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 .
Reducing clinical inertia in hypertension treatment: a pragmatic randomized controlled trial.
Clinical inertia is a major contributor to poor  blood pressure ( BP ) control . The authors tested the effectiveness of an intervention targeting physician , patient , and office system factors with regard to outcomes of clinical inertia and BP control . A total of 591 adult primary care patients with elevated BP ( mean systolic BP ≥ 140 mm Hg or mean diastolic BP ≥ 90 mm Hg ) were r and omized to intervention or usual care .  An outreach coordinator raised patient and provider awareness of unmet BP goals , arranged BP-focused primary care clinic visits , and furnished providers with treatment decision support . The intervention reduced clinical inertia ( -29 % vs -11 % , P=.001 ) . Nonetheless , change in BP did not differ between intervention and usual care ( -10.1/-4.1 mm Hg vs -9.1/-4.5 mm Hg , P=.50 and 0.71 for systolic and diastolic BP , respectively ) . Future primary care-focused interventions might benefit from the use of specific medication titration protocol s , treatment adherence support , and more sustained patient follow-up visits
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 .