Authors: Jonathan J Shih*, Vivian E Kwok*, Isabel Luna, Hyunjin Cindy Kim, Faviola Garcia, Christian Gutierrez, Mahal Garcia, Courtney R Lyles, Elaine C Khoong
*these authors contributed equally
This study explored patient-reported barriers, preferences, and facilitators to self-measured blood pressure monitoring among English- and Spanish-speaking patients with hypertension at an urban safety-net hospital. Fifteen participants, all from racial and ethnic minority groups, completed surveys and semi-structured interviews about device usability and data sharing. Many faced digital inaccessibility, lacked formal training, and demonstrated incorrect measurement techniques. Spanish-speaking participants reported challenges using English-only apps and emphasized the need for translated resources. Cost and ease of use were key drivers of device preference, with cellular-enabled devices viewed as more accessible than Bluetooth devices. Findings suggest that addressing cost, training gaps, digital barriers, and language discordance could improve adoption of self-measured blood pressure monitoring in safety-net populations.