Precision Nudging for Hypertension Management: Observational Study

Data-driven Personalization for Inclusive Outreach and Equitable Outcomes in a Digital Health Intervention for Hypertension Management: A Prospective Observational Study

The purpose of the proposed observational study is to explore the relations between data-driven personalization and equitable health outcomes in a digital health intervention (DHI) for hypertension management. In the current intervention, behavioral reinforcement learning is applied to personalize intervention content to maximize the behavioral outcomes of three target behaviors critical for effective hypertension management: clinical encounters, medication adherence, and self-monitoring of blood pressure (SMBP).

Inclusion Criteria:

• Patient of Cone Health.
• Hypertension condition considered "uncontrolled" (signaled by an eligibility indicator).
• Most recent blood pressure reading is at or higher than 160/90 (lowered to 140/90 in April 2025 in accordance with approved protocol)

Exclusion Criteria:

• Non-English speaking.
• Globally unsubscribed.
• Locally unsubscribed.
• Deceased.