2009
DOI: 10.1007/s10484-009-9126-x
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Internet-Based Biofeedback-Assisted Relaxation Training in the Treatment of Hypertension: A Pilot Study

Abstract: The effectiveness of biofeedback-assisted behavioral treatment with Internet-based client-therapist contact for hypertension was tested in outpatient settings. A pilot study with a randomized controlled design was adopted with two conditions (treatment versus passive controls), lasting for 8 weeks. There were two assessment time points (pre-treatment and post-treatment) measuring clinic systolic and diastolic blood pressure (SBP and DBP) and administration of a questionnaire collecting demographic and subjecti… Show more

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Cited by 13 publications
(5 citation statements)
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“…The intervention had three major components: (1) education, (2) practice, and (3) mentoring. Based on best practices (Linden & Moseley, 2006; Olsson, El Alaoui, Carlberg, Carlbring, & Ghaderi, 2010; Palomba et al, 2011; Wang et al, 2010; Xu, Gao, Ling, & Wang, 2007), the educational component consisted of one initial educational session, approximately 2 hr in length, followed by additional instruction for the treatment group. Both the treatment and control groups attended the initial session, which included information about (1) the physiology of stress, triggers of stress, and awareness of changes in the anterior chest area when encountering stressful situations; (2) instruction and practice on how to modify the autonomic response to stress by altering breathing and heart rate with biofeedback; and (3) instruction on how to improve decision-making by focusing on positive rather than negative emotions (e.g., anger, frustration normally associated with stress).…”
Section: Methodsmentioning
confidence: 99%
“…The intervention had three major components: (1) education, (2) practice, and (3) mentoring. Based on best practices (Linden & Moseley, 2006; Olsson, El Alaoui, Carlberg, Carlbring, & Ghaderi, 2010; Palomba et al, 2011; Wang et al, 2010; Xu, Gao, Ling, & Wang, 2007), the educational component consisted of one initial educational session, approximately 2 hr in length, followed by additional instruction for the treatment group. Both the treatment and control groups attended the initial session, which included information about (1) the physiology of stress, triggers of stress, and awareness of changes in the anterior chest area when encountering stressful situations; (2) instruction and practice on how to modify the autonomic response to stress by altering breathing and heart rate with biofeedback; and (3) instruction on how to improve decision-making by focusing on positive rather than negative emotions (e.g., anger, frustration normally associated with stress).…”
Section: Methodsmentioning
confidence: 99%
“…As the leading cause of death in the world [30], hypertension is one of the most chronic health problems associated with concomitant diseases [19]. The seventh report of the Joint National Commission on prevention, detection, and treatment of hypertension guidelines [20], classified blood pressure based on stage, systolic and diastolic values, in mmHg.…”
Section: Htn Hrvbf and Hrvmentioning
confidence: 99%
“…Considering the promise of heart rate variability biofeedback (HRVBF), one can assert that the use of biofeedback is a recognized reality in treating hypertension. Hypertensive individuals can take control of their autonomic functions through biofeedback relaxation training, as a form of behavioral therapy to respond to stressors [20]. An additional review of the literature indicates that biofeedback training may be advantageous to the treatment of essential hypertension and decrease in systolic pressure during HRVBF training sessions may lead to higher expectations [7].…”
Section: Htn Hrvbf and Hrvmentioning
confidence: 99%
“…With increasing technological advances, clinicians in medical centers can work with patients' assessment results and treat individuals over the internet (Olsson, El Alaoui, Carlberg, Carlbring & Ghaderi, 2010). Using the Internet as a therapistpatient meeting ground reduces costs of hospital visits and allows more access for patients who travel long distances for hospital visits.…”
Section: Psychophysiological Assessmentmentioning
confidence: 99%