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CompletedNCT03924531Updated Dec 22, 2025

Promoting Adherence to Anti-Hypertensive Medications and Lifestyle Guidelines Through Mindfulness Practice

An interventional study of Mindful Awareness Program and Health Promotion Program in Health Behavior Modification Using Mindfulness, sponsored by University of California, Los Angeles. Completed at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Aug 2017, registered Apr 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

Adherence is a major problem for the approximately one-third of Americans over the age of 20 who suffer from Hypertension (HTN). Hypertension can be controlled through medication adherence and lifestyle modifications (diet and exercise). However, nearly 50% of those with HTN report poor adherence to their antihypertensive medications, lifestyle changes, or both as primary reasons for failing to control their blood pressure. Currently, behavioral interventions are limited to providing education or reminding individuals to take better care of themselves by starting and adhering to proper diet and exercise program. Given the lack of adherence reported, education and reminders alone may not be sufficient to promote health behavior change. Interventions that appeal to individual's internal drive may be more effective, given that behavior adoption and maintenance are usually associated with intrinsic motivation and volition. Mindfulness practice is an intervention that shows promise in changing lifestyle behaviors. The purpose of this study is to investigate the use of UCLA's Mindful Awareness Program (UCLAMAP) on promoting self-management behaviors, specifically adherence to medication, diet, and exercise for those individuals with HTN. We will randomize 52 individuals with HTN who have difficulty with adherence to antihypertensive medications and lifestyle changes to the intervention group or the attention-control group. The intervention includes six sessions of the mindfulness training through UCLA's Mindful Awareness Research Center (MARC).

02

Conditions studied

  • Health Behavior Modification Using Mindfulness

Keywords

  • Hypertension
  • Health Behavior
  • Mindfulness
  • Meditation
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 36 is below the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,142 studies on the registry; 192 are open to participants now.

Of its 91 completed or terminated interventional studies of FDA-regulated products, 66 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • over 21 years of age
  • able to understand and speak English
  • self-report of having difficulty with a healthy diet and engaging in regular physical activity.

Exclusion criteria

Exclusion Criteria:

  • On chemotherapy for cancer treatment
  • Current substance abuse disorder (i.e., drugs, alcohol).
  • Current diagnoses of Post-traumatic stress disorders, severe anxiety, or severe depression.
  • On hemodialysis.
  • Pregnant. (Pregnant women may develop Preeclampsia, which is a pregnancy complication characterized by high blood pressure)
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Mindful Awareness Program

    The group that received mindfulness training.

    Behavioral: Mindful Awareness Program

  • Active comparator
    Health Promotion Program

    The group that received the health information.

    Behavioral: Health Promotion Program

Interventions

  • BehavioralMindful Awareness Program

    2-hour mindfulness training for 6 weeks.

    Also known as: Mindfulness training

  • BehavioralHealth Promotion Program

    Health Promotion Program

06

What researchers measure

Primary outcomes

  1. Diet

    21 item questionnaire called Rapid Eating and Activity Assessment for Patients (REAP). Various questions related to food choices. The answer choices were rarely, sometimes, and often for each food questions.

    Time frame: up to 12 weeks

  2. Exercise

    The instrument used was called the Brief Physical Assessment. The is a 6 item weekly questionnaire that asked the minutes the participants performed a particular exercise behavior.

    Time frame: up to 12 weeks

  3. Blood pressure medication adherence

    The instrument used was called the Brief Medication Questionnaire (BMQ).The tool includes a 5-item Regimen Screen that asks patients how they took each medication in the past week, a 2-item Belief Screen that asks about drug effects and bothersome features, and a 2-item Recall Screen about potential difficulties remembering. We collected the number of missed medication days.

    Time frame: up to 12 weeks

Secondary outcomes

  1. Blood pressure measurements

    The participants were provided with blood pressure monitors to take home and log their blood pressure measurements daily. Blood pressure measurements were collected weekly. Systolic and diastolic blood pressure measurements will be accessed.

    Time frame: up to 12 weeks

07

Study locations

1 site
  • UCLA
    Los Angeles, California 90095, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03924531
Lead sponsor
University of California, Los Angeles
Responsible party
Sponsor
First posted
Apr 23, 2019
Start date
Aug 1, 2017
Primary completion
Mar 31, 2019
Completion
Mar 31, 2019
Last update
Dec 22, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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