Retail Outlet Health Kiosk Hypertension Trial

Cardiovascular disease (CVD) remains the leading cause of death in the U.S. as well as the leading cause of health care cost. Hypertension is the leading remediable risk factor for CVD in the U.S. and globally, with prevalence of 29% in U.S. adults. Recent data from NHANES indicate that blood pressure (BP) is not controlled, defined as 3 systolic BP measurements >140/90 mmHg. We propose to target this group using interactive text messaging to activate individuals to take actions to improve BP control. The pilot studies proposed here will provide preliminary data to support an application to conduct a fully powered randomized trial comparing a tailored text messaging intervention to usual care. The primary endpoint will be BP control defined as