Blood Pressure Care for Advancing Real-World Evidence (BPCARE)

Inclusion Criteria: * Have a clinical diagnosis of hypertension determined at screening, * Be at least 21 years of age, * English as a second language, * Be able to provide written informed consent and participate in study procedures, * Have a last least one recorded automated clinic systolic BP reading of at least 130 mmHg within the past year OR at least one home SBP reading of ≥140 mmHg in the last year. AND/OR answer is in range of less than two months to "when was the last time you missed a dose of your hypertension medication?" * Will not move out of San Diego in the next 6 months, and * Have access to a mobile phone or computer with video telecommunication capacity (e.g. Zoom) Exclusion Criteria: * A cardiovascular event or hospitalization for unstable angina within last 3 months, * Symptomatic heart failure within the past 6 months or left ventricular ejection fraction \< 35%, * Individuals who are pregnant, planning on becoming pregnant within the next 7 months * Current participation in another clinical trial that includes taking medications that may change blood pressure, or * Major factors judged to be likely to significantly limit comprehension of or adherence to interventions including dementia, psychotic disorders, or affect ability to conduct pill counts * Any immediate family members participating in the trial.