ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2018
Meditation smartphone application effects on prehypertensive adults' blood pressure: Dose-response feasibility trial.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- User Engagement With mHealth Interventions to Promote Treatment Adherence and Self-Management in People With Chronic Health Conditions: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Respiratory function in healthy long-term meditators: a systematic review.Systematic reviews · 2024Pooled it
- How often should I meditate? A randomized trial examining the role of meditation frequency when total amount of meditation is held constant.Journal of counseling psychology · 2024Trial
- Using Personalized Anchors to Establish Routine Meditation Practice With a Mobile App: Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Sustainability of mHealth Effects on Cardiometabolic Risk Factors: Five-Year Results of a Randomized Clinical Trial.Journal of medical Internet research · 2020Trial
- Impact of 12-Month Smartphone Breathing Meditation Program upon Systolic Blood Pressure among Non-Medicated Stage 1 Hypertensive Adults.International journal of environmental research and public health · 2020Trial
- Is dosage of a meditation app associated with changes in psychological distress? It depends on how you ask.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Effectiveness of stress management and relaxation interventions for management of hypertension and prehypertension: systematic review and network meta-analysis.BMJ medicine · 2025Article
- Combining Behavioral Economics-Based Incentives With the Anchoring Strategy: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2023Article
- Design and rationale of a pilot randomized clinical trial investigating the use of a mHealth app for sarcoidosis-associated fatigue.Contemporary clinical trials communications · 2023Article
- Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study.Consortium psychiatricum · 2023Article
- Perceptions of the Fatigue Experience and a Breathing Awareness Meditation-Integrated mHealth App for Fatigue and Stress in Patients with Sarcoidosis.Fatigue : biomedicine, health & behavior · 2023Article
- A common factors perspective on mindfulness-based interventions.Nature reviews psychology · 2022Article
- Exploring Feasibility of mHealth to Manage Hypertension in Rural Black Older Adults: A Convergent Parallel Mixed Method Study.Patient preference and adherence · 2022Article
- Ethnicity Differences in Sleep Changes Among Prehypertensive Adults Using a Smartphone Meditation App: Dose-Response Trial.JMIR formative research · 2020Article
- Does mindfulness practice promote psychological functioning or is it the other way around? A daily diary study.Psychotherapy (Chicago, Ill.) · 2020Article
- A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial.JMIR formative research · 2020Article
- Does practice quality mediate the relationship between practice time and outcome in mindfulness-based stress reduction?Journal of counseling psychology · 2020Article
- Buddhist meditation for vascular function: A narrative review.Integrative medicine research · 2019Review
- NewCope: A Theory-Linked Mobile Application for Stress Education and Management.Studies in health technology and informatics · 2019Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveEssential 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.
methodsSixty-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.
resultsMixed 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.
conclusionsSmartphone-implemented BAM appears to reduce SBP and can be a low-cost method to reach large populations. (PsycINFO Database Record
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.