International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 13, Issue 7 (July 2026), Pages: 179-189

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 Original Research Paper

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

 Author(s): 

Chonlakarn Songsri 1, Pimwalunn Aryuwat 2, *, Watjana Sukontawat 2, Kanocnart Turakawin 3, Prasart Nuangchalerm 4

 Affiliation(s):

1Faculty of Nursing, Udon Thani Rajabhat University, Udonthani Province, Thailand
2Boromarajonani College of Nursing Udonthani, Praboromarajchanok Institute, Udonthani Province, Thailand
3Sakhrai Hospital, Nongkhai Province, Thailand
4Faculty of Education, Mahasarakham University, Mahasarakham, Thailand

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 * Corresponding Author. 

   Corresponding author's ORCID profile:  https://orcid.org/0000-0002-9466-4718

 Digital Object Identifier (DOI)

 
https://doi.org/10.21833/ijaas.2026.07.017

 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.

 © 2026 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords

Mindfulness, Hypertension, Blood pressure, Self-care, Stress management

 Article history

Received 1 April 2026, Received in revised form 19 July 2026, Accepted 24 July 2026

 Acknowledgment

No Acknowledgment. 

 Compliance with ethical standards

 Ethical considerations

The research protocol and questionnaire received ethical approval for human subject research from the Nong Khai Provincial Public Health Office (Certificate of Approval No. NONKPH 183.1, dated January 30, 2024). 

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

Songsri C, Aryuwat P, Sukontawat W, Turakawin K, and Nuangchalerm P (2026). Effects of a mindfulness learning program on blood pressure control in Thai patients with hypertension. International Journal of Advanced and Applied Sciences, 13(7): 179-189

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 References (43)

