Online CBT-I for High Blood Pressure
| Status: | Active, not recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), Insomnia Sleep Studies |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/16/2016 |
| Start Date: | August 2014 |
| End Date: | August 2016 |
The purpose of this study is to compare the effect of 6-weekly, 20 minute sessions of 2
online behavioral sleep interventions (cognitive behavioral therapy or healthy sleep habits)
on blood pressure, sleep, depressive symptoms and anxiety in people with insomnia and
prehypertension or hypertension.
online behavioral sleep interventions (cognitive behavioral therapy or healthy sleep habits)
on blood pressure, sleep, depressive symptoms and anxiety in people with insomnia and
prehypertension or hypertension.
Approximately 30% of US adults have prehypertension (untreated blood pressure ≥120-139/80-89
mmHg) and 29% have hypertension (blood pressure ≥ 140/90 mmHg or antihypertensive medication
use). Numerous factors contribute to the development of prehypertension and hypertension
including age, genetics, obesity, and behavioral factors such as exercise and diet.However,
the sleep disorder insomnia is another behavioral factor increasingly implicated with risk
of hypertension. Insomnia, the most frequent sleep complaint in adults, is characterized by
difficulty falling asleep, trouble maintaining sleep or non-restorative sleep coupled with
significant daytime distress or functional impairment. Insomnia is a pervasive sleep
disorder associated with decreased quality of life, reduced work productivity, and increased
health care costs; it is increasingly identified as a cardiovascular disease risk factor.
Lifestyle modifications recommended for pre-hypertension and hypertension do not address
sleep. This pilot randomized clinical trial will test the preliminary efficacy of an online
cognitive behavioral therapy intervention (N=40) versus an online healthy sleep habits
intervention (N=20), to reduce blood pressure in a sample of untreated individuals with
insomnia and prehypertension or hypertension. Participants will be followed for 12-weeks
post-intervention. Primary outcome measures are systolic blood pressure. Secondary measures
include sleep efficiency, insomnia severity, physical and mental function.
mmHg) and 29% have hypertension (blood pressure ≥ 140/90 mmHg or antihypertensive medication
use). Numerous factors contribute to the development of prehypertension and hypertension
including age, genetics, obesity, and behavioral factors such as exercise and diet.However,
the sleep disorder insomnia is another behavioral factor increasingly implicated with risk
of hypertension. Insomnia, the most frequent sleep complaint in adults, is characterized by
difficulty falling asleep, trouble maintaining sleep or non-restorative sleep coupled with
significant daytime distress or functional impairment. Insomnia is a pervasive sleep
disorder associated with decreased quality of life, reduced work productivity, and increased
health care costs; it is increasingly identified as a cardiovascular disease risk factor.
Lifestyle modifications recommended for pre-hypertension and hypertension do not address
sleep. This pilot randomized clinical trial will test the preliminary efficacy of an online
cognitive behavioral therapy intervention (N=40) versus an online healthy sleep habits
intervention (N=20), to reduce blood pressure in a sample of untreated individuals with
insomnia and prehypertension or hypertension. Participants will be followed for 12-weeks
post-intervention. Primary outcome measures are systolic blood pressure. Secondary measures
include sleep efficiency, insomnia severity, physical and mental function.
Inclusion Criteria:
- prehypertension or hypertension, insomnia (difficulty getting to sleep, staying
asleep and/or early morning awakenings), internet access, current email use,
willingness to be randomized to either intervention group, ability to read/write in
English.
Exclusion Criteria:
- medication known to alter sleep, sleep disorder (other than insomnia), frequent
travel over 2-3 time zones, currently receiving behavioral treatment for insomnia,
major depression, anxiety disorders, PTSD or bipolar disorder, >14 alcoholic
drinks/week, recreational drug use, prior diagnosis of: epilepsy,
dementia/Alzheimer's disease, renal failure requiring dialysis, stroke, secondary
hypertension, angina, peripheral artery disease, heart failure, myocardial infarction
or cardiac surgery within the past 6 months
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Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...
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