Walker-Smith, TammyCisneros, Maria Priscilla2021-10-072021-10-072021-08https://hdl.handle.net/1969.6/89779Background: Approximately 108 million adults in the United States (U.S.) have hypertension (HTN) of which only 24% have adequate control. Men have a higher incidence of HTN than women and only 25% of Hispanic males have adequate control compared to 32% of non-Hispanic white males. The purpose of this quality improvement initiative (QI) was to improve medication adherence screening by providers and adherence to antihypertensive medication in indigent, adult Hispanic males (25 – 64 years of age) with uncontrolled hypertension (HTN) at a large primary care clinic in South Texas, using a smartphone application (Medisafe) and the Hill Bone Medication Adherence Scale (Hill-Bone Scale). Method: A before and after design was used to institute a hypertension protocol including the Hill-Bone Medication Adherence Scale in the clinic and the Medisafe medication reminder smartphone application by patients for a 3-month trial. Results: Utilization of the Medisafe application resulted in increased number of medication adherence days, improved self-reported medication adherence scores as well as improved overall mean systolic and diastolic blood pressure. Discussion: Self-reported medication adherence screening and utilization of the Medisafe medication reminder application has the potential to improve adherence and outcomes among patients with uncontrolled hypertension.53 pagesen-USAttribution 4.0 InternationalThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.http://creativecommons.org/licenses/by/4.0/MedisafeHill-Bone Medication Adherence Scalehypertensionmedication non-adherenceAntihypertension Medication AdherenceIndigent MalesUncontrolled Hypertensionmedication non-adherenceUncontrolled Blood PressureSmartphone Technology to Improve Medication AdherenceText