Improving Medication Adherence in Hypertensive Patients

The intervention will incorporate a scalable electronic intervention using Email/Web Apps
and Short Message Service (SMS)/Mobile Web Apps. The study team will examine the
participants' responses to the electronic encounters in the technology-only intervention
throughout the 3-month study timeframe.

Inclusion Criteria:

- Enrolled in the primary care clinic for the past 6 months

- New or existing prescription for hypertension

- Poorly controlled mean systolic blood pressure (SBP) in the last 12 months (>140/90
Hg)

Exclusion Criteria:

- Hospitalized for a stroke, myocardial infarction, coronary artery revascularization
in the past 3 months,

- Diagnosis of metastatic cancer;

- Active diagnosis of psychosis or dementia documented in medical record;

- Does not have access to the appropriate technology required

- Is not willing to use said device to receive notifications for the study;

- Does not live independently (assisted living or nursing home residents) or otherwise
institutionalized or receiving home health care

- Severely impaired hearing, vision or speech (unless technological aides allow them
full functionality)

- Planning to leave the area or change primary care clinics prior to the anticipated
end of participation;

- Unable to read and understand spoken English

- Participation in another cardiovascular disease (CVD) study

- Another household member enrolled in study;

- Arm size > 50cm