  1. Am AI, Janmabhumi A, Wulandari ZA, Santoso APA, and Putri AP (2023). A Delphi consensus of mindfulness based cognitive therapy for managing anxiety and blood pressure in hypertensive patient protocol. International Journal of Nursing and Health Services (IJNHS), 6(5): 323-328. https://doi.org/10.35654/ijnhs.v6i5.762   [Google Scholar]
  2. Ayoko OB (2023). Mindfulness, emotions and leadership. Journal of Management & Organization, 29(3): 401-405. https://doi.org/10.1017/jmo.2023.26   [Google Scholar]
  3. Babak A, Motamedi N, Mousavi SZ, and Darestani NG (2022). Effects of mindfulness-based stress reduction on blood pressure, mental health, and quality of life in hypertensive adult women: A randomized clinical trial study. The Journal of Tehran University Heart Center, 17(3): 127-133. https://doi.org/10.18502/jthc.v17i3.10845   [Google Scholar] PMid:37252082 PMCid:PMC10222936
  4. Bloom BS (1972). Taxonomy of educational objectives: The classification of educational goals, parts 1–2. D. McKay Company, New York, USA.   [Google Scholar]
  5. Buranakitjaroen P, Wanthong S, and Sukonthasarn A (2020). Asian management of hypertension: Current status, home blood pressure, and specific concerns in Thailand. The Journal of Clinical Hypertension, 22(3): 515-518. https://doi.org/10.1111/jch.13800   [Google Scholar] PMid:32003914 PMCid:PMC8029731
  6. Chen Q, Liu H, and Du S (2024). Effect of mindfulness-based interventions on people with prehypertension or hypertension: A systematic review and meta-analysis of randomized controlled trials. BMC Cardiovascular Disorders, 24: 104. https://doi.org/10.1186/s12872-024-03746-w   [Google Scholar] PMid:38350849 PMCid:PMC10865530
  7. Cho K (2024). Mindful meditation: A potential effective therapeutic in clinical practice. Science Insights, 45(1): 1431-1437. https://doi.org/10.15354/si.24.re1026   [Google Scholar]
  8. Denisova AR, Solntseva TD, Zarmanbetova AS, Tkacheva AA, Sivakova OA, and Chazova IЕ (2022). The incidence of cardiovascular and cerebrovascular complications in patients with uncontrolled hypertension. Terapevticheskii Arkhiv, 94(1): 94-99. https://doi.org/10.26442/00403660.2022.01.201395   [Google Scholar] PMid:36286923
  9. Espinel E, Azancot MA, Gomez A, Beneria A, Caraben A, Andurell L, Delgado P, Castañé H, Joven J, and Seron D (2023). Compliance to multidisciplinary lifestyle intervention decreases blood pressure in patients with resistant hypertension: A cross-sectional pilot study. Journal of Clinical Medicine, 12(2): 679. https://doi.org/10.3390/jcm12020679   [Google Scholar] PMid:36675608 PMCid:PMC9867179
  10. Fontes MAP, Marins FR, Patel TA, De Paula CA, Machado LRDS, De Sousa Lima ÉB, Ventris-Godoy AC, Viana ACR, Linhares ICS, Xavier CH, Filosa JA, and Patel KP (2023). Neurogenic background for emotional stress-associated hypertension. Current Hypertension Reports, 25: 107-116. https://doi.org/10.1007/s11906-023-01235-7   [Google Scholar] PMid:37058193
  11. Garg R (2023). Individualization of hypertension treatment: An expert review. International Journal of Advances in Medicine, 10(8): 647–652. https://doi.org/10.18203/2349-3933.ijam20232150   [Google Scholar]
  12. Gömleksiz M, Gömleksiz MR, Gelen Ş, Uzala ES, and Yakar B (2025). Effectiveness of a knowledge level of hypertension on blood pressure control, treatment adherence, and physical activity of hypertensive individuals. The Journal of Clinical Hypertension, 27(1): e14958. https://doi.org/10.1111/jch.14958   [Google Scholar] PMid:39822154 PMCid:PMC11771798
  13. Jamil Alkuwaisi M, Hamdan Alsargri S, Kamel Aldalaykeh M, Abdu Hamid M, and Hamdan Alsargri F (2023). Self‐care behaviors among patients after cardiac surgery in Saudi Arabia: Application of Orem’s theory of self‐care. Nursing Forum, 2023: 6904576. https://doi.org/10.1155/2023/6904576   [Google Scholar]
  14. Jasuja P, Mehta D, Sakalle S, Dixit S, Mahawar P, Dogne CG, and Kagzi Y (2024). Hypertension: The undetected base of an iceberg. Indian Journal of Public Health Research & Development, 15(4): 310–314. https://doi.org/10.37506/r9mnbt19   [Google Scholar]
  15. Kaufman MR, Eschliman EL, and Karver TS (2023). Differentiating sex and gender in health research to achieve gender equity. Bulletin of the World Health Organization, 101(10): 666-671. https://doi.org/10.2471/BLT.22.289310   [Google Scholar] PMid:37772198 PMCid:PMC10523819
  16. Khademian Z, Ara FK, and Gholamzadeh S (2020). The effect of self care education based on Orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: A quasi-experimental study. International Journal of Community Based Nursing and Midwifery, 8(2): 140-149.   [Google Scholar]
  17. Listiyandini RA, Andriani A, Kusristanti C, Moulds M, Mahoney A, and Newby JM (2023). Culturally adapting an internet-delivered mindfulness intervention for Indonesian university students experiencing psychological distress: Mixed methods study. JMIR Formative Research, 7(1): e47126. https://doi.org/10.2196/47126   [Google Scholar] PMid:37651168 PMCid:PMC10502595
  18. Liu S, Ma J, Sun M, Zhang C, Gao Y, and Xu J (2025). Mapping the landscape of digital health intervention strategies: 25-year synthesis. Journal of Medical Internet Research, 27: e59027. https://doi.org/10.2196/59027   [Google Scholar] PMid:39804697 PMCid:PMC11773286
  19. Mahmoud M, Behairy A, and Abd-Elghany S (2023). The effectiveness of Orem-based self-care education on knowledge and self-care behaviors among patients with heart failure. Assiut Scientific Nursing Journal, 11(40): 210-225. https://doi.org/10.21608/asnj.2023.251587.1727   [Google Scholar]
  20. Manta E, Thomopoulos C, Konstantinidis D, Tatakis F, Polyzos D, Drogkaris S, and Tsioufis K (2022). Blood pressure reduction and outcomes in patients with different baseline cardiovascular risk: Systematic review and meta-analysis of randomized trials. Journal of Hypertension, 40(Suppl 1): e230-e231. https://doi.org/10.1097/01.hjh.0000837836.92114.01   [Google Scholar]
