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Relaxation training in essential hypertension: a failure of retraining in relaxation procedures
Agras WS, Schneider JA, Taylor CB
Behavior Therapy 1984 Mar;15(2):191-196
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Twenty-two participants in a large-scale controlled outcome study of the effects of relaxation training in essential hypertension, who showed substantial initial blood pressure lowering followed by a return toward baseline values, were randomly allocated either to retraining in the relaxation procedures or to routine follow-up care. While retraining was associated with reductions in blood pressure, these changes were not significantly different from those receiving only routine follow-up. Unobtrusive measures suggested that participants complied with home practice instructions. Thus, we conclude that retraining in relaxation procedures is no more effective in producing blood pressure lowering than routine booster sessions, and that attention should be given to relapse prevention rather than retraining after relapse.

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