Examples of Telehealth Strategies and Technologies to Promote Effective Hypertension Management Telehealth strategies Automated BP data capture and transmission of the patient s self- measured BP Self-management support, including education, reminders, and feedback that is automated or delivered by a healthcare professional Medication titration and follow-up monitoring protocols/algorithm Prescription refill reminders Medication adherence assessments Self-monitoring of lifestyle behaviors Integration of behavior change techniques, including in-person counseling or e-counseling Case/care/population health management Commonly used telehealth technologies Wired landline telephone Wireless smartphone applications Website accessed via computers and handheld devices Text messaging Email messaging Social networking and social media websites/applications Wireless BP measurement devices Electronic pill dispensers/counters Reproduced with permission from Whelton et al.4 Copyright 2018, American Heart Association, Inc., and American College of Cardiology Foundation. BP indicates blood pressure. Appendix A. Continued Table C: Procedures for Use of HBPM Patient training should occur under medical supervision, including: Information about hypertension Selection of equipment Acknowledgment that individual BP readings may vary substantially Interpretation of results Devices: Verify use of automated validated devices. Use of auscultatory devices (mercury, aneroid, or other) is not generally useful for HBPM because patients rarely master the technique required for measurement of BP with auscultatory devices. Monitors with provision for storage of readings in memory are preferred. Verify use of appropriate cuff size to fit the arm. Verify that left/right inter-arm differences are insignificant. If differences are significant, instruct patient to measure BPs in the arm with higher readings. Instructions on HBPM procedures: Remain still: Avoid smoking, caffeinated beverages, or exercise within 30 min before BP measurements. Ensure 5 min of quiet rest before BP measurements. Sit correctly: Sit with back straight and supported (on a straight-backed dining chair, for example, rather than a sofa). Sit with feet flat on the floor and legs uncrossed. 