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Using mixed methods, we aimed to study the feasibility and acceptability of an innovative 6\u2010week program that combined self\u2010monitoring with coping skills and lifestyle education for patients with uncontrolled hypertension. Patients with uncontrolled hypertension interested in lifestyle modifications before intensifying medications were enrolled from primary care clinics. Patients self\u2010monitored emotions, behaviors, and BPs and received education from medical providers and mind\u2010body therapists through shared medical appointments (SMAs) with an option of weekly printed materials. Over 6 months, 31 eligible participants completed the program with higher uptake (21\/41) from physician referrals (74.2% women, 41.9% Black, median household income $100 000). Fourteen participants opted for weekly educational materials due to upcoming SMA sessions being fully booked or personal schedules. Pre\u2010 to post\u2010intervention paired <jats:italic>t<\/jats:italic>\u2010test showed improvement in systolic BP of 11.6\u00a0mmHg (95% CI, 6.6\u201316.6, <jats:italic>p<\/jats:italic> &lt; 0.0001), and hypertension control rate improved by 36% (11\/31) post\u2010intervention. Higher baseline systolic BP was associated with higher BP reduction (<jats:italic>p<\/jats:italic> &lt; 0.001). Thematic analysis showed the perceived benefit of self\u2010awareness, education, and peer support, whereas time constraints were perceived as challenges. Self\u2010monitoring with education on coping skills and lifestyle modification is feasible and improved BP and hypertension control across diverse primary care patients interested in lifestyle modifications; however, few low\u2010income patients enrolled. Less burdensome and community\u2010based interventions may improve participation in low\u2010income patients.<\/jats:p>","DOI":"10.1111\/jch.14921","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T19:18:02Z","timestamp":1729624682000},"page":"1487-1501","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Self\u2010Monitoring With Coping Skills and Lifestyle Education for Hypertension Control in Primary Care"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5725-3928","authenticated-orcid":false,"given":"Sonal J.","family":"Patil","sequence":"first","affiliation":[{"name":"Department of Family Medicine Center for Health Equity, Engagement, Education, and Research, Population Health and Equity Research Institute, Metro Health Medical Center, Case Western Reserve University  Cleveland Ohio USA"},{"name":"Primary Care Institute, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eno\u2010Obong","family":"Udoh","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Lerner College of Medicine of Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina","family":"Todorov","sequence":"additional","affiliation":[{"name":"Department of Wellness and Preventive Medicine Primary Care Institute, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpaa172"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.16418"},{"issue":"10","key":"e_1_2_13_4_1","first-page":"e143","article-title":"Implementation Strategies to Improve Blood Pressure Control in the United States: A Scientific Statement From the American Heart Association and American Medical Association","volume":"80","author":"Abdalla M.","journal-title":"Hypertension"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2019.1691622"},{"issue":"1","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.1080\/17437199.2019.1679654","article-title":"Self\u2010Regulation Mechanisms in Health Behavior Change: A Systematic Meta\u2010Review of Meta\u2010Analyses","volume":"14","author":"Hennessy E. 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