Minding Goals: An Internet-Assisted Mind-Body Behavior Program for Blood Pressure Control

思维目标:用于血压控制的互联网辅助身心行为计划

基本信息

项目摘要

 DESCRIPTION (provided by applicant): Efficacious hypertension therapies are well-documented, yet 40% of treated patients do not meet the blood pressure goals set by the Joint National Committee. This gap between scientific evidence and clinical outcomes in part reflects low patient adherence to lifestyle recommendations (e.g., physical activity, weight and diet), as well as medication non-adherence. Accordingly, growing attention is focused on the need to provide patients with effective self-management support tools. In addition to finding ways to help patients adhere to currently prescribed hypertension care, it is useful to consider the range of treatment options that are offered. Evidence- based reviews have identified stress reduction as an effective tool for reducing blood pressure, yet such approaches are typically not implemented in practice. This omission represents a chance to improve the quality of hypertension care by adding stress management self-management tools. Furthermore, since patients have demonstrated a clear interest in mindfulness, the incorporation of a holistic mind-body intervention is an innovative approach to inherently patient-centered care. Increasing data supports the use of mindfulness for treating health concerns. Its holistic nature may be particularly well-suited to developing and maintaining healthy lifestyles, since lifestyle impacts diverse aspects of physical and psychological health. Yet the potential for mindfulness in health self-management has not been realized. Limited but promising data demonstrate the effectiveness of web-based counseling for behavior modification to improve common chronic disease risk factors. It is an ideal solution to provider time constraints and a potential solutionto patient non-adherence to lifestyle recommendations. Health information technology provides a way to make self-management support affordable, convenient and feasible. We have developed a convenient behavioral self-management support platform, "Goal-oriented Online Access to Lifestyle Support" (GOALS) for primary care patients, which has promoted weight loss and improved blood pressure control among primary care patients with weight-related cardiovascular risk factors. To maximize the ability of patients to achieve blood pressure goals, we propose to add an online mind-body-behavior program to GOALS: "Minding GOALS." We will evaluate the feasibility of using this program for self-management support in coordination with primary care, in a group of 76 patients with uncontrolled hypertension. In preparation for an RCT comparing the online tool to online traditional self-management support, we will assess implementation and determine 1) the availability of eligible and willing subjects using the proposed recruitment methods, 2) the feasibility of delivering the proposed interventions in the population of interest, and 3) the viability of our proposed measurement protocols. We will modify study protocols as needed, identifying and correcting problems, to strengthen the design of the future RCT and help ensure that it contributes meaningfully to the advancement of patient-centered hypertension self-management support.


项目成果

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KATHLEEN M MCTIGUE其他文献

KATHLEEN M MCTIGUE的其他文献

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{{ truncateString('KATHLEEN M MCTIGUE', 18)}}的其他基金

Minding Goals: An Internet-Assisted Mind-Body Behavior Program for Blood Pressure Control
思维目标:用于血压控制的互联网辅助身心行为计划
  • 批准号:
    8892706
  • 财政年份:
    2015
  • 资助金额:
    $ 7.32万
  • 项目类别:
Weight Development and Mental Health Symptoms in Adolescent Girls
青春期女孩的体重发育和心理健康症状
  • 批准号:
    8053741
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care
在线咨询可在初级保健中实现以生活方式为重点的肥胖治疗
  • 批准号:
    8118457
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Weight Development and Mental Health Symptoms in Adolescent Girls
青春期女孩的体重发育和心理健康症状
  • 批准号:
    7653743
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Weight Development and Mental Health Symptoms in Adolescent Girls
青春期女孩的体重发育和心理健康症状
  • 批准号:
    8423798
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Weight Development and Mental Health Symptoms in Adolescent Girls
青春期女孩的体重发育和心理健康症状
  • 批准号:
    7825338
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Weight Development and Mental Health Symptoms in Adolescent Girls
青春期女孩的体重发育和心理健康症状
  • 批准号:
    8240509
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care
在线咨询可在初级保健中实现以生活方式为重点的肥胖治疗
  • 批准号:
    7942024
  • 财政年份:
    2009
  • 资助金额:
    $ 7.32万
  • 项目类别:
Environmental Influences of Weight Development
体重发展的环境影响
  • 批准号:
    6891402
  • 财政年份:
    2004
  • 资助金额:
    $ 7.32万
  • 项目类别:
Environmental Influences of Weight Development
体重发展的环境影响
  • 批准号:
    7253100
  • 财政年份:
    2004
  • 资助金额:
    $ 7.32万
  • 项目类别:

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