Tailored Approaches to Improve Medication Adherence

Using a randomized controlled trial design, this study will compare the efficacy of a
tailored adherence intervention (TAI) to a single patient education (PE) session, on
medication adherence among 40 high-risk Latino patients with uncontrolled hypertension (HTN)
who are non-adherent to their prescribed antihypertensive medications. Patients randomized to
the PE group will receive a single patient education session on HTN and medication management
by a trained research assistant (RA) at the baseline visit. Patients randomized to the TAI
group will complete a tailoring survey at the baseline visit to identify the most salient
adherence barriers to the individual, which will be used to create an individualized
adherence profile. Following completion of the tailoring survey, patients will collaborate
with the RA to identify the most suitable mix of intervention strategies for improving
medication adherence (i.e., reminder aids, motivational interviewing, case management) that
are matched to the barriers outlined on patients' individualized adherence profiles.

Inclusion Criteria:

- Have uncontrolled hypertension defined as BP>140/90 mmHg on at least two consecutive
visits in the past year (or BP>130/80 mmHg for those with diabetes or kidney disease)
and Framingham Risk Scores (FRS) >20% (or at least one CVD risk factor including
hyperlipidemia or diabetes);

- Have been prescribed at least one antihypertensive or oral anti-diabetic medication;

- Self-identify as Latino or African American/Black

- Be > 18 years of age

Exclusion Criteria:

- Refuse or are unable to provide informed consent;

- Currently participate in another hypertension study; or 2 diabetes study

- Have significant psychiatric comorbidity

- Plan to discontinue care at the clinic within the next 3 months

Vulnerable populations including adults unable to provide informed consent, pregnant women,
and prisoners will be excluded from this study.