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Trial registered on ANZCTR
Registration number
ACTRN12623000703606
Ethics application status
Approved
Date submitted
13/06/2023
Date registered
30/06/2023
Date last updated
6/07/2024
Date data sharing statement initially provided
30/06/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Meditation for White Coat Hypertension
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Scientific title
Blood Pressure Evaluation of Australian Adults with White Coat Hypertension – Effects of Meditation-based Interventions
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Secondary ID [1]
309889
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None
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Universal Trial Number (UTN)
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Trial acronym
BEATWCH
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
White Coat Hypertension
330353
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Condition category
Condition code
Cardiovascular
327196
327196
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0
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Other cardiovascular diseases
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Public Health
327248
327248
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All participants will receive all interventions in a random order.
All interventions occur only once per participant, with a week between interventions. The interventions will take place after an initial blood pressure reading, and will be followed by another blood pressure reading after the intervention. Each intervention will be administered by the clinician GP, who will also monitor adherence.
1) Mantra chant: while sitting, taking deep breaths, on the third exhale humming the sound OM, 30 seconds in total
2) Chair-based yoga stretch: Chair Warrior and Spinal Twist, 30 seconds in total
3) Breathing exercise: Double inhale & extended exhale technique, 30 seconds in total
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Intervention code [1]
326312
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Behaviour
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Comparator / control treatment
None
The blood pressure before the intervention will be taken as control
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Control group
Active
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Outcomes
Primary outcome [1]
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blood pressure measured using automated sphygmomanometer
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Assessment method [1]
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Timepoint [1]
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immediately before and after each intervention
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Secondary outcome [1]
422920
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Heart rate in beats per minute using automated sphygmomanometer
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Assessment method [1]
422920
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Timepoint [1]
422920
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immediately before and after each intervention
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Secondary outcome [2]
422921
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Respiratory rate in breaths per minute via manual count by clinician
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Assessment method [2]
422921
0
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Timepoint [2]
422921
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immediately before and after each intervention
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Secondary outcome [3]
422922
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Stress via 100mm visual analogue scale
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Assessment method [3]
422922
0
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Timepoint [3]
422922
0
immediately before and after each intervention
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Secondary outcome [4]
422923
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Nervousness via 100mm visual analogue scale
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Assessment method [4]
422923
0
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Timepoint [4]
422923
0
immediately before and after each intervention
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Secondary outcome [5]
422924
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Tension via 100mm visual analogue scale
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Assessment method [5]
422924
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Timepoint [5]
422924
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immediately before and after each intervention
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Eligibility
Key inclusion criteria
- Generally healthy
- 25 and 65 years of age
- confirmed white coat hypertension within the past 6 months
- BMI between 18.5 and 35 kg/m2
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Minimum age
25
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Pregnancy or breastfeeding
- Current use of blood pressure lowering medication, including natural products
- Use of psychotropics, with the exception of stable medication for at least 6 months
- Smoking, high-risk alcohol consumption, or use of illicit drugs
- Conditions that prohibit the wearing of a blood pressure monitor such as skin conditions (e.g., eczema, psoriasis), arm injuries or surgeries (incl. recent vaccinations), peripheral artery disease, or neurological conditions (e.g., tremor, paresis, movement disorders), or thoracic outlet syndrome
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation will not be concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Via SealedEnvelope.com
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
All participants receive all interventions in randomised order
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
30/06/2023
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Actual
27/06/2023
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Date of last participant enrolment
Anticipated
31/12/2024
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Actual
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Date of last data collection
Anticipated
28/02/2025
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Actual
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Sample size
Target
12
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment postcode(s) [1]
40547
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4006 - Fortitude Valley
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Recruitment postcode(s) [2]
40548
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4520 - Samford Village
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Recruitment postcode(s) [3]
42813
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2026 - Bondi
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Southern Cross University
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Address [1]
314073
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Military Rd
East Lismore NSW 2480
Australia
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Country [1]
314073
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Australia
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Primary sponsor type
University
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Name
Southern Cross University
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Address
Military Rd
East Lismore NSW 2480
Australia
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Country
Australia
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Secondary sponsor category [1]
315983
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None
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Name [1]
315983
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Address [1]
315983
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Country [1]
315983
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
313213
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Southern Cross University HREC
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Ethics committee address [1]
313213
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Southern Cross University PO Box 157, Lismore NSW 2480
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Ethics committee country [1]
313213
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Australia
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Date submitted for ethics approval [1]
313213
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26/04/2023
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Approval date [1]
313213
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30/04/2023
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Ethics approval number [1]
313213
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2023/058
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Summary
Brief summary
White coat hypertension is when a person's blood pressure readings are too high in a medical setting, like a doctor's office, but are normal elsewhere, like in your home. This condition has been considered not malignant in the past, but recent research has shown that it should be a cause for concern due to poor long-term health outcomes which may require further monitoring or treatment. Mindfulness interventions, like specific breathing techniques, have been shown to lower blood pressure in adults with essential hypertension. The techniques, however, have not been tested for white coat hypertension, and in addition, have only been found to work if used for weeks. Therefore, this study aims to explore whether 30-second mindfulness interventions like a mantra chant, a yoga pose, or a breathing exercise can lower blood pressure readings in Australian adults with white coat hypertension.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Romy Lauche
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Address
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National Centre for Naturopathic Medicine
Military Rd
East Lismore NSW 2480
Australia
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Country
127362
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Australia
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Phone
127362
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+61 266203362
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Fax
127362
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Email
127362
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[email protected]
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Contact person for public queries
Name
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Lauren Prictor
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Address
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National Centre for Naturopathic Medicine
Military Rd
East Lismore NSW 2480
Australia
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Country
127363
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Australia
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Phone
127363
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+61 266203362
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Fax
127363
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Email
127363
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[email protected]
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Contact person for scientific queries
Name
127364
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Romy Lauche
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Address
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National Centre for Naturopathic Medicine
Military Rd
East Lismore NSW 2480
Australia
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Country
127364
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Australia
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Phone
127364
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+61 266203362
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Fax
127364
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Email
127364
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data will not be shared as it is not approved according to the protocol submitted to HREC
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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