e. All patients understood the importance of lifestyle modifications to lower their blood pressure. All of the patients reported closely monitoring and changing their diet when they learned of their HTN diagnosis. All of the patients understood that they should decrease sodium and alcohol intake and should not smoke. Most of the patients noted that they put a strong emphasis on staying active to improve their blood pressure. Patients were interested in other complementary alternative therapies to improve their blood pressure, such as meditation, yoga, and acupuncture. Appendix C: Evidence Table Table C-1. Evidence Tablea,b,c Recommendation 2014 Strength of Recommendation Evidence 2020 Strength of Recommendation Recommendation Category 1. We recommend screening adults for elevated blood pressure periodically. Strong for Additional References: Strong for Not Reviewed, Amended 2. We suggest using attended or unattended, fully automated office blood pressure measurement (programmed to wait five minutes and record the average of three measurements separated by at least 30 seconds). N/A Additional References: Weak for Reviewed, New- added 3. When fully automated blood pressure measurement is not available, we suggest measurement of blood pressure using standard technique and a properly calibrated and validated sphygmomanometer. Strong for Additional References: Weak for Reviewed, New- replaced 4. We suggest using out-of-office blood pressure monitoring methods (ambulatory 24-hour monitoring or home blood pressure measurements) to inform the diagnosis and management of hypertension. Strong for, Weak for Additional References: Weak for Reviewed, New- replaced 5. Among patients treated for hypertension, we suggest offering home blood pressure self-monitoring with co- interventions for lowering systolic and diastolic blood pressure. N/A [49-53] Weak for Reviewed, New- added a Strength of Recommendation columns: Refer to the Grading Recommendations section for more information on how the strength of the recommendation was determined using GRADE methodology. 