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June 1, 1997Hypertension

Placebo-Controlled Biofeedback Blood Pressure Effect in Hypertensive Humans

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Key result

Active biofeedback did not significantly differ from placebo biofeedback in achieving a systolic pressure reduction of ≥5 mm Hg (39.3% vs 42.9%; P=NS).

Why the study?

Does active biofeedback reduce systolic blood pressure by 5 mm Hg or more compared to placebo biofeedback in untreated mildly hypertensive individuals?

Population

56 untreated, well-characterized, mildly hypertensive individuals

Comparison

Active biofeedback vs Placebo biofeedback

Design

RCT, randomized, double-blind

Follow-up

two laboratory sessions

Authors

SHStephen N. HunyorNorthern Sydney Local Health DistrictRHRobyn J. HendersonUniversity of Technology SydneyLSLal SJamia Millia Islamia

Discussion

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Implication

Biofeedback confers no additional SBP reduction beyond placebo in mild hypertension; challenges efficacy claims and redirects research to other interventions.

Study Design

Type

RCT (n=56)

Blinding

Double-blind

Structured PICO

Does active biofeedback reduce systolic blood pressure by 5 mm Hg or more compared to placebo biofeedback in untreated mildly hypertensive individuals?

P
Population
56 untreated, mildly hypertensive individuals assessed during two laboratory sessions.
I
Intervention
Active biofeedback (continuous visual pressure feedback)
C
Comparator
Placebo biofeedback (modified contingency approach, using a partial disguise based on a digital high pass filter with 15 elements)
O
Outcome
Systolic pressure lowering of 5 mm Hg or more during two laboratory sessionssurrogate

Main Result

Absolute Event Rate: 39.3% vs 42.9%

p-value: p=NS

Active biofeedback does not provide specific short-term blood pressure-lowering capability beyond the placebo effect in mildly hypertensive individuals.

Cite This Study

Hunyor et al. (1997) conducted an RCT in Mild hypertension (n=56). Active biofeedback (continuous pressure feedback) vs. Placebo biofeedback was evaluated on Lowering systolic pressure by 5 mm Hg or more (p=NS). Active biofeedback did not significantly differ from placebo biofeedback in achieving a systolic pressure reduction of ≥5 mm Hg (39.3% vs 42.9%; P=NS).

synapsesocial.com/papers/6a239a63412756072fa5eb3chttps://doi.org/10.1161/01.hyp.29.6.1225

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Systemic Haemodynamic Effects of Biofeedback in Borderline Hypertension1979 · 16 citations
  2. 2Cognitive Behavioral Techniques for Hypertension: Are They Effective?1993 · 135 citations
  3. 3Compliance and blood pressure control.1988 · 73 citations
  4. 4Evaluation of the Reproducibility and Accuracy of Ambulatory Blood Pressure Monitoring Using the Takeda TM-2420 Automated Blood Pressure Monitor1993 · 12 citations
  5. 5Biochemical evidence of sympathetic hyperactivity in human hypertension.1991 · 99 citations