Impact of LifeSkills Training on Blood Pressure in Youth

描述（由研究者提供）：原发性高血压（EH）影响四分之一的成年人，是冠心病（CHD）的主要风险因素，CHD是美国的主要死亡原因。原发性高血压（EH）的病理生物学起源于儿童期。由于血压（BP）从童年后期开始排名，正常血压高的青少年有患EH的风险。临床研究表明，行为干预在降低血压水平方面有很大的希望。到目前为止，在高中环境中很少有针对学生的此类方案得到实施。 该应用程序要求支持调整威廉姆斯生活技能（WLS）研讨会（一个协议驱动的12个会议的压力/愤怒管理研讨会）在高中使用。这项研究将开发一种创新的干预措施，旨在降低动态血压，血压对压力，敌意，愤怒和学校相关的问题行为人群中的高正常血压的青少年。第一阶段的具体目标是确定在格式和时间上的调整，以便在高中环境中成功举办12次WLS研讨会。这一目标将通过以下方式实现- a）焦点小组和与学生面谈，以指导方案内容的微调; B）举办两个试点讲习班，以获得学生对课程内容、演示文稿风格和材料的反馈意见。 该项目将采用一个高度发达的愤怒/压力管理方案，该方案将在全国各地的学校提供健康教育课程。如果成功，该项目不仅可以减少敌意，愤怒和与学校有关的行为问题，而且更重要的是通过降低血压和随之而来的医疗保健费用的巨大减少来预防心血管疾病。

DESCRIPTION (provided by investigator): Essential hypertension (EH) affects one out of four adults and is a primary risk factor for coronary heart disease (CHD), the leading cause of death in the US. Essential hypertension (EH) has its patho-biologic origins in childhood. Since blood pressure (BP) ranking tracks from late childhood onward, adolescents with high normal BP are at risk for development of EH. Clinical research has shown behavioral interventions to have great promise in reducing BP levels. To date few such programs targeting students have been implemented in the high school setting. This application requests support to adapt the Williams LifeSkills (WLS) workshop (a protocol-driven 12-session stress/anger management workshop) for use in high schools. This study will develop an innovative intervention designed to reduce ambulatory BP, BP reactivity to stress, hostility, anger, and school-related problem behaviors among a population of adolescents with high normal BP. The specific aim of Phase I is to identify adaptations in format and timing necessary to successfully conduct the 12-session WLS Workshop in a high school setting. This aim will be accomplished through-- a) focus groups and interviews with students to guide fine-tuning of the program content; b) conducting two pilot cycles of workshop, to obtain feedback from the students regarding course content, style of presentation and materials. This project will adapt a highly developed anger/stress management program that will become available for Health Education curriculums in schools across the country. If successful, this project presents a tremendous potential for not only reduction in hostility, anger and school-related conduct problems, but more importantly for prevention of cardiovascular disease via reduced BP and a concomitant enormous reduction in health care costs.