The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .
Reinforcing adherence to antihypertensive medications.
This pilot study evaluated a reinforcement intervention to improve adherence to antihypertensive therapy . Twenty-nine participants were r and omized to st and ard care or st and ard care plus financial reinforcement for 12 weeks . Participants in the reinforcement group received a cell phone to self-record videos of adherence  , for which they earned rewards . These participants sent videos demonstrating on-time adherence 97.8 % of the time . Pill count adherence differed significantly between the groups during treatment , with 98.8%±1.5 % of pills taken during treatment in the reinforcement condition vs 92.6%±9.2 % in st and ard care ( P<.002 ) . Benefits persisted throughout a 3-month follow-up , with 93.8%±9.3 % vs 78.0%±18.5 % of pills taken ( P<.001 ) . Pill counts correlated significantly ( P<.001 ) with self-reports of adherence , which also differed between groups over time ( P<.01 ) . Systolic blood pressure decreased modestly over time in participants overall ( P<.01 ) but without significant time-by-group effects . These results suggest that reinforcing medication adherence via cellular phone technology and financial reinforcement holds potential to improve adherence
The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .