Home Blood Pressure Monitoring to Improve Hypertension

The goal of this single group pre-post-study is to test the possibility of self-monitoring with shared medical appointments program for lifestyle education in improving blood pressure (BP) of patients with uncontrolled hypertension.The main questions it aims to address is:To assess if patients with uncontrolled hypertension and their physicians will be interested in trying a program that includes self-monitoring with 6-week support for lifestyle changes and coping skills to improve BP and hypertension control.To assess if patients with uncontrolled hypertension can safely participate in a program that includes self-monitoring with 6-week support for lifestyle changes and coping skills to improve their BP and ability to self-manage hypertensionParticipants will:Send self-reports of their home BPs, diet, physical activity and emotionsAttend 6-week education program of lifestyle changes and coping skills delivered by physicians, holistic psychotherapists and yoga therapists.

Inclusion Criteria:Uncontrolled hypertension based on Clinic BP measurement of systolic BP>140 or diastolic BP >90 mm Hg (as the cutoff in the current common hypertension performance measures and ACO metrics)PCP recommends or patient desires a trial of self-monitoring and lifestyle modificationsPatient owns a smart phone and be willing to complete self-reports of BP during study participation.Exclusion Criteria:On dialysisPregnantHave a terminal illness,Clinic BP > systolic>180, diastolic>110Arm circumference that exceeds the limit for the largest home BP monitor cuffSevere cognitive impairmentMajor cardiovascular or cerebrovascular event in the past 6 months (Coronary artery disease, heart valve problems, arrhythmias, heart failure, stroke)Any physical or mental impairment that would affect patients' ability to participate(Ability to participate will be assessed by demonstrated ability to use available home BP machine and complete self-report during recruitment).