Testing Feasibility of Medication Adherence Problem Solving for Hypertension

Other illness

• Acutely ill (e.g., symptoms of myocardial infarction, respiratory distress, stroke)
• Patients who have end-stage renal disease (ESRD) and/or are on dialysis
• Terminal chronic illness with a life expectancy of 6 months or less

Other

• In 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 guidelines2
• BP measurement is contraindicated on both upper extremities

• Aged ≥ 18 years at time of study entry
• Able to read, write, and converse in English
• Have an active prescription for at least one HTN medication, reporting no antihypertensive prescription changes for 30 days prior to study entry
• Have 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 medications
• Uncontrolled BP: systolic (SBP) ≥ 130 mmHg and/or diastolic (DBP) ≥ 80 mmHg at baseline
• Nonadherent to HTN medication (Hill-Bone Medication Subscale score \< 36) at screening