(2016) included seven RCTs comparing interactive digital interventions with usual care. McLean et al. (2016) observed statistically significant changes in SBP and DBP in favor of interactive digital interventions compared to usual care.[96] This recommendation looked at a variety of topics that include web-based interventions and telemonitoring. Two SRs [97,98] and two RCTs [99,100] compared telehealth visits with usual care or control. Chen et al. (2019) and Beishuizen et al. (2016) reported statistically significant differences in favor of web-based interventions for changes in SBP and DBP.[99,100] In contrast, one RCT included in Vargas et al. (2017) reported a not statistically significant difference in SBP change at three months.[98] Similarly, an additional RCT (not included in one of the above four SRs) by McManus et al. (2018) observed no statistically significant differences in SBP or DBP at six months.[52] One RCT included in Vargas et al. examined medication adherence and found no statistically significant difference in medication adherence between short message service (SMS) and control.[98] However, an additional RCT (not included in one of the above four SRs) by Pan et al. compared home telemonitoring with usual care and observed statistically significant differences in favor of home telemonitoring for SBP and DBP.[101] Given these conflicting results, additional studies need to examine possible effectiveness of mHealth.[90] Additional considerations include the confidentiality and security of all Health Insurance Portability and Accountability Act (HIPAA)-related health information, variation in use between age population groups, and variation in access to internet or technologies due to financial considerations. Primary HTN continues to be a concern. Emerging technologies should be considered as a possible additional intervention between the provider and patient to address HTN, thereby giving the provider additional tools to teach and evaluate the patient s progress. 