Association of a Smartphone Application With Medication Adherence and Blood Pressure Control

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Abstract
Hypertension is estimated to affect 34% of US adults 20 years or older, accounting for more than 73 000 deaths each year.1 Among modifiable risk factors, eliminating uncontrolled hypertension is estimated to have the single greatest potential to reduce cardiovascular mortality in women, and to have an effect that is second only to smoking cessation in men.1 While many factors contribute to poorly controlled hypertension, nonadherence is thought to account for nearly half of all such cases.2,3 In fact, among patients classified as having “medication-resistant” hypertension, more than 50% are actually nonadherent to their prescribed medications.3