Pregnant women may develop Preeclampsia, which is a pregnancy complication characterized by high blood pressure)