Testing Feasibility of Medication Adherence Problem Solving for Hypertension

Adherence to medications for high blood pressure is key to improving blood pressure control and reducing the impact of cardiovascular disease. This project will test the feasibility of a tailored telehealth intervention to help patients improve adherence to blood pressure medication.

Inclusion Criteria:Aged ≥ 18 years at time of study entryAble to read, write, and converse in EnglishHave an active prescription for at least one HTN medication, reporting no antihypertensive prescription changes for 30 days prior to study entryHave prescription drug coverage or participate in a prescription assistance program that covers medication costs.Diagnosis of HTN, based on self-report or confirmed through medical records, where available. (Self-reported high BP has long been shown to be strongly correlated with presence of a HTN diagnosis.22-24 Self-report combined with presence of a prescribed HTN medication ensures that only participants with HTN will be included)Must self-administer their own medicationsUncontrolled BP: systolic (SBP) ≥ 130 mmHg and/or diastolic (DBP) ≥ 80 mmHg at baselineNonadherent to HTN medication (Hill-Bone Medication Subscale score < 36) at screeningExclusion Criteria:Acutely ill (e.g., symptoms of myocardial infarction, respiratory distress, stroke)Patients who have end-stage renal disease (ESRD) and/or are on dialysisIn state of hypertensive crisis (SBP >180 and/or DBP > 120 mmHg) at the time of study screening. Any participant in hypertensive crisis will be referred to their health care provider immediately for further instruction and follow-up, per current guidelines2BP measurement is contraindicated on both upper extremitiesTerminal chronic illness with a life expectancy of 6 months or less