A Mobile Health (mHealth) Strategy for Improving Blood Pressure Control Among Adult Hypertensive African Americans

Inclusion Criteria: African American Ages 18 to 65 years old Able to demonstrate English reading literacy of at least 8th grade level [Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) score ≥ 6] Prior hypertension (HTN) diagnosis Clinically measured SBP greater than or equal to 160 mmHg recorded during the last 2 encounters Clinically measured SBP greater than or equal to 160 mmHg recorded within the last year UCM-RPM Hypertension Management Program current or eligible participant Access to an Apple iPhone compatible with Apple Health app Access to an active data plan or home Wi-Fi Willing to use wireless electronic blood pressure cuff (eCuff) Has access to EPIC myChart mobile app or is willing to establish myChart account and download app Willing to download USeeBP study app to phone Willing to download and use USeeBP app with staff assistance Exclusion Criteria: Hypertension is managed by a specialist (specialist prescribes the anti-hypertensive therapies) Baseline blood pressure greater than 180/110 Prior enrollment in the study Known pregnancy Prisoners Active opioid dependency Homelessness Psychiatric hospitalization in the last year Serious existing medical conditions that may make BP control difficult or necessitate frequent hospitalization (cirrhosis or hepatic failure, stage IV or V chronic kidney disease, interstitial nephritis, pulmonary arterial hypertension, right heart failure, history of dementia or neurocognitive disability, advanced heart failure, organ transplant, immunosuppressive therapy, active cancer treatment, patients on hospice care), stroke or myocardial infarction in past 90 days, severe aortic stenosis Hospital admission for primary diagnosis of hypertensive emergency, hypertensive urgency, or uncontrolled hypertension in the past 90 days