Improving Blood Pressure Control in Stroke Patients by Increasing Access to a Home Blood Pressure Monitor

The goal of this clinical trial is to learn whether providing teaching with a low-cost device can help to improve blood pressure, health outcomes, patient self-efficacy without exacerbating inequity between advantaged and disadvantaged patients.The main question[s] it aims to answer are:Does providing a free home blood pressure cuff improve control of hypertension?Does providing a free home blood pressure cuff have a greater impact on control of hypertension in disadvantaged populations?Does improved control of home blood pressure decrease adverse patient outcomes?Participants will be asked toTake their blood pressure at home and records the resultsParticipate in follow-up phone calls from investigators at at 3 and 6 monthsResearchers will compare patients provided with home blood pressure monitors to those who are provided with routine education

Inclusion Criteria:Patients over the age of 18 admitted to the Stanford Hospital (SHC) stroke service and discharging to home or acute rehabDiagnosis of Ischemic Stroke, Hemorrhagic Stroke, transient ischemic attack (TIA), or otherwise deemed to be at increased risk of stroke by the treating team (for example, asymptomatic carotid stenosis).No usable home blood pressure cuff availableDiagnosis of hypertension or elevated blood pressure (> 130/80) concerning to the treating clinician for hypertensionParticipant or surrogate able to apply a home blood pressure cuff on the participantPatient or Legally Authorized Representative (LAR) agree to participate and are able to consent.Exclusion Criteria:Currently enrolled in another blood pressure or secondary prevention interventional research studyUpper arm circumference > 20 inchesAny other reason that, in the opinion of the investigator, makes the person a poor candidate for participation in this study