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The primary objective of this Stage 1 clinical trial was to create a customized Mindfulness-Based Blood Pressure Reduction (MB-BP) intervention, and evaluate acceptability, feasibility, and effects on hypothesized primary proximal self-regulation mechanisms. This study customized Mindfulness-Based Stress Reduction (MBSR) for participants with prehypertension/hypertension, creating MB-BP. Specifically, MB-BP is based on, and time-matched to, the standardized MBSR intervention described elsewhere.(17-20) It consists of an orientation session, eight 2.5-hour weekly group sessions, and a 7.5-hour one-day session, and is led by a qualified MBSR instructor with expertise in cardiovascular disease etiology, treatment, and prevention.