| Unique ID issued by UMIN | UMIN000062888 |
|---|---|
| Receipt number | R000072007 |
| Scientific Title | Maindofurunesu meisou de ketsueki touseki kanja no ketsuatsu o kusuri ni tayorazu kanri suru houhou ni tsuite no kousatsu |
| Date of disclosure of the study information | 2026/09/11 |
| Last modified on | 2026/09/11 18:40:15 |
Maindofurunesu meisou de ketsueki touseki kanja no ketsuatsu o kusuri ni tayorazu kanri suru houhou ni tsuite no kousatsu
Maindofurunesu meisou de ketsueki touseki kanja no ketsuatsu o kusuri ni tayorazu kanri suru houhou ni tsuite no kousatsu
Maindofurunesu meisou de ketsueki touseki kanja no ketsuatsu o kusuri ni tayorazu kanri suru houhou ni tsuite no kousatsu
Maindofurunesu meisou de ketsueki touseki kanja no ketsuatsu o kusuri ni tayorazu kanri suru houhou ni tsuite no kousatsu
| Japan |
End-stage kidney failure (on dialysis)
| Nephrology |
Others
NO
In patients on maintenance hemodialysis, high blood pressure and blood pressure fluctuations during dialysis are often an issue, contributing to cardiovascular events and reduced quality of life. While managing with antihypertensive drugs and salt and fluid restrictions is important, there are limited non-drug options that patients can easily take on themselves. Mindfulness meditation has been reported to reduce stress and anxiety, lower sympathetic nervous activity, and help lower blood pressure, and it might be possible to do it during the waiting time before dialysis. This study explores the feasibility and potential effects on blood pressure stabilization of audio-guided mindfulness meditation in outpatient maintenance hemodialysis patients.
Safety,Efficacy
After obtaining consent and during the waiting time before starting dialysis, about 5 minutes of guided mindfulness meditation with an audio guide will be conducted in a quiet environment using headphones or speakers. The audio guide will focus on breathing and will not aim for religious proselytizing or promoting any particular ideology.
In the control condition, participants will listen to white noise for the same amount of time in the same environment. If possible, the mindfulness meditation condition and the control condition will be compared within the same participants.
Each condition will be conducted three times a week before dialysis, with a basic plan of about three total sessions. As needed, feasibility can be checked in healthy individuals or a small number of cases, and the intervention period and procedure can be adjusted accordingly.
Blood pressure and pulse before and after the intervention and during dialysis will be recorded within the range usually measured in routine care. In addition, increases in systolic blood pressure of 30 mmHg or more after the start of dialysis, hypotension during dialysis, symptoms, use of antihypertensive drugs, and dialysis conditions will be recorded.
As an outcome measure for the effect of mindfulness meditation, the STAI (state and trait anxiety) or Affect Grid will be used as much as possible to evaluate changes in anxiety and emotional states before and after the intervention.
Interventional
Cross-over
Randomized
Individual
Open -no one is blinded
Placebo
2
Treatment
| Other |
Mindfulness meditation
White Noise
| 90 | years-old | <= |
| 90 | years-old | >= |
Male and Female
Patients receiving outpatient maintenance hemodialysis
Those who show a systolic blood pressure increase of 30 mmHg or more during dialysis, or have blood pressure instability such as hypotension during dialysis
Those who have the hearing and cognitive ability to listen to audio guidance and practice mindfulness meditation
Those who understand the study and can give written consent
People who have a history or current condition of mental disorders where symptoms like psychotic disorders, mania, or suicidal thoughts might worsen with mindfulness meditation.
People with severe cognitive or communication impairments.
People with hearing difficulties that make it hard to hear audio.
People who are expected to have major changes in dialysis conditions, blood pressure medications, or dry weight during the study period.
People whom the study supervisor deems inappropriate.
20
| 1st name | takesi |
| Middle name | |
| Last name | nakata |
Oita University
Faculty of Welfare and Health Sciences, Physical Therapy Course
870-1124
700 Danno-hara, Oita City, Oita Prefecture
090-554-6613
nakata@oita-u.ac.jp
| 1st name | takesi |
| Middle name | |
| Last name | nakata |
Oita University
Faculty of Welfare and Health Sciences, Physical Therapy Course
870-1124
700 Danno-hara, Oita City, Oita Prefecture
090-554-6613
nakata@oita-u.ac.jp
Oita University
Oita University
Other
Oita University
700 Danno-hara, Oita City, Oita Prefecture
090-554-6613
nakata@oita-u.ac.jp
NO
| 2026 | Year | 09 | Month | 11 | Day |
Partially published
Preinitiation
| 2026 | Year | 09 | Month | 11 | Day |
| 2026 | Year | 09 | Month | 17 | Day |
| 2026 | Year | 10 | Month | 17 | Day |
| 2026 | Year | 09 | Month | 11 | Day |
| 2026 | Year | 09 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072007