MI-BP: mHealth to Improve Blood Pressure Control

Exclusion Criteria

• •No self-reported prior history of hypertension
• •No hypertension diagnosis documented in their medical record
• •Non-English speaking
• •Presenting with an acute illness necessitating immediate medical intervention
• •Presenting with an admission to the hospital for critical reasons (as determined by the attending physician)
• •Pregnant (as determined by a dip test at screening), or self-report during trial.
• •Having the following serious comorbidities or confounders due to the fact that they may make blood pressure control difficult or necessitate frequent Emergency Department use or hospitalization:
• •* Previous diagnosis of resistant hypertension (or current use of 3 or more maximally dosed antihypertensive agents without achievement of blood pressure control)
• •* Steroid dependent asthma or emphysema
• •* Cirrhosis or hepatic failure
• •* Chronic heart failure (any stage)
• •* Previous diagnosis of acute myocardial infarction, angina (stable or unstable), or known coronary artery disease
• •* Previous diagnosis of cerebrovascular disease (including transient ischemic attack or stroke)
• •* Known valvular heart disease
• •* Stage IV or V chronic kidney disease
• •* Cancer (terminal or undergoing active chemotherapeutic or radiation therapy)
• •Patients with other serious medical conditions that may affect their ability to self-monitor blood pressure (such a dementia)
• •Having a history of alcohol or drug abuse as determined by the CAGE-AID questionnaire (excluded if 2 or more)
• •Week 2 measurement of systolic blood pressure \< 130 mm Hg using the BpTRU device or study-issued BP cuff.