Some of the possible interventions may include mobile applications, telehealth monitoring, telehealth visits with primary care or a subspecialty. The impact of the intervention of interest and any concurrent treatment on the following outcomes was considered: reduction in blood pressure, change in blood pressure from baseline, achievement of lower blood pressure goals and adherence to therapy, and percentage of patients taking medication. In examining instead of or in addition to usual care (in-person visits) , two RCTs, Liu et al. (2018) [91] and Nolan et al. (2018),[92] compared an e-counseling intervention with usual care or control. Liu et al. observed a not statistically significant difference in SBP change between user-driven e-counseling and control, while a statistically significant change was noted with expert-driven e-counseling.[91] Nolan et al. (2018) reported a not statistically significant difference between e-counseling plus usual care for SBP and DBP at four months.[92] Two SRs compared mobile applications or mobile health technology with usual care or control. Alessa et al. (2018) indicated that applications had either a positive or statistically significant positive effect on SBP and DBP as compared to usual care or control.[93] Four of the 12 RCTS in Xiong et al. (2018) reported a statistically significant change in either SBP or DBP in favor of mHealth interventions as compared to usual care.[94] Marquez Contreras et al. (2018) reported a statistically significant difference in SBP change in favor of the mobile application as compared to usual care.[95] Twelve of 21 RCTs in Xiong et al. 2018) reported a significant improvement in medication adherence in the intervention group compared to controls.[94] In looking at telehealth monitoring, one SR by McLean et al. (2016) included seven RCTs comparing interactive digital interventions with usual care. McLean et al. 