Outpatient clinic site unable to provide required recruits due to COVID 19 virus. Terminated June 30 2022. Actual enrolment 126. This information entered August 24, 2022.

The investigators have developed an online program to help people with peripheral arterial disease (PAD) in their extremities to better self-manage their condition. Some earlier testing has been done and the investigators now wish to try this system with participants who have this blood vessel disease as well as high blood pressure. Investigators are hoping to help these participants to achieve healthier lifestyles and improve their quality of life through education, monitoring and continuing support. A similar online desk-top version with over 30 participants has been tested at St. Michael's Hospital in Toronto. The investigators propose to test this newer mobile system with 210 outpatient participants from Hamilton General Hospital. Data collected will be analyzed following the (12 months for each participant) study, along with data recorded during clinical visits at baseline and twelve months for each participant. The objective is to evaluate changes to participant health and determine whether the health self-management process has been successful in improving participant lifestyles and quality of life, when compared to usual care.

Inclusion Criteria:

• Out-patients with Peripheral Arterial Disease (Ankle Brachial Index < 0.90)
• Attending the Hamilton General Hospital Outpatient Vascular Clinic
• May be living alone or with one or more caregivers
• Must have Internet access.

Exclusion Criteria:

• Age < 18 years
• Not diagnosed with PAD
• Unable to communicate in English
• Unwilling to participate
• Patients with dementia.