1. Willing and capable of giving written informed consent |
2. Willing to comply with all study procedures and be available for the duration of the study |
3. Males and females ages 18–39 years old at the start of the study (inclusive) |
4. A minimum of two hypertension ICD-10 coded visits with a provider (MD, DO, PA, NP) on different dates in the last 24 months, with at least one code in the past 18 months |
5. Medically homed at UW Health or Aurora Health Care |
Exclusion Criteria |
1. History of medically determined Congestive Heart Failure |
2. Unable to provide informed consent (i.e., activated healthcare power of attorney) |
3. Unable or unwilling to travel to local clinic for research visits |
4. Currently residing in a skilled nursing facility |
5. Diagnosed with sickle cell anemia or cystic fibrosis |
6. Diagnosed with stroke, myocardial infarction, and/or coronary artery revascularization in the past 2 years |
7. Syncope while exercising or doing strenuous activity within past 12 months |
8. Currently prescribed warfarin, novel oral anticoagulant, or insulin |
9. Planned organ transplant or prior transplant in the past 5 years |
10. Chemotherapy or radiation therapy within 6 the past months |
11. Severely impaired hearing, vision, or speech, as determined by study staff responsible for enrollment |
12. Current participation or planning to participate in another clinical trial in the next 12 months |
13. Pregnant or planning to become pregnant in the next 12 months |
14. Planning to leave the geographic area in the next 6 months |
15. Health condition that will limit both increasing physical activity and changing diet |
16. Illegal drug use (other than marijuana) in the past 30 days |
17. Unable to read or communicate in English |
18. Currently on dialysis or seeing a Nephrologist |
19. Between-arm blood pressure difference ≥20 mmHg |
20. White Coat Hypertension (24-hour ambulatory monitoring) |
21. Inability to comply with or complete the protocol or other reasons at the discretion of the principal and site investigators |
22. Currently residing in correctional facility |