Sleep to Lower Elevated Blood Pressure

Exclusion Criteria

• •Receiving \> 2 antihypertensive medications, or recent change in antihypertensive medications (within previous 2 months) or planned change in antihypertensive medication in next 8 weeks
• •Previous history of myocardial infarction, ischaemic stroke or transient ischaemic attack
• •Previous history of congestive heart failure
• •History of dialysis for chronic renal impairment or evidence of chronic kidney disease (eGFR \<60 or albuminuria).
• •Known history of diabetes mellitus
• •Current ongoing sleep hygiene education or sleep related cognitive behavioural therapy
• •Ongoing involvement in night shift work
• •History of obstructive sleep apnoea (OSA) and previously received or currently receiving treatment for OSA (patients with a history of untreated OSA are eligible for inclusion).
• •Known history of sleep disorders (i.e. narcolepsy; hypersomnias; parasomnias such as sleep walking, night terrors, recurring nightmares; periodic limb movements/restless leg syndrome; circadian rhythm sleep disorder)
• •Unable to follow educational advice in the opinion of the clinician
• •Baby or young children at home that wake during the night
• •History of bipolar affective disorder
• •History of psychosis
• •History of major depression (defined as depression requiring hospitalization in the past or visit to psychiatry outpatient clinic in the past 3 months)
• •Unstable depression (unstable will be defined as changes in antidepressant medications within the last 3 months - i.e. start, stop or change in dose.)
• •Unstable anxiety disorders/panic attacks (unstable will be defined as changes in medications within the last 3 months - i.e. start, stop or change in dose.)
• •Ongoing substance or alcohol abuse
• •Planned surgery or hospitalization over the next 8 weeks (i.e. during the trial)
• •Incapacitating pain or illness or other medical condition in which, in the opinion of the clinician, the sleep intervention is unlikely to be effective.