Hypertension
Conditions
Brief summary
I-START is a randomized controlled trial that will evaluate the efficacy of an internet-based program of behavioural counseling for adaptive lifestyle change to subjects diagnosed with hypertension. I-START will be evaluated using objective outcome indices: systolic and diastolic blood pressure, pulse pressure, and markers of vagal-heart rate (HR) modulation and baroreflex sensitivity. The Heart and Stroke Foundation of Canada Blood Pressure Action Plan(TM) (BPAP) will be adminisered over a 4-month period, and evaluated in a 2 (Intervention vs. Wait list Control) X 2 (Baseline vs. Post-Intervention) factorial design, blocking for 3 recruitment sites (Toronto, London, the Grey Bruce region of Ontario, Canada), and stratified for sex and age group (45-59, 60-74 years).
Interventions
10 email messages based on readiness-to-change over a 4 month period
Waitlist control plus educational material on lifestyle behavior and hyptertension
Sponsors
Study design
Eligibility
Inclusion criteria
* Stage 1 OR Stage 2 hypertension * 46 -74 years of age * able to read & write English or French * living in private residence
Exclusion criteria
* Cardiovascular disease * Major psychiatric disorder (e.g. psychosis) * Dependence on Alcohol or Drugs with in past year * Diabetes \>= 5 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lab Assessment of systolic and diastolic blood pressure as well as pulse pressure | 4 months |
Secondary
| Measure | Time frame |
|---|---|
| Lifestyle Behavior: exercise and diet assessed by questionnaire | 4 months |
| laboratory assessment of estimated vagal-heart rate modulation and baroreflex sensitivity | 4 months |
Countries
Canada