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A randomised controlled trial of stress reduction for hypertension in older African Americans.

Schneider RH, Staggers F, Alxander CN, Sheppard W, Rainforth M, Kondwani K, Smith S, King CG. · Hypertension (Dallas, Tex. : 1979) · 1995 · Single-blind randomized controlled trial (outcome assessors blinded)

Original publication · Original publication

Recorded summary

A trial enrolling 127 older Black adults with hypertension found greater three-month blood-pressure reductions with Transcendental Meditation than progressive muscle relaxation or health education, using blinded blood-pressure observers.

Recorded limitations

Sixteen participants were lost to follow-up. The older, short-duration trial does not establish sustained cardiovascular-event reduction or replacement of antihypertensive care.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Single-blind randomized controlled trial (outcome assessors blinded)
assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

assessed At
2026-10-26
registered Masking Basis
false
trust Factor
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
single
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
jadad
status
unassessed
score
Not recorded
evidence
intervention
Transcendental Meditation
comparator
Progressive muscle relaxation and health education
evidence Type
Clinical or experimental outcomes
source URLs

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://europepmc.org/article/MED/7591024

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
Topics and recorded topic scores
  1. key
    language:i
    title
    Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
pmid-7591024
doi
10.1161/01.hyp.26.5.820
pmid
7591024
citation Snapshot
count
183
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/7591024
citations By Collection
language
183
Complete approved library record
id
pmid-7591024
publication Key
doi:10.1161/01.hyp.26.5.820
aliases
None recorded
title
A randomised controlled trial of stress reduction for hypertension in older African Americans.
journal
Hypertension (Dallas, Tex. : 1979)
neurotransmitters
None recorded
year
1995
authors
Schneider RH, Staggers F, Alxander CN, Sheppard W, Rainforth M, Kondwani K, Smith S, King CG.
design
Single-blind randomized controlled trial (outcome assessors blinded)
identity Conflict
Not recorded
doi
10.1161/01.hyp.26.5.820
pmid
7591024
urls

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

collections

language

categories

Clinical & self-report

targets
None recorded
priority
1
quotes
None recorded
summary
A trial enrolling 127 older Black adults with hypertension found greater three-month blood-pressure reductions with Transcendental Meditation than progressive muscle relaxation or health education, using blinded blood-pressure observers.
limitation
Sixteen participants were lost to follow-up. The older, short-duration trial does not establish sustained cardiovascular-event reduction or replacement of antihypertensive care.
citation Count
183
citation Snapshot
count
183
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/7591024
study Design Assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

assessed At
2026-10-26
registered Masking Basis
false
paper Trust Assessment
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
single
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
citations By Collection
language
183
topics
  1. key
    language:i
    title
    Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
    collection
    language
    trust Score
    2
journal Key
hypertension
journal Label
Hypertension (Dallas, Tex. : 1979)
chapter Entries
  1. title
    A randomised controlled trial of stress reduction for hypertension in older African Americans.
    journal
    Hypertension (Dallas, Tex. : 1979)
    year
    1995
    authors
    Schneider RH, Staggers F, Alxander CN, Sheppard W, Rainforth M, Kondwani K, Smith S, King CG.
    design
    Single-blind randomized controlled trial (outcome assessors blinded)
    urls

    https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

    doi
    10.1161/01.hyp.26.5.820
    pmid
    7591024
    targets
    None recorded
    categories

    Clinical & self-report

    citation Count
    183
    citation Snapshot
    count
    183
    source
    Europe PMC
    retrieved At
    2026-10-26
    url
    https://europepmc.org/article/MED/7591024
    study Design Assessment
    category
    peer-reviewed
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

    assessed At
    2026-10-26
    registered Masking Basis
    false
    evidence
    intervention
    Transcendental Meditation
    comparator
    Progressive muscle relaxation and health education
    evidence Type
    Clinical or experimental outcomes
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

    checked At
    2026-10-26
    review Scope
    Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
    discovery Sources

    https://europepmc.org/article/MED/7591024

    selection Policy
    Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
    id
    language-i-pmid-7591024
    record Id
    pmid-7591024
    quotes
    None recorded
    source Pages
    None recorded
    summary
    A trial enrolling 127 older Black adults with hypertension found greater three-month blood-pressure reductions with Transcendental Meditation than progressive muscle relaxation or health education, using blinded blood-pressure observers.
    limitation
    Sixteen participants were lost to follow-up. The older, short-duration trial does not establish sustained cardiovascular-event reduction or replacement of antihypertensive care.
    paper Trust Assessment
    score
    2
    scope
    Paper
    status
    assessed
    randomized Controlled Trial
    true
    blinding
    single
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

    review Scope
    Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
    assessed At
    2026-10-27
    publication Key
    doi:10.1161/01.hyp.26.5.820
    collection
    language
    chapter Number
    1
    topic Id
    i
    topic Title
    Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
    trust Score
    2
evidence
intervention
Transcendental Meditation
comparator
Progressive muscle relaxation and health education
evidence Type
Clinical or experimental outcomes
source URLs

https://pubmed.ncbi.nlm.nih.gov/7591024/ · https://doi.org/10.1161/01.hyp.26.5.820

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://europepmc.org/article/MED/7591024

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
jadad
status
unassessed
score
Not recorded
condition Evidence
None recorded
conditions
None recorded
topic Trust Scores

2

full Text
status
not-indexed
retrieval Available
false

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