Improving Hypertension Medication Adherence for Older Adults

This randomized controlled trial will assess the efficacy and scalability of a blood pressure technology system intervention. The investigators will enroll 224 older adults with hypertension to identify those who are nonadherent for one hypertension medication. The participants will be randomized to one of two groups (112 per group) to use the blood pressure system for 6-months. Both groups receive information about high blood pressure and medications. One group will also receive strategies that can be used to take medications and manage blood pressure. Both groups will complete a mid-assessment at 3-months and a post-assessment at 6-months.

Inclusion Criteria:age 65 years or olderself-manage at least one hypertension medicationable to read and speak Englishwilling to participate in the study for six monthscurrently have and use an Apple iPhonehave hypertension medication adherence ≤ 90% in the last 2 weeks of the 4-week baseline monitoring period using an AARDEX MEMS® capExclusion Criteria:have inadequate visual acuity (worse than 20/50 corrected near vision on Snellen test)experience severe depression (> 11 on Geriatric Depression Scale Short Form, GDS-15)are at risk for cognitive impairment (< 23 on Montreal Cognitive Assessment, MoCA)been instructed by their healthcare provider to withhold their blood pressure medication