  21. Marwaha K (2022). Examining the role of psychosocial stressors in hypertension. Journal of Preventive Medicine and Public Health, 55(6): 499-505. https://doi.org/10.3961/jpmph.21.266   [Google Scholar] PMid:36475315 PMCid:PMC9742403
  22. Millar HL and Salloum IM (2018). Person-centered care planning and shared decision making for mental and comorbid conditions. International Journal of Person Centered Medicine, 8(4): 17–30. https://doi.org/10.5750/ijpcm.v8i4.896   [Google Scholar]
  23. Mutmainna A and La Isa WM (2022). Controlling blood pressure with mindfulness and self management techniques for hypertension patients. Jurnal Ilmiah Kesehatan (JIKA), 4(3): 425-437. https://doi.org/10.36590/jika.v4i3.387   [Google Scholar]
  24. Orem DE (1971). Nursing: Concepts of practice. McGraw-Hill Book Company, New York, USA.   [Google Scholar]
  25. Orem DE, Renpenning KM, and Taylor SG (2003). Self-care theory in nursing: Selected papers of Dorothea Orem. Springer Publishing Company, New York, USA.   [Google Scholar]
  26. Patwardhan B, Wieland LS, Aginam O et al. (2023). Evidence-based traditional medicine for transforming global health and well-being. Journal of Integrative and Complementary Medicine, 29(9): 527-530. https://doi.org/10.1089/jicm.2023.29121.editorial   [Google Scholar] PMid:37713586
  27. Raj R, Garg M, and Kaur A (2024). Targeting hypertension: A review on pathophysiological factors and treatment strategies. Current Hypertension Reviews, 20(2): 70-79. https://doi.org/10.2174/0115734021293403240309165336   [Google Scholar] PMid:38509679
  28. Sakboonyarat B and Rangsin R (2024). Characteristics and clinical outcomes of people with hypertension receiving continuous care in Thailand: A cross-sectional study. The Lancet Regional Health – Southeast Asia, 21: 100319. https://doi.org/10.1016/j.lansea.2023.100319   [Google Scholar] PMid:38361594 PMCid:PMC10866948
  29. Sari CWM, Yamin A, and Santoso MB (2022). The effect of community-based intervention on self-management of hypertension patients. Jurnal Pendidikan Keperawatan Indonesia, 8(1): 41-47. https://doi.org/10.17509/jpki.v8i1.44362   [Google Scholar]
  30. Sawyer H (2023). Mindfulness: Strategies to implement targeted self-care. Journal of Interprofessional Education & Practice, 31: 100614. https://doi.org/10.1016/j.xjep.2023.100614   [Google Scholar] PMid:36816353 PMCid:PMC9924360
  31. Schuman-Olivier Z, Trombka M, Lovas DA, Brewer JA, Vago DR, Gawande R, Dunne JP, Lazar SW, Loucks EB, and Fulwiler C (2020). Mindfulness and behavior change. Harvard Review of Psychiatry, 28(6): 371–394. https://doi.org/10.1097/HRP.0000000000000277   [Google Scholar] PMid:33156156 PMCid:PMC7647439
  32. Shaik A and Fazeen M (2024). Significance of alternative medicines in treatment of chronic diseases: A comprehensive review. Future Journal of Pharmaceuticals and Health Sciences, 4(3): 49-56. https://doi.org/10.26452/fjphs.v4i3.630   [Google Scholar]
  33. Taler SJ (2023). Lowering the norms for blood pressure. Mayo Clinic Proceedings, 98(3): 363-365. https://doi.org/10.1016/j.mayocp.2023.01.014   [Google Scholar] PMid:36868742
  34. Teh WL, Abdin E, PV A et al. (2023). Measuring social desirability bias in a multi-ethnic cohort sample: Its relationship with self-reported physical activity, dietary habits, and factor structure. BMC Public Health, 23: 415. https://doi.org/10.1186/s12889-023-15309-3   [Google Scholar] PMid:36859251 PMCid:PMC9979418
  35. Tipayatikumporn UU, Jindachote P, Maneechai S, Potivichayanont K, Saengchan P, and Nuangchalerm P (2024). Factors influencing elderly coping with social challenges in Thailand's aging society. International Journal of Advanced and Applied Sciences, 11(12): 42-47. https://doi.org/10.21833/ijaas.2024.12.005   [Google Scholar]
  36. Walls J, Farewell CV, Traikoff K, Burns H, Whalen J, Shefferman M, and Leiferman JA (2022). A mixed-methods pilot study to identify facilitators leading to sustained mindfulness practice across the perinatal period. OBM Integrative and Complementary Medicine, 7(3): 1-19. https://doi.org/10.21926/obm.icm.2203038   [Google Scholar]
  37. Wani RT, Khader K, and Udawat P (2023). Behavioral interventions in hypertension: A lifestyle medicine approach. Indian Journal of Public Health, 67(Suppl 1): S35-S40. https://doi.org/10.4103/ijph.ijph_672_23   [Google Scholar] PMid:38934880
  38. Watanabe T (2025). Clinical pathophysiology of hypertension, diabetes, and other stress and lifestyle associated diseases. Academic Press, London, UK. https://doi.org/10.1016/B978-0-443-33161-9.00011-3   [Google Scholar]
  39. WHO (2025). Global report on hypertension 2025: High stakes – turning evidence into action. World Health Organization, Geneva, Switzerland.   [Google Scholar]
  40. Wolfe AH, Hinds PS, du Plessis AJ, Gordish-Dressman H, Freedenberg V, and Soghier L (2024). Mindfulness exercises reduce acute physiologic stress among female clinicians. Critical Care Explorations, 6(11): e1171. https://doi.org/10.1097/CCE.0000000000001171   [Google Scholar] PMid:39466161 PMCid:PMC11519409
  41. Wongsin U and Chen TY (2022). Risk factors of disability among community-dwelling older adults with hypertension in Thailand: The Hart study. Innovation in Aging, 6(S1): 564-564. https://doi.org/10.1093/geroni/igac059.2128   [Google Scholar] PMCid:PMC9766333
  42. Yarana C, Prachayasittikul V, Nuchpramol W, Khaokhiew T, Kittiniyom K, Udomsangpetch R, Ayudhya CIN, and Suwanjang W (2022). Impact of a holistic health intervention on the well-being of elderly Thais. Global Journal of Health Science, 14(5): 28-38. https://doi.org/10.5539/gjhs.v14n5p28   [Google Scholar]
  43. Yuniarsih SM, Hasanah N, Martani RW, and Afifah U (2024). The effect of self-acupressure on reducing blood pressure, headache and sleep quality disorders in hypertensive patients. International Journal of Islamic and Complementary Medicine, 5(2): 168-176. https://doi.org/10.55116/IJICM.V5I1.88   [Google Scholar]