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Interventions to support people with hypertension in attending clinics and taking their medication have potential to improve outcomes, but delivery on a wide scale and at low cost is challenging.Some trials evaluating clinical interventions using short message service (SMS) text-messaging systems have shown important outcomes, although evidence is limited.The “chronic diseases of lifestyle clinic” services a caseload of about 500 patients per week.Patients with hypertension are managed by nurse practitioners and doctors in structured clinics.

The health centre provides a full range of primary care services with approximately 28,000 people attending each month.For example, when appointment reminders are sent to participants in the interactive SMS text-message group, they will include an option to reply if they cannot make their scheduled appointment and to cancel or change their appointment as necessary.Examples of the type of SMS text-messages sent to participants allocated to the two intervention arms are shown in Table Participants allocated to the usual care group only receive the SMS-texts sent to all trial participants.Some but not all trials suggest that SMS text-message reminders may improve clinic attendance, retention in care, and self-reported medication adherence [].Two trials in Spain with short follow-up periods have explored the efficacy of SMS-based interventions for people with hypertension to improve treatment compliance and blood pressure control.One strategy that may facilitate such support is the integration of a patient’s mobile (or cellular) phone in the process of health care delivery.

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