Success requires consideration of race, eth- nicity, and socioeconomic status, as well as individual, provider, and environmental factors that may influence the design of such interventions.S12.1.2-1 High-quality evi- dence has shown that even modest sustained lifestyle changes can substantially reduce CVD morbidity and Because many beneficial effects of lifestyle changes accrue over time, long-term adher- ence maximizes individual and population benefits. Interventions targeting sodium restriction, other dietary patterns, weight reduction, and new physical activity habits often result in impressive rates of initial behavior changes but frequently are not translated into long-term behavioral maintenance. 12.1.3. Improving Quality of Care for Resource-Constrained Populations The availability of financial, informational, and instrumental support resources can be important though not sole determi- nants of hypertension control.S12.1.3-1,S12.1.3-2 The management of hypertension in resource-constrained populations poses a challenge that will require the implementation of all recom- mendations discussed in Section 13 (Table 21), with specific sensitivity to challenges posed by limited financial resources, including those related to health literacy, alignment of and potential need to realign healthcare priorities by patients, the convenience and complexity of the management strategy, accessibility to health care, and health-related costs (includ- ing medications). Resource-constrained populations are also populations with high representation of groups most likely to manifest health disparities, including racial and ethnic minorities (see Section 10.1), residents located in rural areas, and older adults. The more comprehensive BP targets pro- posed in the present guideline will present added challenges in these populations. It is crucial to invest in measures to enhance health lit- eracy and reinforce the importance of adhering to treatment strategies, while paying attention to cultural sensitivities. These measures may include identification of and partner- ing with community resources and organizations devoted to hypertension control and cardiovascular health. 