Patients noted that when their blood pressure was measured by machine in the office setting, they experienced pain and uncomfortable pressure. Some of the patients noted that their blood pressure had to be taken twice when in the office setting, the first reading rarely being accurate. Patients felt that the office blood pressure readings were inaccurate; they trusted the devices they use at home more. There were noticeable differences between blood pressure readings when it was taken manually versus a machine. c. Education around home monitoring devices and strategies for measurement and management, including frequency of measurement, is important. All patients noted that they have a device to monitor their blood pressure at home, however, none of the patients had received instruction from their provider about how to use the device to measure their own blood pressure. None of the patients reported having learned from their provider how often to measure their blood pressure at home; the patients all reported different frequencies of self-monitoring their blood pressure. d. Improve communication between providers and patients, considering patient preferences regarding frequency of communication and mode of communication. Patients felt that providers should listen actively to their patients and take into consideration the patient s other medical conditions (e.g., co-occurring diabetes, injuries/physical limitations) and needs that may affect their treatment to provide a holistic approach to managing their HTN. Some patients appreciated and/or felt they would benefit from additional contact with their providers in between their annual or bi-annual visits. All patients were interested in telehealth modalities to improve communication with their providers and were willing to engage with providers through phone calls, email, or mobile applications. e. All patients understood the importance of lifestyle modifications to lower their blood pressure. 