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Effects of a mindfulness learning program on blood pressure control in Thai patients with hypertension

Chonlakarn Songsri, Pimwalunn Aryuwat, Watjana Sukontawat, Kanocnart Turakawin, Prasart Nuangchalerm

International Journal of ADVANCED AND APPLIED SCIENCES July 1, 2026 DOI: 10.21833/ijaas.2026.07.017 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Quasi-experimental one-group pretest-posttest study Randomized Qualitative Peer reviewed
Sample size 58
Population Patients with blood pressure readings ≥140/90 mmHg recruited from Sakhrai Hospital, Nong Khai Province, Thailand
Interventions health education mindfulness practice hypertension-specific exercise
Duration 12-week program
Topics Meditation
Key findings The 12-week mindfulness learning program was associated with significant improvements in hypertension awareness, stress levels, and blood pressure: awareness rose from 65.6% low to 100% high, low stress from 62% to 96.6%, systolic blood pressure fell from 132.36 to 128.17 mmHg, and diastolic from 72.83 to 68.86 mmHg. The authors suggest mindfulness may be a culturally appropriate complementary approach but note findings require confirmation through randomized controlled trials.

Abstract

Hypertension is a significant public health challenge in Thailand, affecting approximately 60% of older adults and contributing substantially to cardiovascular morbidity and mortality. This study aimed to examine the effects of a 12-week mindfulness learning program on blood pressure control, hypertension awareness, self-care behaviors, and stress levels in patients with hypertension. A quasi-experimental one-group pretest-posttest design was used with 58 patients with blood pressure readings ≥140/90 mmHg recruited from Sakhrai Hospital, Nong Khai Province, Thailand. The program included hypertension self-assessment and goal-setting, health education, mindfulness practice, hypertension-specific exercise, telemedicine follow-up via the LINE application, and final evaluation. Data were collected using validated instruments. Statistically significant improvements were observed across all measured parameters. Hypertension awareness increased from predominantly low levels (65.6%) to high levels (100%), while low stress increased from 62% to 96.6%. Systolic and diastolic blood pressure decreased significantly from 132.36 to 128.17 mmHg and from 72.83 to 68.86 mmHg, respectively (p < 0.001). Qualitative findings identified four themes: integration into daily routines, perceived physical benefits, social support, and implementation challenges. These findings suggest that mindfulness may provide a culturally appropriate complementary approach to hypertension management in rural Thai settings. However, the findings require confirmation through randomized controlled trials.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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