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Smartphone Delivered Meditation for Blood Pressure Control Among Prehypertensives : A Pilot Feasibility Clinical Trial. Mathew Gregoski, Ph.D. Frank A. Treiber , Ph.D. (MUSC) Alexey Vertegel , Ph.D. Aleksey Shaporev , Ph.D. (Clemson) - PowerPoint PPT Presentation
Citation preview
http://sctr.musc.edu843-792-8300
Smartphone Delivered Meditation for Blood Pressure Control Among Prehypertensives:
A Pilot Feasibility Clinical Trial
SubtitlePresenters
Date
Mathew Gregoski, Ph.D. Frank A. Treiber, Ph.D. (MUSC)Alexey Vertegel, Ph.D. Aleksey Shaporev, Ph.D. (Clemson)
S.C. Smart State Technology Applications Center for Healthful Lifestyles (TACHL)
MUSC Colleges of Nursing & MedicinePresented at: Verizon Wireless Health Technology Initiative Meeting, Nov. 15, 2011,
Charleston, S.C.
Content• Content
http://sctr.musc.edu843-792-8300
Rationale:• Essential hypertension (EH) impacts 33% of US adults, higher
prevalence among African Americans (AAs).• EH is a significant risk factor for CVD, heart attack, stroke, renal
failure.• Leading predictor of EH is preEH (SBP/DBP 121-139/81-89
mmHg)• Sustainable/easily disseminated prevention programs needed• Breathing meditation shown to reduce BP among EH and
preEH AA patients • Smartphones enable large-scale/easy dissemination
http://sctr.musc.edu843-792-8300
Proof of Concept Study Design and Methods
Subjects: 3 adult prehypertensives (SBP > 120 mmHg)
Procedures:Received Tension Tamer, asked to practice 10 minute sessions 2x a day for 3-monthsMeasures collected at preintervention 1, 2, and 3 months:
-Resting Hemodynamics and 24-Hour Ambulatory BP-Overnight Urine Sample-Awakening response saliva sampling
Approximately $450.00.Power drain from Bluetooth data transfer.Easy to lose.
Content• Content
TENSION TAMER
http://sctr.musc.edu843-792-8300
Presented by the COLLEGES of NURSING
and MEDICINE
Welcome to
Tension TamerIntroduction to Tension Tamer
Teach Me to Meditate
Go Directly to Meditation
http://sctr.musc.edu843-792-8300
Proof of Concept Results
Reductions in Salivary Alpha-Amylase awaking curve (Marker of SNS activity) from pre to post 3 month intervention.
Dose-Response Reductions in 24 hour Ambulatory Blood Pressure. Reductions corresponded with Tension Tamer Adherence rates.
24-Hour SBP as a function of adherence
http://sctr.musc.edu843-792-8300
Future Pilot Feasibility Study Design and Methods
Subjects: 30 stage 2 preEH adults (SBP 130-139 mmHg)
Procedures:Random assignment to Tension Tamer or standard of care 3 monthsMeasures collected at preintervention 1, 2, and 3 months:
-Resting Hemodynamics and 24-Hour Ambulatory BP-Overnight Urine Sample-Repeated saliva sampling